ArticleJournal of applied oral science : revista FOB2020
Micro-computed tomographic assessment of the variability and morphological features of root canal system and their ramifications.
Article in Journal of applied oral science : revista FOB, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 2 of them syntheses that pooled it.
What it found
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Who cites it
30 citing papers in PubMed, 2 syntheses or guidelines pooled it, 52 citations in OpenAlex.
- Root and canal anatomy of mandibular first molars using micro-computed tomography: a systematic review.BMC oral health · 2023Pooled it
- Root Canal Morphology and Configuration of the Mandibular Canine: A Systematic Review.International journal of environmental research and public health · 2021Pooled it
- Filling ability and blooming artifact expression in long-oval root canals: influence of CBCT device, endodontic sealer, and BAR filter.Oral radiology · 2026Article
- From Caries to Periodontal Breakdown: A Biological and Clinical Continuum Linking Cariology, Operative Dentistry, Endodontics, and Periodontology.Dentistry journal · 2026Review
- Clinical Significance and Anatomical Considerations of Apical Patency in Endodontic Therapy: A Comprehensive Review.Dentistry journal · 2026Review
- AI-generated 3D models enhance CBCT interpretation of root canal anatomy among undergraduate and postgraduate students.Clinical oral investigations · 2026Observational
- An In Vitro Investigation of the Impact of Ultrasound Induced-Streaming Motions on the Flow Inside Lateral Features of the Root Canal.International endodontic journal · 2026Article
- Apical delta filling with calcium silicate and epoxy resin sealers using different obturation techniques by microcomputed tomography.Journal of applied oral science : revista FOB · 2026Article
- Aloe Vera as an Adjunct in Endodontic Irrigation: Impact on Dentin Bond Strength and Cytotoxicity.Materials (Basel, Switzerland) · 2025Article
- A novel artificial intelligence-powered tool for automated root canal segmentation in single-rooted teeth on cone-beam computed tomography.International endodontic journal · 2025Article
- A unique AI-based tool for automated segmentation of pulp cavity structures in maxillary premolars on CBCT.Scientific reports · 2025Article
- Article
- Negotiating and Treating Lateral Canals: Report of 7 Cases.European endodontic journal · 2024Article
- Root canal morphology of permanent mandibular anterior teeth in a Pakistani population: A cone beam computed tomography assessment.Pakistan journal of medical sciences · 2024Article
- Diagnostic value of cone beam computed tomography for root canal morphology assessment - a micro-CT based comparison.Clinical oral investigations · 2024Article
- Assessment of the Effect of Different Irrigation Protocols on the Penetration of Irrigation Solution into Simulated Lateral Canals (In Vitro Study).European endodontic journal · 2024Article
- Description of the root anatomy of the primary molars using high resolution computed microtomography (Micro-CT). An analysis of three-dimensional root canal system.Frontiers in dental medicine · 2024Article
- Micro-CT and histological examination of accessory canals in 34 equine cheek teeth.Frontiers in veterinary science · 2024Article
- Disinfectant effectiveness of chlorhexidine gel compared to sodium hypochlorite: a systematic review with meta-analysis.Restorative dentistry & endodontics · 2023Review
- Estimation of root canal conicity of deciduous canines evaluated by nano-CT.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2023Article
Corrections and comments
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Authors and funding
8 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThis study assessed the incidence and variability features of root canals system (RCS) and their ramifications according to Pucci & Reig (PR) (1944) and the American Association of Endodontists (AAE) (2017) by micro-computed tomography (μCT). METHODOLOGY: 500 representative extracted human teeth of each tooth group (n=50) (maxillary/mandibular central and lateral incisors, canines, first and second premolars and molars) were scanned by μCT with a resolution of 26.70 μm. The reconstructed cross-sections images and the visualization of the continuous slices in the transversal axis were performed using DataViewer software. RCS were classified according to Pucci & Reig (main canal, collateral canal, lateral canal, secondary canal, accessory canal, intercanal, recurrent canal) and AAE (main canal, accessory canal, lateral canal). The apical deltas were assessed for both classifications. The prevalence of apical deltas was evaluated using the Chi-squared test (p<0.05).
resultsAccording to PR, a higher incidence of lateral canals was observed in maxillary canines (10%), central incisors (8%) and first premolars (6%). Using AAE, the highest incidence of lateral canals was observed in the mandibular first premolars (85%), first and second molars (84%), lateral incisors (67%), canines (59%), and in maxillary first premolars (52%). Regarding accessory canals, the PR showed a frequency in 2% of the maxillary lateral incisors and maxillary and mandibular first premolars and 3% of mandibular first and second molars. On the other hand, the AAE showed the highest incidence of accessory canals in 86% of the maxillary first premolars, 71% in mandibular lateral incisors, 69% in mandibular first premolars, 65% in mandibular canines, and 56% in maxillary canines. The PR showed the lowest incidence of apical deltas for all dental groups when compared with AAE (p=0.004). Interestingly, distal canals in maxillary molars showed a significant discrepancy between classifications (p=0.027).
conclusionsμCT enabled accurately describing the RC system and related ramifications, adding to the PR and AAE classifications, with some discrepancies reported for maxillary molars. Clinical Relevance This μCT study enabled a thorough description of the variability among root canals and their ramifications, including clinically relevant details on the presence and location of lateral canals and accessories in all human tooth groups, beyond the currently existing classification systems.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.