Background/purpose: One of the most complexes in root and canal anatomy is the maxillary first permanent molar. This study aimed to analyze the frequency of mesiobuccal (MB2) canal and its apical portals of exit, in patients belonging to different gender-age groups and determine the possible relation with sex and age.
Materials And Methods: A CBCT scan images were accessed from a documented database of 343 patients (178 male, 165 female), who had an oral and maxillofacial examination. The age of the patients ranging from 12 to 63 years. The frequency of the MB2 canal and its portals of exit apically were observed. Age and gender correlation were calculated using the χ2 test. P < 0.05 was considered significant.
Results: A total of 634 maxillary first molars (335 male, 299 female) were included. The MB2 canal was found in 53.78% of the cases. A significantly higher incidence of the MB2 canal was detected in males than in females. No correlation in the presence and/or absence of the MB2 canal in terms of age. When MB2 canal present, a single apical foramen was observed in 66.28% of the cases, two apical foramina were present in 33.72% of the cases.
Conclusion: MB2 canals may be present in approximately half of the cases, from which one third of the cases have their own apical portal of exit.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7770281 | PMC |
http://dx.doi.org/10.1016/j.jds.2020.06.021 | DOI Listing |
J Endod
January 2025
Faculdade São Leopoldo Mandic, Instituto de pesquisas São Leopoldo Mandic, Departamento de Endodontia, Campinas, São Paulo, Brasil.
Objective: This study aims to evaluate the anatomical configuration of the mesiobuccal root of the maxillary first molar and assess the prevalence of the mesiobuccal canal (MB2).
Materials And Methods: A total of 307 high-resolution cone-beam computed tomography (CBCT) images of maxillary molars were analyzed. These images were classified based on the anatomical configuration and prevalence of the MB2 canal.
Unlabelled: The first maxillary molar is one of the most difficult teeth for endodontical treatment; it presents the highest failure rates due to the impossibility of locating and treating the second mesiobuccal canal (MB2). The aim of our work was study of second mesiobuccal canal in maxillary first molar and compare obtained data with literature sources for increasing the efficiency of treatment.
Materials And Methods: The study involved 59 patients with exacerbation of chronic pulpitis or chronic periodontitis who were distributed according to age: 14-20 years, 21-30 years and 31-40 years.
Int Endod J
February 2025
Department of Endodontics, School of Dentistry, State University of Rio de Janeiro (UERJ), Rio de Janeiro, Rio de Janeiro, Brazil.
Aim: To investigate the development of dentinal microcracks resulting from the progressive enlargement of the buccal canals of maxillary molars with and without the MB2 canal employing instruments with the same tip and four different tapers.
Methodology: Twenty maxillary molars with (n = 10) and without (n = 10) the MB2 canal underwent micro-CT scanning. Their mesiobuccal and distobuccal canals were sequentially enlarged using nickel-titanium instruments with sizes 25/.
J Conserv Dent Endod
October 2024
Department of Conservative Dentistry and Endodontics, Dr. R. Ahmed Dental College and Hospital, Kolkata, West Bengal, India.
Objective: This study's objective is to analyze the prevalence as well as the configuration of second mesiobuccal (MB2) in maxillary 2 molars and predict its existence based on mesiobuccal-palatal (MB-P) distance, MB-P/distobuccal-palatal (DB-P) distance ratio and mesiobuccal, distobuccal, and palatal orifice (MDP) angle with the help of cone-beam computed tomography.
Materials And Methods: The presence and absence of MB2 are noted down in 300 maxillary 2 molars. Canal configuration was observed from the orifice to the apex in the mesiobuccal root.
Dentomaxillofac Radiol
January 2025
Division of Oral and Maxillofacial Surgery, Medicine, Pathology and Radiology, Dublin Dental University Hospital, Trinity College Dublin, Dublin, Lincoln Place, Dublin, D02 F859, Ireland.
Objectives: To identify if supplemental preoperative cone beam CT (CBCT) imaging could improve outcomes related to endodontic access cavity preparation, using 3D-printed maxillary first molars (M1Ms) in a rigorously simulated, controlled human analogue study.
Methods: Eighteen operators with 3 experience-levels took part in 2 simulated clinical sessions, 1 with and 1 without the availability of CBCT imaging, in a randomized order and with an intervening 8-week washout period. Operators attempted the location of all 4 root canals in each of 3 custom-made M1Ms (2 non-complex and 1 complex mesiobuccal [MB] canal anatomy).
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