Association between the Mesiobuccal Canal Configuration, Interorifice Distance, and the Corresponding Root Length of Permanent Maxillary First Molar Tooth: A Cone-beam Computed Tomographic Study

Introduction: The aim of this cone-beam computed tomographic study was to evaluate the association between the mesiobuccal root canal configuration (RCC), interorifice distance (IOD), and the corresponding root length of a permanent maxillary first molar tooth. Methods: One hundred cone-beam computed tomographic scans obtained from the computerized data bank of the institute were studied. The IOD between the first mesiobuccal and second mesiobuccal canal was measured in the axial section where the second mesiobuccal canal was first visualized. The root length was measured from the cementoenamel junction to the root apex in the coronal and sagittal section. The associations of these parameters with the RCC (based on Vertucci's classification) were evaluated. Results: The predominant RCC was observed to be Vertucci type II (89%). The mean root length with this configuration was 11.19 +/- 1.35 mm. In type IV RCC, the mean root length was 9.13 +/- 0.52 mm. A statistically significant association was established between the root length and RCC (P < .05). In roots with type II and type IV RCC, the mean IOD was 2.58 +/- 0.04 mm and 2.62 +/- 0.1 mm, respectively. No statistically significant relation was established between the IOD and the type of RCC (P > .05). Conclusions: The length of the mesiobuccal root is an important anatomic parameter for predicting the type of RCC in the permanent maxillary first molar tooth.

Automated summary

The study found a significant association between root length and RCC, with the length of the mesiobuccal root being an important anatomical parameter for predicting the type of RCC in the permanent maxillary first molar tooth.