Abstract

Prevalence and Morphology of MB2 Canals in Maxillary Molars by Cone Beam Computed Tomography (CBCT) and Rate of Treatment in Endodontic Practice with Pre-operative CBCT Images

Highlights

  • The morphology of maxillary molars has been extensively studied, the prevalence of a second mesiobuccal (MB2) root canal

  • When it is beneficial to patients and cost or radiation exposure is not a concern, pre-operative cone-beam computed tomography (CBCT) images should be thoroughly analyzed before treatment to ensure treatment quality and to limit iatrogenic complications

  • We examined the number of all MB2 canals being clinically treated to the frequency of molars that have MB2 canals identified on pre-operative CBCT images

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Summary

Introduction

The morphology of maxillary molars has been extensively studied, the prevalence of a second mesiobuccal (MB2) root canal. Despite of this effort, the high failure rate of root canal treated maxillary molars remains tightly associated with untreated MB2 canals. There is a significant increase in the incidence of MB2 canals in retreatment cases, suggesting that these canals are frequently missed in the initial treatment [1]. Since the first report of MB2 canals in maxillary molars in 1925 [3], the prevalence of MB2 canals has been examined by many techniques, which may explain the variable results between studies. The incidence of MB2 canals in the literature ranges from 18-96% [11]

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