Micro-computed tomography study of the internal anatomy of mesial root canals of mandibular molars

Marcelo Haas Villas-Bôas, Norberti Bernardineli, Bruno Cavalini Cavenago, Marina Marciano, Aldo Del Carpio-Perochena, Ivaldo Gomes De Moraes, Marco H. Duarte, Clovis M. Bramante, Ronald Ordinola-Zapata

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66 Scopus citations

Abstract

Introduction: The aim of this study was to determine the mesiodistal and buccolingual diameter, apical volume, and the presence of isthmuses at the apical level of mesial root canals of mandibular molars. Methods: Sixty extracted first and second mandibular molars were scanned by using a SkyScan 1076 micro-computed tomography system with a voxel size of 18 μm. The apical thirds of the samples were reconstructed to allow a perpendicular section of the apical third by using the multiplanar reconstruction tool of the OsiriX software. The mesiodistal and the buccolingual distances of root canals were measured between the 1- to 4-mm levels. The type of root canal isthmuses present at these levels was classified by using modified criteria of Hsu and Kim. The volume of the root canal anatomy between the 1- to 3-mm apical levels was obtained by using the CTAN-CTVOL software. Results: The medians of the mesiodistal diameter at the 1-, 2-, 3-, and 4-mm levels in the mesiobuccal and mesiolingual canals were 0.22 and 0.23 mm, 0.27 and 0.27 mm, 0.30 and 0.30 mm, and 0.36 and 0.35 mm, respectively. The buccolingual lengths at the 1-, 2-, 3-, and 4-mm levels were 0.37-0.35 mm, 0.55-0.41 mm, 0.54-0.49 mm, and 0.54 and 0.60 mm, respectively. The presence of isthmuses was more prevalent at the 3- to 4-mm level. However, 27 cases presented complete or incomplete isthmuses at the 1-mm apical level. The mean of the volume of the apical third was 0.83 mm 3, with a minimum value of 0.02 and a maximum value of 2.4 mm 3. Conclusions: Mesial root canals of mandibular molars do not present a consistent pattern. A high variability of apical diameters exists. The presence of isthmuses at the apical third was not uncommon even at the 1-mm apical level.

Original languageEnglish (US)
Pages (from-to)1682-1686
Number of pages5
JournalJournal of Endodontics
Volume37
Issue number12
DOIs
StatePublished - Dec 2011
Externally publishedYes

Bibliographical note

Funding Information:
Supported by the Brazilian Funding Agencies CNPq (grant 134981-2009 ) and FAPESP (grant 2010/16002-4 ).

Copyright:
Copyright 2012 Elsevier B.V., All rights reserved.

Keywords

  • Dental anatomy
  • mandibular molars
  • micro-computed tomography

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