Application of a new system for classifying root and canal anatomy in clinical practice – Explanation and elaboration

Ahmed, Hany Mohamed Aly; Hashem, Ahmed A.; Dummer, P. M. H.

doi:10.14744/eej.2021.38257

Cited by 7 publications

(12 citation statements)

References 18 publications

(23 reference statements)

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“…One of the most significant diagnostic implications of using the proper canal configu-ration classification system is that it may have an impact on case difficulty assessment and teaching. 32 In fact, this could be a future research direction, along with other anatomical structures such as accessory canals, which have clinically meaningful implications at the PG and UG levels. With all advantages presented with Ahmed et al coding system over Vertucci et al classification, it has to be mentioned that students and dental practitioners still have to be aware of Vertucci et al classification, its uses, advantages and limitations.…”

Section: Discussionmentioning

confidence: 98%

“…Having said that, with Ahmed et al system, multirooted posterior teeth with complex configurations will be displayed with a lengthy classification code, even though they will be accurately presented. One of the most significant diagnostic implications of using the proper canal configuration classification system is that it may have an impact on case difficulty assessment and teaching 32 . In fact, this could be a future research direction, along with other anatomical structures such as accessory canals, which have clinically meaningful implications at the PG and UG levels.…”

Section: Discussionmentioning

confidence: 98%

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Application of two systems to classify the root and canal morphology in the human dentition: A national survey in India

Karobari

Ahmed

Khamis

et al. 2023

Journal of Dental Education

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Purpose To assess the application and accuracy of two systems (Vertucci et al. 1974 and Ahmed et al. 2017) in classifying the root and canal morphology of human dentition among final‐year undergraduates, interns, and postgraduate dental students in India. Methods The survey was conducted using physical and online presentation modes in two phases. Phase 1; PowerPoint presentation (PPT), describing the most used classification system (Vertucci et al. 1974) and its supplementary types and Ahmed et al. (2017) classification. A single presenter delivered the PPT to participants, using either a projector in an auditorium/seminar hall (face‐to‐face) or an online platform (zoom meeting software). Phase 2 involved determining the students’ responses. A questionnaire was distributed amongst the participants after the lecture and collected for analysis. Fisher's exact test was used to analyze the data statistically, and the significance level was set at 0.05 (p < 0.05). Results A total of 1082 participants were involved in this survey. Overall, 93% of study participants found that Ahmed et al. classification system was more practical and accurate than Vertucci et al. system and its supplemental configurations (p < 0.001). About 97% agreed that Ahmed et al. classification system aided in understanding root and canal morphology better than Vertucci's and its additional configurations, and they recommended to include in their curriculum (p < 0.001). Conclusions In comparison to Vertucci's classification system and supplementary types, the undergraduate and postgraduate dental students, and interns in India agreed that Ahmed et al. classification system is more practical and accurate for classifying the root and canal morphology.

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 98%

Application of two systems to classify the root and canal morphology in the human dentition: A national survey in India

Karobari

Ahmed

Khamis

et al. 2023

Journal of Dental Education

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“…In this case, the meticulous use of state-of-the-art diagnostic resources like digital x-rays, the operating microscope, and ultrasonic tips were fundamental to understand and manage the anatomy of this complex clinical case in a single session. Recently, a new system for classifying root and canals morphology was proposed by Ahmed, Hashem, and Dummer to characterize unusual morphologies accurately (21) . From this perspective, the case reported was classified as a complex (RF) 1 34 4 .…”

Section: Discussionmentioning

confidence: 99%

Endodontic reintervention of a mandibular second premolar with four root canals: a case report

et al. 2022

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Complex anatomical variations on root canals morphology are one of the most arduous challenges in the endodontic practice. The objective of this case report is to discuss the clinical management of a mandibular left second premolar with four root canals and four distinct apical foramina. This case report has been written according to Preferred Reporting Items for Case reports in Endodontics (PRICE) 2020 guidelines. A 74-year-old patient was referred to retreat a left mandibular second premolar. The patient complained of discomfort when chewing hard food. After obtaining consent from the patient to investigate the symptoms, a thorough clinical and radiographic examination was performed. The main clinical findings observed were a moderate sensitivity to vertical percussion and mild discomfort at palpation. The periapical radiograph showed a fusion-like root with multiple canals and unsatisfactory root canal fillings associated with apical radiolucency. Based on this investigation, a diagnostic of persistent apical periodontitis was made to the tooth, and nonsurgical root canal re-treatment was proposed to the patient. After written informed consent was obtained, the procedure was performed under magnification provided by a dental operating microscope with the aid of ultrasonic tips. During the access opening and fillings removal, four root canal orifices were observed. Therefore, state-of-the-art technology such as the dental operating microscope, ultrasonics, and cone-bean computed tomography image are strong allies to manage anatomical variations.

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“…In addition, this system can be supplemented with additional codes to describe accessory canals and dental anomalies (if needed) (Ahmed & Dummer, 2018;Ahmed et al, 2018) (Appendix S1). Recently, more detailed explanations and elaborations have been discussed for applications in laboratory and clinical study models as well as routine dental practice (Ahmed & Dummer, 2018b;Ahmed et al, 2021aAhmed et al, , 2021b.…”

Section: Translation Of Root and Canal Anatomy Studies To Clinical Pr...mentioning

confidence: 99%

A critical analysis of laboratory and clinical research methods to study root and canal anatomy

Ahmed

2022

Int Endodontic J

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The technical execution of root canal treatment procedures demands a thorough understanding and knowledge of root and canal anatomy. Over the decades, and with the aid of various research methods such as staining and clearing, 2D radiographic imaging, sectioning procedures, cone beam computed tomography and micro‐computed tomography, many laboratory and clinical studies have been undertaken to understand the root and canal anatomy of the human dentition. This has resulted in a tremendous increase in the body of knowledge with a wide range of qualitative and quantitative presentations of the root and canal anatomy. This review aims to provide a critical analysis for the laboratory and clinical research methods in root and canal anatomy studies. In addition, it aims to identify existing gaps and present insights for directions of future research and ways for translation to clinical endodontics.

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Application of a new system for classifying root and canal anatomy in clinical practice – Explanation and elaboration

Cited by 7 publications

References 18 publications

Application of two systems to classify the root and canal morphology in the human dentition: A national survey in India

Application of two systems to classify the root and canal morphology in the human dentition: A national survey in India

Endodontic reintervention of a mandibular second premolar with four root canals: a case report

A critical analysis of laboratory and clinical research methods to study root and canal anatomy

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