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Assessment of the prevalence and configuration of middle distal canals in the mandibular molars in a Saudi subpopulation using Cone-Beam computed tomography
Authors:Faisal Alnassar  Yousef Aldahman  Ahmed Altuwalah  Abdullah Aldafaas  Ra'ed A-Sadhan  Waleed Alnassar  Riyadh Alroomy  Basim Almulhim  Badar Alshammari  Saad Alnazhan
Institution:1. Department of Restorative Dental Sciences, College of Dentistry, Majmaah University, Al-Majmaah 11952, Saudi Arabia;2. Endodontist, Department of Endodontics, Eastern Riyadh Dental Center, Second Health Cluster, Ministry of Health, Saudi Arabia;3. Endodontist, King Fahd Security College, Riyadh, Saudi Arabia;4. Associate Professor and Consultant of Oral and Maxillofacial Radiology, Department of Oral Medicine and Diagnostic Sciences, College of Dentistry, King Saud University, Riyadh, Saudi Arabia;5. General dental practitioner, Saudi Arabia;6. Department of Preventive Dental Sciences, College of Dentistry, Majmaah University, Al-Majmaah 11952, Saudi Arabia;7. Department of Dental, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia;8. Professor, Department of Restorative Dentistry-Endodontics, College of Dentistry, Riyadh Elm University, Riyadh 11681, Saudi Arabia
Abstract:PurposeThe prevalence of the middle distal (MD) canal in the mandibular molar is significantly low among countries including the USA, Spain, Turkey, and Jordan; however, analysis of its prevalence and configuration has not been performed in Saudi Arabia. Therefore, we aimed to assess the prevalence and configuration of the MD canal in Saudi Arabia.MethodsA retrospective analysis of 132 cone-beam computed tomography (CBCT) images was performed to evaluate the presence of the MD canal in patients visiting the Radiology Department of The College of Dentistry in King Saud University between July 2018 and July 2019. The canal was examined if it was confluent with the distobuccal (DB) or distolingual (DL) canals, fin, or independent. Moreover, the distances from the MD canal to the DL and DB canals and cementoenamel junction (CEJ) were recorded.ResultsOne MD canal (0.7%) was observed in 145 teeth. It was confluent with the DL canal. No statistical significance was observed among sex and age. The distances from the MD canal to the DL canal, DB canal, and CEJ were 1.4 mm, 1.9 mm, and 3.1 mm, respectively.ConclusionsThe prevalence of the MD canal was significantly low in a Saudi subpopulation (0.7%). Careful evaluation of CBCT images and the pulpal floor is significantly important to detect the MD canal to ensure a good prognosis.
Keywords:Dental anatomy  Mandibular molars  Middle distal canal  Root canal anatomy  CBCT"}  {"#name":"keyword"  "$":{"id":"k0030"}  "$$":[{"#name":"text"  "_":"cone-beam computed tomography  CEJ"}  {"#name":"keyword"  "$":{"id":"k0040"}  "$$":[{"#name":"text"  "_":"cementoenamel junction  DB"}  {"#name":"keyword"  "$":{"id":"k0050"}  "$$":[{"#name":"text"  "_":"distobuccal canal  DL"}  {"#name":"keyword"  "$":{"id":"k0060"}  "$$":[{"#name":"text"  "_":"distolingual canal  MD"}  {"#name":"keyword"  "$":{"id":"k0070"}  "$$":[{"#name":"text"  "_":"middle distal canal
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