Morphology of the physiological foramen: II. Maxillary and mandibular premolars.

Wolf, Thomas Gerhard; Waber, Andrea; Briseño Marroquín, Benjamín (2024). Morphology of the physiological foramen: II. Maxillary and mandibular premolars. (In Press). Journal of endodontics Elsevier 10.1016/j.joen.2024.03.003

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INTRODUCTION

Information concerning the anatomy of the physiological foramen is still limited. The aim of this study was to investigate the distance between the physiological and anatomical apex, the shape and diameter of the physiological foramen in maxillary (Mx) and mandibular premolars (Mn).

METHODS

The anatomy of the apex of 229 maxillary (first: MxP1; second: MxP2) and 221 mandibular premolars (first: MnP1; second: MnP2) from a mixed Swiss-German population was investigated by means of micro-computed tomography and 3D software-imaging.

RESULTS

The following results was obtained in the presence of a main physiological foramen: a. The distance between the physiological and anatomical foramen were 0.29-0.99 mm (MxP1), 0.21-1.03 mm (MxP2), 0.13-0.8 (MnP1), and 0.15-1.41 (MnP2) b. The mean narrow and wide diameters of the physiological foramen were 0.19-0.33 mm (MxP1), 0.25-0.42 mm (MxP2), 0.28-0.37 (MnP1), and 0.28-0.40 (MnP2) c. The most common physiological foramen shape was oval (66.7% MxP1, 89.7% MxP2, 91.8% MnP1, 64.4% MnP2) CONCLUSION: Considering the recommended preparation sizes based on a size corresponding to the friction, i.e. at the narrowest point in the area of the apical constriction (physiological foramen), and within the limitations of this ex vivo micro-CT study, a final preparation size could be chosen when considering the pertaining morphological considerations; yet, to a minimum ISO 30 size.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > School of Dental Medicine > Department of Preventive, Restorative and Pediatric Dentistry

UniBE Contributor:

Wolf, Thomas Gerhard, Anderegg, Andrea Lisa, Briseño Marroquin, Benjamin

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0099-2399

Publisher:

Elsevier

Language:

English

Submitter:

Pubmed Import

Date Deposited:

19 Mar 2024 15:49

Last Modified:

11 Apr 2024 00:16

Publisher DOI:

10.1016/j.joen.2024.03.003

PubMed ID:

38493831

Uncontrolled Keywords:

anatomical apex apical constriction final apical file maxillary and mandibular premolars micro-CT morphology physiological foramen

BORIS DOI:

10.48350/194391

URI:

https://boris.unibe.ch/id/eprint/194391

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