Abstract
Purpose
To estimate the taper of root canals of deciduous maxillary and mandibular canines by nano computed tomography (nano-CT).
Methods
This in vitro study involved CT scan analysis of nine maxillary and five mandibular primary canines. The images of each tooth were reconstructed using OnDemand3D software. Thereon, diameter and taper analyses were performed on the free FreeCAD 0.18 software for the three-dimensional (3D) computer-aided design model. Statistical analysis was conducted using Stata v14.0 software, adopting a significance level of 5%.
Results
3D image reconstruction was performed, considering the diameters obtained along the entire length of the tooth root, and the conical model was built with a height of 10 mm. The diameters of the maxillary canine at points D0 (0 mm), D5 (5 mm), D7 (7 mm), and D10 (10 mm) were 1.62, 1.07, 0.78, and 0.49 mm, respectively, with a significant difference between the four points (p = 0.0001). Regarding maxillary canine root taper values in the cervical, middle, and apical regions, the values were 12%, 14%, and 10%, respectively. For mandibular canines, the mean diameter values obtained at points D0, D5, D7, and D10 were 1.51, 0.83, 0.64, and 0.45 mm, respectively, with significant differences among the four points (p = 0.005). The inferior canine root tapers in the cervical, middle, and apical regions were 14%, 10%, and 6%, respectively.
Conclusion
The detailed knowledge of the root morphology of maxillary and mandibular deciduous canines, as it has been shown in vitro using nano-CT, is critical to achieve accurate and efficient endodontic treatments.
Similar content being viewed by others
Data availability
Data associated with the manuscript are available on request.
References
Acar B, Kamburoğlu K, Tatar I, Arıkan V, Çelik HH, Yüksel S, Özen T. Comparison of micro-computerized tomography and cone-beam computerized tomography in the detection of accessory canals in primary molars. Imaging Sci Dent. 2015;45:205–11. https://doi.org/10.5624/isd.2015.45.4.205.
Ahmed HMA, Hashem AA. Accessory roots and root canals in human anterior teeth: a review and clinical considerations. Int Endod J. 2016;49:724–36. https://doi.org/10.1111/iej.12508.
Ahmed HMA, Musale PK, El Shahawy OI, Dummer PMH. Application of a new system for classifying tooth, root and canal morphology in the primary dentition. Int Endod J. 2020;53:27–35. https://doi.org/10.1111/iej.13199.
Altunsoy M, Ok E, Nur BG, Aglarci OS, Gungor E, Colak M. A cone-beam computed tomography study of he root canal morphology of anterior teeth in Turkish population. Eur J Dent. 2014;8:302–6. https://doi.org/10.4103/1305-7456.137630.
Biuki N, Razi T, Faramarzi M. Relationship between pulp-tooth volume ratios and chronological age in different anterior teeth on CBCT. J Clin Exp Dent. 2017;1:e688–93. https://doi.org/10.4317/jced.53654.
Cleghorn BM, Christie WH, Dong CC. The root and root canal morphology of the human mandibular first premolar: a literature review. J Endod. 2007;33(5):509–16. https://doi.org/10.1016/j.joen.2006.12.004.
Cleghorn BM, Boorberg NB, Christie WH. Primary human teeth and their root canal systems. Endod Top. 2010;23:6–33.
da Silva EJ, de Castro RW, Nejaim Y, Silva AI, Haiter-Neto F, Silberman A, Cohenca N. Evaluation of root canal configuration of maxillary and mandibular anterior teeth using cone beam computed tomography: an in-vivo study. Quintessence Int. 2016;47:19–24. https://doi.org/10.3290/j.qi.a34807.
Editorial Board of the Journal of Endodontics. Root canal anatomy: an online study guide. J Endod. 2008;34:5S. https://doi.org/10.1016/j.joen.2007.04.011.
Fumes AC, Sousa-Neto MD, Leoni GB, Versiani MA, da Silva LAB, da Silva RAB, Consolaro A. Root canal morphology of primary molars: a micro-computed tomography study. Eur Arch Paediatr Dent. 2014;15:317–26. https://doi.org/10.1007/s40368-014-0117-0.
Gaurav V, Srivastava N, Rana V, Adlakha VK. Study of root canal morphology of human primary incisors and molars using cone beam computerized tomography: an in vitro study. J Indian Soc Pedod Prev Dent. 2013;31:254–9. https://doi.org/10.4103/0970-4388.121827.
Gergi R, Abou Rjeily J, Osta N, Sader J, Naaman A. Taper preparation variability compared to current taper standards using computed tomography. Int J Dent. 2012;2012:265695. https://doi.org/10.1155/2012/265695.
