Micro-computed tomographic analysis of the morphology of maxillary lateral incisors.

Wolf, Thomas Gerhard; Rempapi, Theodora; Schumann, Sven; Campus, Guglielmo; Spagnuolo, Gianrico; Armogida, Niccolò Giuseppe; Waber, Andrea Lisa (2024). Micro-computed tomographic analysis of the morphology of maxillary lateral incisors. Clinical oral investigations, 28(6) Springer-Verlag 10.1007/s00784-024-05727-x

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OBJECTIVE

This study aimed to investigate the morphology of maxillary lateral incisors (MxLI) using micro-computed tomography (micro-CT).

MATERIALS AND METHODS

The root canal configurations (RCC) of maxillary lateral incisors (MxLI) of a mixed Swiss-German population were examined using micro-CT, 3D imaging, and a 4-digit system code indicating the main root canal from coronal to apical thirds and the main foramina number.

RESULTS

The most frequently observed RCC of MxLI were 1-1-1/1 (Vertucci I/Ve I, 80.0%), 1-1-2/2 (Ve V, 7.3%), 1-2-1/1 (Ve III, 6.4%), 2-1-1/1 (Ve II, 1.8%), and 1-1-1/2 (1.8%)(n = 110). Three additional RCC were observed less frequently (0.9%). The MxLI showed one physiological foramen in 89.1%, two in 9.1%, and seldom three (1.8%). Most accessory canals were identified in the apical third of a root (20.0%), and no accessory canals in 72.7% of the samples.

CONCLUSIONS

Detailed information on the internal morphology of MxLI of a Swiss-German population is given. The most frequently observed RCC of MxLI is 1-1-1/1 (Ve I). However, accessory canals may occur in all apical thirds, and 20% of all teeth investigated showed a challenging RCC for clinical treatment.

CLINICAL RELEVANCE

This study offers clinicians comprehensive data on MxLI morphology, emphasizing the significance of understanding varied RCC and accessory canal presence for improving root canal treatment outcomes. Over 25% of teeth exhibited complex RCC or accessory canals, influencing decisions during root canal treatment.

Item Type:

Journal Article (Original Article)

Division/Institute:

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

UniBE Contributor:

Wolf, Thomas Gerhard, Rempapi, Theodora, Campus, Guglielmo Giuseppe, Anderegg, Andrea Lisa

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1432-6981

Publisher:

Springer-Verlag

Language:

English

Submitter:

Pubmed Import

Date Deposited:

24 May 2024 10:01

Last Modified:

24 May 2024 11:58

Publisher DOI:

10.1007/s00784-024-05727-x

PubMed ID:

38780805

Uncontrolled Keywords:

Analysis, intern morphology Maxillary lateral incisor Micro-computed tomography Root canal configuration

BORIS DOI:

10.48350/197054

URI:

https://boris.unibe.ch/id/eprint/197054

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