The significance of locating and filling the canal isthmus in multiple root canal systems. A scanning electron microscopy study of the mesiobuccal root of maxillary first permanent molars

✍ Scribed by Donald C. Yu; Alphonsus Tam; Ming H. Chen

• Book ID: 104369174
• Publisher: Elsevier Science
• Year: 1998
• Tongue: English
• Weight: 376 KB
• Volume: 29
• Category: Article
• ISSN: 0968-4328
• DOI: 10.1016/s0968-4328(98)00063-8

✦ Synopsis

The mesiobuccal (MB) roots of 50 randomly selected maxillary first permanent molars were examined to evaluate th e different configurations of canal isthmus and their incidences. Sections of the roots at 3, 4 and 5 mm from the apex were prepared, acid etched, washed and dried. The apical side of each section was sputter coated with gold, examined by a Hitachi S-2500 scanning electron m!croscope and photographed. 36% of the mesiobuccal roots had one canal, whereas 64% had two canals. In the roots with two canals 31.25% contained either a complete isthmus, or accessory canals between the two main canals. 31.25% showed partial isthmus formation. The significance of the different configurations is discussed. Our present findings indicate that the mesiobuccal roots of maxillary first permanent molars exhibit complex anatomy. Prudent judgement is essential in the canal isthmus preparation so that operators must provide meticulous skill and care to the patients.