• Title/Summary/Keyword: Root fusion

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Distribution, prevalence and sex linkage of molar root fusion (대구치 치근융합의 발생빈도와 분포및 성별과의 관련성 조사)

  • Ryu, So-Hyun;Heo, Soo-Rye;Lee, Su-Jeong;Chang, Moon-Taek;Kim, Hyung-seop
    • Journal of Periodontal and Implant Science
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    • v.32 no.1
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    • pp.61-68
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    • 2002
  • The objective of this study was to determine the incidence and distribution of root fusion as well as its sexlinkage in maxillary and mandibular molars. One hundred fifty patients who had eight maxillary and mandibular molars (third molars excluded) were consecutively selected for the study subjects. The subjects provided a total of 1200 molars, i.e., 600 maxillary and 600 mandibular molars. A decision about root fusion was made on the radiographic examination. If a molar had one root and/or roots fused at any part in the root surface, it was considered as having root fusion. The results showed that : (1) 14.1 % of the maxillary molars and 5.8 % of the mandibular molars had a fused root, (2) the prevalence of root fusion in the male was 33 % and 56.4 % in the female, (3) 60 % in the male and 48.8 % in the female had bilaterally paired root fusion, (4) the root fusion was most frequently observed in the maxillary second molar position, but none in the mandibular first position in this study. Within limitations of this study, it can be concluded that, in management of molars with a furcation problem, treatment options such as hemisection and root amputation should be chosen after careful evaluation of root fusion. Further studies are needed to investigate a possible relationship between root fusion and periodontal disease progression.

Analysis of C-shaped root canal configuration in maxillary molars in a Korean population using cone-beam computed tomography

  • Jo, Hyoung-Hoon;Min, Jeong-Bum;Hwang, Ho-Keel
    • Restorative Dentistry and Endodontics
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    • v.41 no.1
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    • pp.55-62
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    • 2016
  • Objectives: The purpose of this study was to investigate the incidence of root fusion and C-shaped root canals in maxillary molars, and to classify the types of C-shaped canal by analyzing cone-beam computed tomography (CBCT) in a Korean population. Materials and Methods: Digitized CBCT images from 911 subjects were obtained in Chosun University Dental Hospital between February 2010 and July 2012 for orthodontic treatment. Among them, a total of selected 3,553 data of maxillary molars were analyzed retrospectively. Tomography sections in the axial, coronal, and sagittal planes were displayed by PiViewstar and Rapidia MPR software (Infinitt Co.). The incidence and types of root fusion and C-shaped root canals were evaluated and the incidence between the first and the second molar was compared using Chi-square test. Results: Root fusion was present in 3.2% of the first molars and 19.5% of the second molars, and fusion of mesiobuccal and palatal root was dominant. C-shaped root canals were present in 0.8% of the first molars and 2.7% of the second molars. The frequency of root fusion and C-shaped canal was significantly higher in the second molar than the first molar (p < 0.001). Conclusions: In a Korean population, maxillary molars showed total 11.3% of root fusion and 1.8% of C-shaped root canals. Furthermore, root fusion and C-shaped root canals were seen more frequently in the maxillary second molars.

Fused roots of maxillary molars: characterization and prevalence in a Latin American sub-population: a cone beam computed tomography study

  • Marcano-Caldera, Maytte;Mejia-Cardona, Jose Luis;Blanco-Uribe, Maria del Pilar;Chaverra-Mesa, Elena Carolina;Rodriguez-Lezama, Didier;Parra-Sanchez, Jose Hernan
    • Restorative Dentistry and Endodontics
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    • v.44 no.2
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    • pp.16.1-16.12
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    • 2019
  • Objectives: The upper molars generally have three roots; therefore, different combinations of fusion can occur, increasing the possibility of finding more complex root canal systems. The purpose of this study was to evaluate the prevalence and characterization of fused roots in first and second maxillary molars using cone-beam computed tomography (CBCT) in a Colombian population. Materials and Methods: A total of 1274 teeth were evaluated, of which 534 were maxillary first molars and 740 were maxillary second molars. Axial sections were made at the cervical, middle, and apical levels to determine the prevalence of root fusion and the types of fusion. Results: Overall, 43% of the molars (n = 551) presented some type of fused root. Root fusion was present in 23.4% of the maxillary first molars. The most frequent type of fused root was type 3 (distobuccal-palatal; DB-P) (58.9%). Root fusion was observed in 57.6% of the maxillary second molars, and the most prevalent type of fused root was type 6 (cone-shaped) (45.2%). Of the maxillary molars, 12.5% were classified as C-shaped. Conclusion: Within the limitations of this study, there was a high prevalence of fused roots in maxillary molars in the Colombian population, mainly in the maxillary second molars. In first molars, the most common type of fused root was type 3 (DB-P) and in second molars, the most common type was type 6 (cone-shaped). Additionally, molars with root fusion presented variation at different levels of the radicular portion, with implications for treatment quality.

