Presence Of Second Canal Research Articles

Root Morphology of Mandibular Anterior Teeth in Mecca, Saudi Arabia

Background: Root canal morphology is of utmost importance to the success of root canal treatment. The present study aim is to determine the variation in root canal morphology of the mandibular anterior permanent teeth using cone-beam computed tomography (CBCT) in a Saudi population in Mecca. Methodology: This is a cross-sectional study which was conducted using CBCT images of 388 patients. Patients were included according to a specific criterion to evaluate the number of canals and their configuration according to the Vertucci's classification. Results: The prevalence of the second canal of mandibular canine was 11% (11.3 in male and 10.7 in female), for mandibular lateral incisor was 22.3% (28.5 for male and 16.7 for female) and mandibular central incisor represented 21% (22% for male 20.1% for female). These differences were non-significant for canine and central incisor but was significant for lateral incisor (p=0.028). There were no significant differences regarding teeth position. According to Vertucci’s classification, type I was the most prevalent followed by type III, II and V for lateral and central incisors while type III, V and II were most prevalent in canines. There were statistically significant differences between male and female for lateral and central incisors morphology (p=0.003 and p=0.013, respectively) while the difference was non-significant for canine (p=0303). Conclusion: Type I Vertucci’s classification was the most common configuration in all mandibular anterior teeth. The presence of second canal is more prevalent in mandibular lateral and central incisors and the morphology of their root canals is significantly different between males and females.

ROOT CANAL MORPHOLOGY OF MANDIBULAR INCISORS IN PAKISTANI POPULATION USING CBCT

Objective: To find the incidence of two canals, and root canal morphology of mandibular incisors in Pakistani population thus preventing missed canals during endodontic procedures. Materials and Methods: 100 CBCT scans taken in Armed Forces Institute of Dentistry, Rawalpindi, Pakistan were studied to determine the presence of second canal as well as determining the root canal morphology according to Vertucci’s classification, in mandibular incisors. The data was analyzed using SPSS 20.0. Results: Images of 400 mandibular incisors were observed. 73.8% of the incisors had one canal (Vertucci’s Type I) and 26.2% had two canals (Vertucci’s Type II 4%, Type III 20.4% and Type IV 1.7%). Conclusion: Overall, 26.2% incisors had two canals, so the dentists performing root canal treatment of mandibular incisors must be aware of this fact to avoid missed canal. CBCT can be used successfully to determine root canal configurations.

Permanent Mandibular Central Incisor with Two Root Canals:A Case Report

The main reason for endodontic failure of mandibular incisor is the inability to detect the presence of second canal. Varying number of the ischolar_main canals, their anatomy and interconnections in different teeth have been studied and reported. This case report describes the successful endodontic treatment of mandibular incisor having two ischolar_main canals.

Unusual location of second mesiobuccal orifice in maxillary second molar

Presence of second canal in mesiobuccal root of maxillary second molar is not uncommon but generally found closer to mesiobuccal orifice. This article reports a case of a maxillary second molar with an orifice of second mesiobuccal canal closer to palatal canal orifice.

Treatment of Two Canals in All Mandibular Incisor Teeth in the Same Patient

The main reason for unfavourable outcome in endodontic treatment of mandibular incisor is the inability to detect the presence of second canal. Pain even after extirpation of complete pulp tissue from root canal of vital teeth is the main indication of hidden canals. The present case report is also on pain because of another neglected canal in all mandibular incisors in the same patient.