Can the detection of second mesiobuccal canals be enhanced based on the volume of adjacent canals?. (February 2023)

• Record Type: Journal Article
• Authors: Rosado, Lucas P. Lopes; Freitas, Deborah Q.; Rovaris, Karla; Oliveira, Matheus L.; Neves, Frederico S.
• Is Part Of: Archives of oral biology. Volume 146(2023)
• Publication Date: 2023-02
• Subjects: Anatomy -- Dental pulp -- Endodontics -- Mesiobuccal root -- Micro-computed tomography -- Molars; Mouth -- Periodicals; Mouth -- Diseases -- Periodicals; Dentistry -- Periodicals; Electronic journals; 617.6005
• DOI: 10.1016/j.archoralbio.2022.105604
• Languages: English
• ISSNs: 0003-9969

Abstract

Abstract: Objectives: The purpose of this study was to evaluate whether the presence of the second mesiobuccal (MB2) canal is related to volumetric differences on the adjacent canals of maxillary molars. Design: Forty-seven maxillary first and second molars with and without the MB2 canal were individually scanned using microcomputed tomography (micro-CT). The volume of each canal was measured by an evaluator with experience in micro-CT analysis. The intraclass correlation coefficient (ICC) was obtained. Multiple logistic regression and odds ratio was calculated. To compare the volume of canals in molars with and without MB2, the Mann-Whitney test was applied (α = 0.05). Results: The intra-examiner reproducibility was almost perfect (ICC=0.97). Multiple logistic regression demonstrated that the volume of the mesiobuccal (MB1) canal can possibly act as a predictor of the presence of the MB2 canal. It was also found that the MB1 canal volume is larger in molars without the MB2 canal (p = 0.01). No statistically significant difference was observed in the adjacent canals (p > 0.05). Conclusions: Despite the challenging detection of the presence of MB2 canals, clinicians should be aware that MB1 canals of reduced volume are highly suggestive of their presence. Highlights: The volume of adjacent canals can indicate the presence or absence of the MB2 canal. The volume of the MB canal was significantly smaller in molars with the MB2 canal. The palatal and distobuccal canals volume not influenced by the MB2 canal.