Association between Endodontically Treated Maxillary and Mandibular Molars with Fused Roots and Periapical Lesions: A Cone-beam Computed Tomography Cross-sectional Study

Pereira, Bárbara; Martins, Jorge N.R.; Baruwa, Abayomi Omokeji; Meirinhos, João; Gouveia, J. Baptista; Quaresma, Sérgio André; Monroe, Adam; Ginjeira, António

doi:10.1016/j.joen.2020.03.003

Cited by 18 publications

(12 citation statements)

References 36 publications

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“…Failure of endodontic treatment has various reasons, one of which is undetected or missed canals due to complex morphology [ 3 ]. Untreated root canals act as reservoirs for bacterial growth which eventually leads to treatment failure [ 4 , 5 , 6 ].…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Root Canal Configuration of Maxillary and Mandibular First Molar by CBCT: A Retrospective Cross-Sectional Study

et al. 2022

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Adequate knowledge of root canal morphology along with its probable variations is imperative to acquire successful endodontic treatment. This retrospective cross-sectional study aimed to investigate the root canal configuration of maxillary and mandibular first molar using Cone-Beam Computed Tomography (CBCT) among patients in Al-Ahsa region, Saudi Arabia. A total of 377 samples were included, out of which 123 CBCT (I-CAT Vision QTM) scans with intact all first permanent molars were selected in this study and scanned in sagittal, axial, and coronal views by using BlueSkyPlan software. The number of canals in each root and their configuration according to the Vertucci classification system was evaluated. Statistical analysis was analyzed using SPSS version 21 (IBM). Chi-square test was applied to evaluate the association of root canal morphology and mandibular and maxillary first molars with respect to gender. Out of 123 CBCT scans, 59 (48.0%) were males and 64 (52.0%) were females; the mean age was 26.95 ± 10.65 years. The mesiobuccal root of bilateral maxillary first molar had Type-I (87.0%) of Vertucci classification followed by Type-IV (9.8%). Additionally, all mesiobuccal roots (100%) of the left mandibular first molar had Type-I of Vertucci’s classification. A significant association has been observed between gender and a number of canals in bilateral maxillary first molars. Females showed a significantly higher prevalence of three-root canal configuration in maxillary first molars of both sides compared four canals found most commonly in males (p = 0.004). This study concluded that the majority of maxillary and mandibular permanent first molars had three roots and three canals with Type-I Vertucci’s classification in patients belonging to the Al-Ahsa region of the Saudi Arabia. It was also proved that gender is significantly associated with the number of canals in a bilateral maxillary molar.

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Section: Introductionmentioning

confidence: 99%

Evaluation of Root Canal Configuration of Maxillary and Mandibular First Molar by CBCT: A Retrospective Cross-Sectional Study

et al. 2022

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“…The complex root canal system for fused teeth might complicate any endodontic intervention. In addition, periapical pathosis was found to be associated with fused roots when compared with non-fused roots [ 17 ].…”

Section: Discussionmentioning

confidence: 99%

Endodontic Management of a Fused Mandibular Third Molar with Supernumerary Tooth Using Cone-Beam Computed Tomography: A Case Report

Almutairi

Alduraibi

2022

Am J Case Rep

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Patient: Male, 26-year-old Final Diagnosis: Symptomatic irreversible pulpitis with symptomatic apical periodontitis Symptoms: Sever spontaneous pain related to the lower right mandibular area Medication:— Clinical Procedure: — Specialty: Dentistry Objective: Congenital defects/diseases Background: Dental fusion is a developmental dental anomaly that clinicians must be aware of and able to identify. It results from the union of 2 adjacent tooth germs affecting the normal dentition and leads to a decrease in the number of permanent teeth. Clinically, the fused teeth show excessive width and irregular anatomy and can complicate any endodontic intervention. Case Report: A 26-year-old male patient presented to the clinic with severe pain related to the lower right mandibular area. The dental examination revealed a large tilted and irregular fused third molar with the fourth molar. The endodontic findings suggested a diagnosis of symptomatic irreversible pulpitis with symptomatic apical periodontitis. An intraoral periapical radiograph revealed fused molars with an irregular morphology and a wide mesio-distal width. Cone beam computed tomography (CBCT) was performed after obtaining consent from the patient. The morphology of the involved tooth was obtained in sagittal, coronal, and axial CBCT slices of 0.13 mm. The pulp chamber was continuous, and the number of canals was 5 in the 3-dimensional view before initiating endodontic treatment. After we discussed the options with the patient, he decided to proceed with nonsurgical root canal treatment for the fused molar. A successful management of a fused third molar with a supernumerary tooth was performed, and a 6-month follow-up radiograph showed normal apical tissue with absence of tenderness on percussion or palpation. No clinical swelling or sinus tract swelling was observed. Conclusions: This case report indicates that a proper treatment plan ensures predictable outcomes by the use of all available diagnostic tools.

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“…A limitation of our study is also the use of traditional radiographic imaging instead of cone beam computed tomography (CBCT), which may provide more promising results and an accurate magnitude of periapical status and prevalence ( Pereira et al, 2020 ). We disregard unclear radiographic images may present increased prevalence of periapical lesion.…”

Section: Discussionmentioning

confidence: 99%

Apical status and prevalence of endodontic treated teeth among Saudi adults in Eastern province: A prospective radiographic evaluation

Al-Awasi

A.Altaroti

Aldajani

et al. 2022

The Saudi Dental Journal

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Association between Endodontically Treated Maxillary and Mandibular Molars with Fused Roots and Periapical Lesions: A Cone-beam Computed Tomography Cross-sectional Study

Cited by 18 publications

References 36 publications

Evaluation of Root Canal Configuration of Maxillary and Mandibular First Molar by CBCT: A Retrospective Cross-Sectional Study

Evaluation of Root Canal Configuration of Maxillary and Mandibular First Molar by CBCT: A Retrospective Cross-Sectional Study

Endodontic Management of a Fused Mandibular Third Molar with Supernumerary Tooth Using Cone-Beam Computed Tomography: A Case Report

Apical status and prevalence of endodontic treated teeth among Saudi adults in Eastern province: A prospective radiographic evaluation

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