Acta Scientific Medical Sciences (ASMS)(ISSN: 2582-0931)

Research Article Volume 8 Issue 8

Prevalence of C-shaped Root Canal Configuration in Second Mandibular Molars in Two Private Dental Offices Held in Romania and their Endodontic Approach

Cristina Coralia Nistor1, Luiza Maria Nicolcea2, Anca Oana Dragomirescu3* and Albu Cristina Crenguța4

1Department of Endodontics, Faculty of Dental Medicine, “Carol Davila” University of Medicine and Pharmacy, Bucharest
2PhD Student, Faculty of Dental Medicine, “Carol Davila” University of Medicine and Pharmacy, Bucharest
3Department of Orthodontics and Dentofacial Orthopedics, Faculty of Dental Medicine, “Carol Davila” University of Medicine and Pharmacy, Bucharest
4“Carol Davila” University of Medicine and Pharmacy, Faculty of Dental Medicine, Department of Genetics, Bucharest

*Corresponding Author: Anca Oana Dragomirescu, Department of Orthodontics and Dentofacial Orthopedics, Faculty of Dental Medicine, “Carol Davila” University of Medicine and Pharmacy, Bucharest.

Received: June 13, 2024; Published: July 02, 2024

Abstract

The endodontic management of C-shaped canals in mandibular second molars is challenging, starting from the diagnostic stage and then with the chemomechanical treatment and obturation, corresponding to the standards of endodontics principles.

Materials and Methods: Cone-beam computed tomography (CBCT) scans from 153 patients, were screened, assessing the axial sections for C-shaped configurations.

Results: A total of 157 mandibular 2nd molars were studied. The prevalence of C-shaped mandibular second molars was 7.64% (n = 12). 25% (n = 3) were found in male patients and 75% (n = 9) in female patients

Conclusion: Our study, carried out with the help of Cone-Beam Computed Tomography (CBCT), a reliable imaging method especially for the identification of C-shaped canal’s cases that are less encountered in practice, shows the prevalence of this configuration in a Romanian population and proposes practical methods of clinical management for this morphological type.

 Keywords: Anatomy; C-shaped Root Canals; Prevalence; Endodontic Treatment

References

  1. Raisingani D., et al. “Anatomic and diagnostic challenges of C-shaped root canal system”. International Journal of Clinical Pediatric Dentistry 1 (2014): 35-39.
  2. Fan B., et al. “C-shaped canal system in mandibular second molars: Part I--Anatomical features”. Journal of Endodontics12 (2004): 899-903.
  3. Kato A., et al. “Aetiology, incidence and morphology of the C-shaped root canal system and its impact on clinical endodontics”. International Endodontic Journal11 (2014): 1012-1033.
  4. De Moor RJ. "C-shaped root canal configuration in maxillary first molars”. International Endodontic Journal2 (2002): 200-208.
  5. Jang YE., et al. “Frequency of non-single canals in mandibular premolars and correlations with other anatomical variants: an in vivo cone beam computed tomography study”. BMC Oral Health1 (2019): 272.
  6. Manning SA. “Root canal anatomy of mandibular second molars. Part II. C-shaped canals”. International Endodontic Journal1 (1990): 40-45.
  7. Zheng Q., et al. “C-shaped root canal system in mandibular second molars in a Chinese population evaluated by cone-beam computed tomography”. International Endodontic Journal9 (2011): 857-862.
  8. Jin GC., et al. “Anatomical study of C-shaped canals in mandibular second molars by analysis of computed tomography”. Journal of Endodontics1 (2006): 10-13.
  9. Kim HS., et al. “C-shaped root canals of mandibular second molars in a Korean population: a CBCT analysis”. Restorative Dentistry and Endodontics 4 (2018): e42.
  10. Roy A., et al. “Racial predilection of C-shaped canal configuration in the mandibular second molar”. Journal of Conservative Dentistry2 (2019): 133-138.
  11. Woelber JP., et al. “Assessment of endodontic treatment of c-shaped root canals”. Swiss Dental Journal1 (2014): 11-15.
  12. Abdalrahman K., et al. “Assessment of C-Shaped Canal Morphology in Mandibular and Maxillary Second Molars in an Iraqi Subpopulation Using Cone-Beam Computed Tomography”. Scanning 2022 (2022): 4886993.
  13. Fenelon T and Parashos P. “Prevalence and morphology of C-shaped and non-C-shaped root canal systems in mandibular second molars”. Australian Dental Journal 67 (2022): S65-S75.
  14. Sabala CL., et al. “Bilateral root or root canal aberrations in a dental school patient population”. Journal of Endodontics1 (1994): 38-42.
  15. Lambrianidis T., et al. “Evaluation of periapical radiographs in the recognition of C-shaped mandibular second molars”. International Endodontic Journal6 (2001): 458-462.
  16. Haddad GY., et al. “Diagnosis, classification, and frequency of C-shaped canals in mandibular second molars in the Lebanese population”. Journal of Endodontics4 (1999): 268-271.
  17. Fan B., et al. “C-shaped canal system in mandibular second molars: Part II--Radiographic features”. Journal of Endodontics12 (2004): 904-908.
  18. Baghbani A., et al. “The efficacy of five different techniques in identifying C-shaped canals in mandibular molars”. Australian Endodontic Journal2 (2021): 170-177.
  19. Lakinepally A., et al. “Management of C-shaped root canal configuration in mandibular second molar”. BMJ Case Report 2018 (2018): bcr2018226367.
  20. Fernandes M., et al. “C-shaped root canal configuration: A review of literature”. Journal of Conservative Dentistry 14 (2014): 312-319.
  21. Fan B., et al. “Negotiation of C-shaped canal systems in mandibular second molars”. Journal of Endodontics7 (2009): 1003-1008.
  22. Fan B., et al. “C-shaped canal system in mandibular second molars: Part I--Anatomical features”. Journal of Endodontics12 (2004): 899-903.
  23. Helvacioglu-Yigit D. “Endodontic management of C-shaped root canal system of mandibular first molar by using a modified technique of self-adjusting file system”. The Journal of Contemporary Dental Practice 1 (2015): 77-80.
  24. Solomonov M., et al. “The challenge of C-shaped canal systems: a comparative study of the self-adjusting file and ProTaper”. Journal of Endodontics2 (2012): 209-214.
  25. Cheung LH and Cheung GS. “Evaluation of a rotary instrumentation method for C-shaped canals with micro-computed tomography”. Journal of Endodontics10 (2008): 1233-1238.
  26. Chai H and Tamse A. “The Effect of Isthmus on Vertical Root Fracture in Endodontically Treated Teeth”. Journal of Endodontics9 (2015): 1515-1519.
  27. Kim Y., et al. “Analysis of Cause of Endodontic Failure of C-Shaped Root Canals”. Scanning 2018 (2018): 2516832.

Citation

Citation: Anca Oana Dragomirescu., et al. “Prevalence of C-shaped Root Canal Configuration in Second Mandibular Molars in Two Private Dental Offices Held in Romania and their Endodontic Approach”.Acta Scientific Medical Sciences 8.8 (2024): 08-13.

Copyright

Copyright: © 2024 Anca Oana Dragomirescu., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




Metrics

Acceptance rate30%
Acceptance to publication20-30 days
Impact Factor1.403

Indexed In





Contact US