A study of distribution, prevalence and relationship of the localized periodontitis of first and second molar root fusion (제 1, 2 대구치 치근융합의 발생빈도와 분포 및 국소적 치주염과의 관련성 조사)

  • Choi, Byung-Kook;Hong, Ki-Seok;Chung, Chin-Hyung;Lim, Sung-Bin
    • Journal of Periodontal and Implant Science
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    • v.36 no.2
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    • pp.503-513
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    • 2006
  • The purpose of this study was to determine the distribution, prevalence and relationship of the localized periodontitis of root fusion in maxillary and mandibular molars. One hundred patients who had eight maxillary and mandibular molars(third molars excluded) were consecutively selected for the study subjects. The subjects provided a total of 800 molars, i. e., 400 maxillary and 400 mandibular molars. A decision about root fusion was made on the radiographic examination. Probing depth, plaque index, gingival index and mobility were measured. The results were as follows. 1. 15.9% of the molars had a fused root. 22% of the maxillary molars and 9.8% of the mandibular molars had a fused molars. 2. In maxillary molars, the results of probing depth, plaque index, gingival index, mobility are more higher in test group than in control group, and there was a significantly difference except plaque index of maxillary first molars group(p<0.01). 3. In mandibular molars, the results of probing depth, plaque index, gingival index, mobility are more higher in test group than in control group, and there was a significantly difference(p<0.01). As a result of this study, it can be concluded that, in management of molars with a root fusion, we should detect the molars through the precise radiographic examination, early periodontal treatment and systematic treatment plan should be chosen. And postoperative continuing supportive periodontal therapy is needed.

Evaluation of root and root canal morphology of elderly Korean patients maxillary molars using cone-beam computed tomography (CBCT를 이용한 한국인 고령환자의 상악 대구치에서 치근 및 근관형태의 분석)

  • Lee, Tae-Yong;Kim, Mi-Yeon;Kim, Sun-Ho;Kim, Jeong-Hee
    • The Journal of Korean Academy of Prosthodontics
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    • v.58 no.2
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    • pp.95-102
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    • 2020
  • Purpose:The aim of the present study was to evaluate the incidence of the second mesiobuccal (MB2) canal, root fusion, and C-shaped root canal configuration in the Korean maxillary first (MM1) and second (MM2) molars by analyzing cone-beam computed tomographic (CBCT) images. Materials and methods: Patients undergoing presurgical CBCT examination were included in the current study. The CBCT images of 1498 MM1 and 1742 MM2 from 1658 Korean patients were assessed to determine the incidence of a MB2 canal, the types of canal configurations, root fusion, and C-shaped root canal configurations. Further, the correlations between the incidence of MB2 canal and age, gender, and tooth position were analyzed. Results: The study population was relatively old (mean age: 66.1 years). The percentage of MB2 canals in MB roots was 60.1% and 28.0% in MM1 and MM2, respectively, with the most common configurations being Weine type III in MM1 and Weine type II in MM2. Additionally, the frequency of a MB2 canal decreased with age in both molars and was higher in men than in women in the MM1 only. Furthermore, root fusion was present in 2.3% and 26.2% of the MM1 and MM2, respectively, whereas C-shaped root canals were observed in 0.4% and 2.7% of the MM1 and MM2, respectively. Conclusion: The MB2 canal was found more frequently in the MM1, whereas root fusion and C-shaped root canals were both seen more frequently in the MM2.

Prevalence of Various Anatomic Variations in Cross-sectioned Apices of Maxillary Second Molars in Korean and Their Effect on Canal Cleanliness (한국인의 상악 제 2대구치 치근단면 형태에 대한 연구)

