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Upper First and Second Molar Pulp Chamber Endodontic Anatomy Evaluation According to a Recent Classification: A Cone
Rodolfo Reda1, Dario Di Nardo2, Alessio Zanza1
1Department of Oral and Maxillo Facial Sciences, Sapienza University of Rome, Via Caserta 6, 00161 Rome, Italy.
Journal of Imaging
|January 22, 2024
Summary
Understanding maxillary molar endodontic anatomy is key for successful root canal therapy. A simplified classification aids in visualizing pulp chamber shapes, simplifying treatment planning and reducing complications.
Area of Science:
- Dentistry
- Endodontics
- Radiology
Background:
- Knowledge of endodontic anatomy is crucial for successful treatment and complication avoidance.
- Pulp chamber morphology influences endodontic access and treatment strategy.
Purpose of the Study:
- To correlate minimally invasive endodontic access with Ni-Ti rotary instruments.
- To simplify endodontic access by classifying pulp chamber shapes.
- To improve vision and identification of anatomical landmarks during endodontic therapy.
Main Methods:
- Analysis of 104 maxillary molars (first and second) using Cone Beam Computed Tomography (CBCT).
- Acquisition of 26 CBCT scans from 26 patients (15 males, 11 females).
- Linear measurements performed using CBCT-dedicated software.
Main Results:
- The study's findings align with previously published data on endodontic anatomy.
- Pawar and Singh's simplified classification effectively categorizes analyzed cases.
- Maxillary second molars present significant anatomical challenges due to complex canal shapes and ramifications.
Conclusions:
- A simplified classification system aids in understanding pulp chamber morphology for endodontic access.
- CBCT with a wide Field of View (FOV) and low radiation dose provides valuable clinical information.
- Endodontic anatomy of maxillary second molars requires careful consideration due to its complexity.
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