Literature DB >> 33236240

Root groove depth and inter-orifice canal distance as anatomical predictive factors for danger zone in the mesial root of mandibular first molars.

Gustavo De-Deus1, Evaldo Almeida Rodrigues2, Jong-Ki Lee3, J Kim4, Emmanuel João Nogueira Leal da Silva5,6, Felipe Gonçalves Belladonna5, Daniele Moreira Cavalcante5, Marco Simões-Carvalho5, Diogo da Silva Oliveira5, Marco Aurélio Versiani5, Erick Miranda Souza7.   

Abstract

OBJECTIVES: This study evaluated the danger zone (DZ) in mesial roots of mandibular molars and the correlation between anatomical references of the DZ and some anatomical landmarks including tooth/root length, depth of mesial and distal grooves, and inter-canal orifices distance.
MATERIAL AND METHODS: Twenty-eight mesial roots of mandibular molars with 2 independent canals were scanned and divided into 2 groups according to root length. The anatomical landmarks were correlated (Pearson or Spearman coefficients) with root level, thickness, and position of the DZ and also compared (independent samples t or Mann-Whitney tests) between the 2 groups at α = 5%.
RESULTS: No statistical difference was observed between groups regarding DZ parameters and depth of mesial and distal grooves (P > 0.05). Orifice distance in group 2 (4.49 ± 0.75 mm) was significantly greater than group 1 (3.76 ± 0.89 mm) (P < 0.05). Significant correlations (P < 0.05) were found between (i) DZ level and root/tooth length (r = 0.54 and 0.49, respectively), (ii) DZ thickness and distal groove depth (r = - 0.45), and orifice distance (r = 0.38), and (iii) DZ position and depth of mesial (r = 0.39) and distal (r = 0.40) grooves. Other variables such as root length and distal groove depth (r = 0.28), and orifice distance and mesial groove depth (r = 0.36) were also correlated (P < 0.05).
CONCLUSIONS: The length of tooth/root, the distance of canal orifices, and the depth of mesial/distal grooves of mesial roots of mandibular molars might be predictive factors for the root level, position, and thickness of the DZ. CLINICAL RELEVANCE: The length, distance of mesial canal orifices, and the depth of mesial and distal grooves of the mesial roots of mandibular molars might be moderate predictive factors for the root level, position, and thickness of the DZ.

Entities:  

Keywords:  Danger zone; Dentine thickness; Mandibular molar; Mesial root; Micro-CT

Year:  2020        PMID: 33236240     DOI: 10.1007/s00784-020-03686-7

Source DB:  PubMed          Journal:  Clin Oral Investig        ISSN: 1432-6981            Impact factor:   3.573


  13 in total

1.  Danger zone in mandibular molars before instrumentation: an in vitro study.

Authors:  Paulo Ferreira Garcia Filho; Ariadne Letra; Renato Menezes; Antônio Márcio Rezende do Carmo
Journal:  J Appl Oral Sci       Date:  2003-12       Impact factor: 2.698

2.  Anatomical danger zone reconsidered: a micro-CT study on dentine thickness in mandibular molars.

Authors:  G De-Deus; E A Rodrigues; F G Belladonna; M Simões-Carvalho; D M Cavalcante; D S Oliveira; E M Souza; K A Giorgi; M A Versiani; R T Lopes; E J N L Silva; S Paciornik
Journal:  Int Endod J       Date:  2019-06-09       Impact factor: 5.264

3.  The effect of larger apical preparations in the danger zone of lower molars prepared using the Mtwo and Reciproc systems.

Authors:  Arnaldo Sant'Anna Júnior; Bruno Cavalini Cavenago; Ronald Ordinola-Zapata; Gustavo De-Deus; Clovis Monteiro Bramante; Marco Antonio Hungaro Duarte
Journal:  J Endod       Date:  2014-08-12       Impact factor: 4.171

4.  The risk of perforation in the curved canal: anticurvature filing compared with the stepback technique.

Authors:  S S Lim; C J Stock
Journal:  Int Endod J       Date:  1987-01       Impact factor: 5.264

5.  Root canal wall thickness of mandibular molars after biomechanical preparation.

Authors:  S Montgomery
Journal:  J Endod       Date:  1985-06       Impact factor: 4.171

6.  Evaluation of dentine thickness of middle mesial canals of mandibular molars prepared with rotary instruments: a micro-CT study.

Authors:  A Keles; C Keskin; R Alqawasmi; M A Versiani
Journal:  Int Endod J       Date:  2019-11-30       Impact factor: 5.264

7.  The anticurvature filing method to prepare the curved root canal.

Authors:  M Abou-Rass; A L Frank; D H Glick
Journal:  J Am Dent Assoc       Date:  1980-11       Impact factor: 3.634

8.  Comparison of the relative risk of molar root perforations using various endodontic instrumentation techniques.

Authors:  J R Kessler; D D Peters; L Lorton
Journal:  J Endod       Date:  1983-10       Impact factor: 4.171

9.  Danger zone analysis using cone beam computed tomography after apical enlargement with K3 and K3XF in a manikin model.

Authors:  Juan-Gonzalo Olivier; Marc García-Font; Jose-Antonio Gonzalez-Sanchez; Miguel Roig-Cayon; Fernando Durán-Sindreu
Journal:  J Clin Exp Dent       Date:  2016-10-01

10.  The internal anatomy of danger zone of mandibular molars: A cone-beam computed tomography study.

Authors:  Sheila Silva Leite Pinto; Renata Ximenes Lins; Marília Fagury Videira Marceliano-Alves; Michelle Da Silveira Guimarães; Barbara Alves Da Fonseca; Antonio Ermelindo Radetic; Ália Regina Neves De Paula Porto; Hélio Pereira Lopes
Journal:  J Conserv Dent       Date:  2018 Sep-Oct
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