Gozde O, Sekerci AE, Cantekin K, Aydinbelge M, Dogan S. Evaluation of root canal morphology of human primary molars by using CBCT and comprehensive review of the literature. Acta Odontol Scand. 2016;74:250–8. https://doi.org/10.3109/00016357.2015.1104721.
Guelmann M, McEachern M, Turner C. Pulpectomy in primary incisors using three delivery systems: an in vitro study. J Clin Pediatr Dent. 2004;28:323–6. https://doi.org/10.17796/jcpd.28.4.j634167443m061n3.
Huang Y, Celikten B, de Faria Vasconcelos K, Ferreira Pinheiro Nicolielo L, Lippiatt N, Buyuksungur A, Jacobs R, Orhan K. Micro-CT and nano-CT analysis of filling quality of three different endodontic sealers. Dentomaxillofac Radiol. 2017;46:20170223. https://doi.org/10.1259/dmfr.20170223.
Jung MS, Lee SP, Kim GT, Choi SC, Park JH, Kim JW. Three-dimensional analysis of deciduous maxillary anterior teeth using cone-beam computed tomography. Clin Anat. 2012;25:182–8. https://doi.org/10.1002/ca.21200.
Lenzi TL, Guglielmi Cde A, Arana-Chavez VE, Raggio DP. Tubule density and diameter in coronal dentin from primary and permanent human teeth. Microsc Microanal. 2013;19:1445–9. https://doi.org/10.1017/S1431927613012725.
Marceliano-Alves MF, Lima CO, Augusto CM, Barbosa AFA, Bruno AMV, Rosa AM, Lopes RT. The internal root canal morphology of single-rooted mandibular canines revealed by micro-computed tomography. J Conserv Dent. 2018;21:588–91. https://doi.org/10.4103/JCD.JCD_313_18.
Mashyakhy M. Prevalence of a second root and canal in mandibular and maxillary canines in a Saudi Arabian population: a cone-beam computed tomography study. J Contemp Dent Pract. 2019;20:773–7.
Mazzi-Chaves JF, Silva-Sousa YTC, Leoni GB, Silva-Sousa AC, Estrela L, Estrela C, Jacobs R, de Sousa-Neto MD. Micro-computed tomographic assessment of the variability and morphological features of root canal system and their ramifications. J Appl Oral Sci. 2020;28:e20190393. https://doi.org/10.1590/1678-7757-2019-0393.
McDonald RE. Treatment of deep caries, of exposure of vital pulp and of pulpless teeth in children. Bol Asoc Argent Odontol Ninos. 1965;7:14–7 (contd.).
Metzger Z, Teperovich E, Zary R, Cohen R, Hof R. The self-adjusting file (SAF). Part 1: respecting the root canal anatomy—a new concept of endodontic files and its implementation. J Endod. 2010;36(4):679–90. https://doi.org/10.1016/j.joen.2009.12.036.
Mjör IA. Dentin permeability: the basis for understanding pulp reactions and adhesive technology. Braz Dent J. 2009;20:3–16. https://doi.org/10.1590/s0103-64402009000100001.
Mochizuki K, Ohtawa Y, Kubo S, Machida Y, Yakushiji M. Bifurcation, birooted primary canines: a case report. Int J Paediatr Dent. 2001;11:380–5. https://doi.org/10.1046/j.0960-7439.2001.00296.x.
Musale PK, Hegde VS. Endodontic treatment of a three-rooted primary maxillary right canine. ENDO. 2010;4:309–13.
Neelakantan P, Subbarao C, Subbarao CV. Comparative evaluation of modified canal staining and clearing technique, cone-beam computed tomography, peripheral quantitative computed tomography, spiral computed tomography, and plain and contrast medium-enhanced digital radiography in studying root canal morphology. J Endod. 2010;36:1547–51. https://doi.org/10.1016/j.joen.2010.05.008.
Orhan K, Jacobs R, Celikten B, Huang Y, de Faria VK, Nicolielo LFP, Buyuksungur A, Van Dessel J. Evaluation of threshold values for root canal filling voids in micro-CT and nano-CT images. Scanning. 2018;2018:9437569. https://doi.org/10.1155/2018/9437569.
Patel S, Brown J, Pimentel T, Kelly RD, Abella F, Durack C. Cone beam computed tomography in Endodontics—a review of the literature. Int Endod J. 2019;52:1138–52. https://doi.org/10.1111/iej.13115.
