The Examination of Root Morphology of the Maxillary First and Second Molars Using Cone Beam Computed Tomography

Amirmohamad Esmaeilian; Azadeh Torkzadeh; Amin Mortaheb; Azadeh  Zakariaee Juybari

doi:10.18502/ijds.v17i3.7537

Amirmohamad Esmaeilian Dentistry Graduate Student, School of Dentistry, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran.
Azadeh Torkzadeh Assistant Professor, Department of Oral and Maxillofacial Radiology, Dental School, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran.
Amin Mortaheb Assistant Professor, Department of Endodontics, Dental School, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran.
Azadeh Zakariaee Juybari Post Graduate Student, Department of Oral and Maxillofacial Radiology, School of Dentistry, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran.

DOI: https://doi.org/10.18502/ijds.v17i3.7537

Keywords: Maxilla, Cone-Beam Computed Tomography, Anatomy and histology.

Abstract

Introduction: Maxillary molars usually have three roots, four canals and the extra canal often exists in the mesiobuccal root. This study aimed to investigate the root morphology of maxillary first and second molars using CBCT.

Materials & Methods: In this descriptive-analytical study, CBCT samples of 200 patients referred to maxillofacial radiology centers were selected and evaluated. Two-dimensional images in panoramic, cross-sectional, and transverse axial planes and three-dimensional images of the maxilla building that were reconstructed by a computer were examined. Analyzed data using one-way ANOVA and t-test (p value < 0.05)

Results: The highest number of roots in the first molar was 3 (89.5%) and, the highest number of the second molar was 3 (90%). The maximum number of root canals in the first molar was 4 (65%) and, the highest number of root canals in the second molar was 3 (68%). The MB2 canal of maxillary first molars was 67.5% and the MB2 canal of maxillary second molars was absent at 71.5%. The presence of MB2 canal of maxillary first and second molars had no significant difference (p value > 0.05), but the presence of MB2 canal of maxillary first and second molars was significant (p value < 0.001).

Conclusion: There is a significant relationship between being unilateral and bilateral with the presence of the mesiobuccal canal. Most of the first maxillary molars and, maxillary second molars had three separate roots. Also, there was no significant relationship between gender and side of study with the presence of mesiobuccal canal.