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A proposal for using contralateral teeth to provide well-balanced experimental groups for endodontic studies.

J Xu1, M Y Shao2, H Y Pan3

  • 1State Key Laboratory of Oral Diseases, Department of Preventive Dentistry, West China Hospital of Stomatology, Sichuan University, Chengdu, China.

International Endodontic Journal
|September 19, 2015
PubMed
Summary

Developing anatomically balanced experimental groups for endodontic studies requires a strict screening protocol. Few contralateral teeth pairs exhibit sufficient anatomical symmetry for such research.

Keywords:
CBCTanatomical symmetrybalanced baselinecontralateral premolarsscreening protocol

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Area of Science:

  • Dentistry
  • Endodontics
  • Dental Anatomy

Background:

  • Selecting anatomically matched teeth is crucial for reliable endodontic research.
  • Contralateral teeth are often used to minimize anatomical variability.

Purpose of the Study:

  • To establish a rigorous protocol for screening extracted teeth.
  • To ensure the creation of anatomically balanced experimental groups for endodontic studies.

Main Methods:

  • Sixty pairs of contralateral premolars were collected and evaluated for anatomical features.
  • Screening involved assessing apical foramen maturity, canal type, curvature, and tooth length.
  • Cone-beam computed tomography (CBCT) was utilized for a final, strict screening.

Main Results:

  • Initial screenings revealed significant asymmetry in canal curvature and tooth length among contralateral pairs.
  • After multiple screening stages, only 21% of contralateral premolar pairs met the criteria for anatomical symmetry.
  • A rigorous protocol is essential due to the low yield of suitable contralateral teeth.

Conclusions:

  • A substantial proportion of contralateral teeth lack the necessary anatomical symmetry for balanced endodontic study groups.
  • Implementing a detailed and strict screening protocol is imperative for selecting appropriate teeth in endodontic research.