  • Park, Jinwoo;Bae, Jihyun;Choi, Yonghoon
    • The Journal of the Korean dental association
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    • v.56 no.2
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    • pp.84-93
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    • 2018
  • Purpose: This study evaluated the apical root canal system of maxillary second molars, in which conventional endodontic treatment had failed. Materials and Methods: One hundred eighteen extracted endodontically failed maxillary second molars were examined to investigate the root canal morphology using clinical photographs. High-resolution cross-sectional images at the 3mm level from the root apices were taken to evaluate the anatomic variations and canal cleanliness. The incidence of anatomic variations and canals containing debris were evaluated statistically. Results: One (0.85%) maxillary second molar had four separate roots, while 52 (44.07%) had three separate roots. The remaining 65 (55.08%) showed 6 different types of fusion in their roots. As the number of fused roots increased from none to three, the incidence of isthmuses in the cross-sectional images increased significantly from 43.40% to 76.92% in 2-root fusion and 88.46% in 3-root fusion. In addition, the occurrence of less-cleansed canals increased from 22.64% to 38.46% and 53.85%, respectively (p<0.05). Sixty four teeth (54.24%) had 3 canals while 38(32.2%) had additional canals; most of them were located in the MB roots (81.58%). Seventy six (64.41%) had isthmuses in the apical region and 58 out of 76 were located in MB roots. Condlusions: Logistic analysis indicated that the less division of roots was associated significantly with the occurrence of insufficient cleaning during endodontic treatment (OR=1.765, p<0.05), while the presence of an additional canal showed no association.

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Endodontic management of central incisor associated with large periapical lesion and fused supernumerary root: a conservative approach

  • Badole, Gautam P.;Shenoi, Pratima R.;Parlikar, Ameya
    • Restorative Dentistry and Endodontics
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    • v.43 no.4
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    • pp.44.1-44.9
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    • 2018
  • Fusion and gemination are developmental anomalies of teeth that may require endodontic treatment. Fusion may cause various clinical problems related to esthetics, tooth spacing, and other periodontal complications. Additional diagnostic tools are required for the diagnosis and the treatment planning of fused tooth. The present case report describes a case of unilateral fusion of a supernumerary root to an upper permanent central incisor with large periapical lesion in which a conservative approach was used without extraction of supernumerary tooth and obturated with mineral trioxide aggregate to reach a favorable outcome.

Efficacy of Hydrogen Peroxide on Root Rot Disease of Ginseng Sprouts (과산화수소를 이용한 새싹인삼의 뿌리썩음병 방제효과)

  • Jong-Seok, Song;Geum Ran, Ahn;Sunkyung, Jung
    • Research in Plant Disease
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    • v.28 no.4
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    • pp.204-208
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    • 2022
  • Hydrogen peroxide is an eco-friendly oxidizing agent, which has exhibited a broad spectrum of antimicrobial activity without adverse environmental impact. This study was conducted to investigate the antifungal effect of hydrogen peroxide treatment against Cylindrocarpon destructans, and consequently to evaluate its control efficacy against root rot disease of 2-year-old ginseng plants. Hydrogen peroxide treatment strongly inhibited the viability of C. destructans conidia in vitro. The hydrogen peroxide at a concentration of 300 mg/l significantly reduced disease infection of the ginseng root when treated to spore suspension (107 conidia/ml). Spraying with 300 mg/l of hydrogen peroxide reduced the root rot disease of the ginseng sprouts by 15% compared to the untreated control at 14 days after the inoculation. However, 300 mg/l of hydrogen peroxide delayed the emergence of ginseng plants during sprouting under aeroponic conditions. Further works need to be done to provide an acceptable control efficacy of hydrogen peroxide against the disease and its good safety to ginseng plants.

Evaluation of Cryogenic Fracture Characteristics on TIG Weldments of Superconducting Magnets Structural Steel by Small Punch Testing Method (소형펀치 시험법에 의한 초전도 마그넷 구조용강 TIG 용접부의 극저온 파괴특성 평가)

  • ;T. Hashida
    • Journal of Welding and Joining
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    • v.14 no.5
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    • pp.122-133
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    • 1996
  • In order to evaluate the cryogenic fracture characteristics of structural steels for superconducting magnets of fusion reactor, small punch (SP) testing was performed on austenitic stainless steel (JN1 base metal) and its TIG weldments at 293K, 77K and 4K. The mechanical properties with respect to the extracted location of the weld metal, on the effects of welding heat cycle about base metal near fusion line in TIG weldments were investigated. The mechanical property of the weld metal in TIG weldments depends on distance from welding root, root region of weldments having the lowest mechanical property. The base metal near fusion line showed degradation of mechanical property caused by cyclic heating during the TIG welding. Based on the test results, HAZ was found to be up to 5mm from the fusion line. It is shown that SP testing is a useful tool to evaluate the mechanical properties with respect to the microstructures changes such as HAZ as well as weld metal in TIG weldments at cryogenic temperature.

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