Journal
JOURNAL OF ENDODONTICS
Volume 39, Issue 11, Pages 1374-1378Publisher
ELSEVIER SCIENCE INC
DOI: 10.1016/j.joen.2013.06.034
Keywords
Canal anatomy; danger zone; isthmus; mandibular first molar
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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.
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