An anatomic investigation of the mandibular first molar using micro-computed tomography

Samantha P. Harris, Walter R. Bowles, Alex Fok, Scott B. McClanahan

Research output: Contribution to journalArticlepeer-review

52 Scopus citations

Abstract

Introduction: The mandibular first molar is the most frequently endodontically treated tooth and is extremely anatomically challenging. The purpose of this micro-computed tomographic evaluation was to quantitatively investigate the morphology of the mandibular first molar to improve both orthograde and retrograde treatment. Methods: Twenty-two mandibular first molars were scanned, reconstructed, and subjected to various linear measurements. The average, standard deviation, and standard error of the mean of each linear measurement were calculated, and the mode for each nominal data category was determined. Results/Conclusions: The furcal aspect of the entire mesial root should be considered a "danger zone." Mesial canals were found to be much more variable than distal canals in morphology, whereas the relative position of the orifices of the mesial canals was relatively consistent at 1.5 mm from the pulpal floor. Root-end resection of 3 mm would remove the majority of lateral canals and apical ramifications.

Original languageEnglish (US)
Pages (from-to)1374-1378
Number of pages5
JournalJournal of Endodontics
Volume39
Issue number11
DOIs
StatePublished - Nov 1 2013

Keywords

  • Canal anatomy
  • danger zone
  • isthmus
  • mandibular first molar

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