Peters OA, Laib A, Rüegsegger P, Barbakow F. Three-dimensional analysis of root canal geometry by high-resolution computed tomography. J Dent Res. 2000;79:1405–9. https://doi.org/10.1177/00220345000790060901.
Peyrin F, Dong P, Pacureanu A, Langer M. Micro- and nano-CT for the study of bone ultrastructure. Curr Osteoporos Rep. 2014;12:465–74. https://doi.org/10.1007/s11914-014-0233-0.
Prabhakar AR, Yavagal C, Dixit K, Naik SV. Reciprocating vs rotary instrumentation in pediatric endodontics: cone beam computed tomographic analysis of deciduous root canals using two single-file systems. Int J Clin Pediatr Dent. 2016;9:45–9. https://doi.org/10.5005/jp-journals-10005-1332.
Tikku AP, Pragya Pandey W, Shukla I. Intricate internal anatomy of teeth and its clinical significance in endodontics–a review. Endodontology. 2012;24:160–9.
Torres CP, Miranda Gomes-Silva J, Menezes-Oliveira MAH, Silva Soares LE, Palma-Dibb RG, Borsatto MC. FT-Raman spectroscopy, µ-EDXRF spectrometry, and microhardness analysis of the dentin of primary and permanent teeth. Microsc Res Tech. 2018;81:509–14. https://doi.org/10.1002/jemt.23005.
Torres-Ramos G, Lucisano MP, Blanco-Victorio DJ, Ramírez-Sotelo LR, Nelson-Filho P, Silva RAB, Silva LAB. Root canal conicity estimation of primary maxillary central and lateral incisors—a study by Nano-CT. Int J Paediatr Dent. 2020;30:764–74. https://doi.org/10.1111/ipd.12642.
Versiani MA, Pécora JD, Sousa-Neto MD. Microcomputed tomography analysis of the root canal morphology of single-rooted mandibular canines. Int Endod J. 2013;46:800–7. https://doi.org/10.1111/iej.12061.
Vertucci KJ. Root canal morphology and its relationship to endodontic procedures. Endod Topics. 2005;10:3–29.
Wang M, Ren X, Pan Y. Micro-computed tomography-based anatomical study of the branch canals in mandibular anterior teeth in a Chinese population. Clin Oral Investig. 2019;23:81–6. https://doi.org/10.1007/s00784-018-2409-y.
Waterhouse PJ, Whitworth JM, Camp JH, Fuks AB. Pediatric endodontics: endodontic treatment for the primary and young permanent dentition. In: Hargreaves K, Cohen S, editors. Pathways of the Pulp. 10th ed. St. Louis: Mosby Elsevier; 2011. p. 808–57.
Wu MK, R’oris A, Barkis D, Wesselink PR. Prevalence and extent of long oval canals in the apical third. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2000;89:739–43. https://doi.org/10.1067/moe.2000.106344.
Zilberman U, Abramov J, Smith P. Supernumerary roots in maxillary deciduous canines: a rare anomaly with a long history. Arch Oral Biol. 2021;132:105292. https://doi.org/10.1016/j.archoralbio.2021.105292.
Acknowledgements
The authors acknowledge the support from MsC Daniel C. Cavallari and Centro para Documentação da Biodiversidade, Faculdade de Filosofia, Ciências e Letras (FFCLRP), Universidade de São Paulo, Brazil, for nano-CT scanning.
Funding
Partial financial support was received from the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior—Brazil (CAPES)—Finance Code 001.
Author information
Authors and Affiliations
Contributions
GTR, MPL, RABdS and LABdS: conceptualised and designed the study, drafted the manuscript, reviewed and approved the final manuscript as submitted. GTR, MPL, PN-F and KHUK carried out the nano-CT analysis, interpreted the data, reviewed and approved the final manuscript as submitted. DJBV and LRR-S carried out the statistical analysis, interpreted and elaborated the results, drafted the manuscript, reviewed and approved the final manuscript as submitted.
Corresponding author
Ethics declarations
Conflict of interest
The authors have no relevant financial or non-financial interests to disclose.
Ethics approval
This study was performed in line with the principles of the Declaration of Helsinki. Approval was granted by the Ethics Committee of Mayor National University of San Marcos, Lima, Peru (protocol CIEI 2020-006).
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
About this article
Cite this article
Ramos, G.T., Lucisano, M.P., Victorio, D.J.B. et al. Estimation of root canal conicity of deciduous canines evaluated by nano-CT. Eur Arch Paediatr Dent 24, 335–342 (2023). https://doi.org/10.1007/s40368-023-00809-y
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s40368-023-00809-y