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Related Experiment Video

Updated: Jul 3, 2026

Guided Endodontics: Three-Dimensional Planning and Template-Aided Preparation of Endodontic Access Cavities
07:14

Guided Endodontics: Three-Dimensional Planning and Template-Aided Preparation of Endodontic Access Cavities

Published on: May 24, 2022

Three-Dimensional Evaluation of Accessory Canals in Primary Maxillary Molars Using Micro-CT.

Alice Moura Martins1, Juliana de Medeiros Matos1, Carolina Oliveira de Lima2

  • 1Department of Preventive and Community Dentistry, School of Dentistry, State University of Rio de Janeiro (UERJ), Rio de Janeiro, RJ, Brazil.

Brazilian Dental Journal
|July 1, 2026
PubMed
Summary

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This summary is machine-generated.

Accessory canals are common in primary maxillary molars, especially in the apical third. This highlights the complex internal anatomy and need for careful endodontic treatment.

Area of Science:

  • Dentistry
  • Endodontics
  • Pediatric Dentistry

Background:

  • Primary maxillary molars have complex internal anatomy.
  • Accessory canals can impact endodontic treatment outcomes.

Purpose of the Study:

  • To characterize the internal anatomy of primary maxillary molars.
  • To evaluate the presence and distribution of accessory canals using micro-computed tomography (micro-CT).

Main Methods:

  • Micro-computed tomography (micro-CT) was used to scan 17 primary maxillary molars.
  • Image analysis was performed using ImageJ, CTan, and CTvol software.
  • Accessory canals were identified, counted, and categorized by root third.

Main Results:

  • 68.08% of analyzed roots had at least one accessory canal.

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Last Updated: Jul 3, 2026

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  • The apical third had the highest prevalence and number of accessory canals (42.71%).
  • The cervical third had the lowest prevalence and number of accessory canals (17.71%).
  • Conclusions:

    • Accessory canals are highly prevalent in primary maxillary molars, particularly in the apical third.
    • The complex internal anatomy necessitates thorough endodontic management.
    • Micro-CT is a valuable tool for characterizing root canal morphology.