Dentine thickness in maxillary fused molars depends on the fusion type: An ex vivo micro-computed tomography study


Keskin C., Toplu D., Keleş A.

INTERNATIONAL ENDODONTIC JOURNAL, cilt.56, sa.5, ss.637-646, 2023 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 56 Sayı: 5
  • Basım Tarihi: 2023
  • Doi Numarası: 10.1111/iej.13891
  • Dergi Adı: INTERNATIONAL ENDODONTIC JOURNAL
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, EMBASE, MEDLINE
  • Sayfa Sayıları: ss.637-646
  • Anahtar Kelimeler: danger zone, dentine thickness, endodontics, fusion, microtomography, root canal anatomy, 2ND MOLARS, CANAL MORPHOLOGY, MESIOBUCCAL ROOT, PREVALENCE, 1ST
  • Ondokuz Mayıs Üniversitesi Adresli: Evet

Özet

AimThe present study aimed to determine and compare the dentine thickness around the root canals of maxillary molars with fusion using micro-computed tomography (micro-CT). MethodologyA total of 120 fused maxillary molars having more than a single canal with distinct canal orifices near the cementoenamel junction were selected from a pool of extracted maxillary molars, which were scanned on a micro-CT device (SkyScan 1172, Bruker-microCT). The minimum dentine thickness around the root canals in furcal direction was measured using CTAn software (v.1.18.8 Bruker-microCT) at each millimetre. The specimens were grouped according to their fusion type, and dentine thickness around the canals was compared. The data were statistically analysed using anova and post hoc Tukey-Kramer tests following an assessment of the normality of their distribution with the Kolmogorov-Smirnov test (p < .05). ResultsDentine thickness showed a statistically significant decrease at 2 mm apical to the orifice level irrespective of fusion type. The minimum dentine thickness values were detected around the second mesiobuccal canal as 0.30 mm at 6 mm below orifice. Dentine thickness around the mesiobuccal canal was significantly greater in fusion type 1 than those of types 2 and 3 (p < .05), while those of distobuccal and palatal canals were significantly thinner in type 3 fusion compared with type 1 or 6 (pDentine thickness showed a statistically significant decrease at 2 mm apical to the orifice level irrespective of fusion type. The minimum dentine thickness values were detected around the second mesiobuccal canal as 0.30 mm at 6 mm below orifice. Dentine thickness around the mesiobuccal canal was significantly greater in fusion type 1 than those of types 2 and 3 ( ConclusionMinimum dentine thickness values at the danger zone of distobuccal and palatal canals change according to the fusion type in fused maxillary second molars.