Evaluation of relationship between endodontic access cavity types and secondary mesiobuccal canal detection

BMC Oral Health. 2018 Jul 6;18(1):121. doi: 10.1186/s12903-018-0570-y.


Background: The aim of this study was to evaluate the relationship between Endodontic Access Cavity (EAC) types with MB2 canal detection ratio in the upper first molars.

Methods: A total of 60 roots of extracted human maxillary first molars were selected. All teeth were prepared with Point EAC (PEAC), Conservative EAC (CEAC) and Traditional EAC (TEAC) respectively. After each group were completed, extra canal was searched. Preoperative and postoperative tooth weigh was calculated using precise scale. McNemar's chi-square test and a paired test significant difference were used for statistical analyses.

Results: The EAC types statistically were changed of tooth tissue loss quantity (p = 0.000). MB2 detection rate of CEAC (%53,3) and TEAC (%60) are higher than statistically that of PEAC (%31.6) (p < 0.05). 8 teeth MB2 canal was detected only with the CBCT images.

Conclusions: In upper molars, CEAC seems reasonable in terms of detected the MB2 canal and removed hard tissue.

Keywords: Endodontic access cavity; Minimal invasive therapy; Second mesiobuccally canal; Upper molar.

MeSH terms

  • Cone-Beam Computed Tomography
  • Dental Pulp Cavity / diagnostic imaging
  • Dental Pulp Cavity / surgery*
  • Humans
  • Molar / diagnostic imaging
  • Molar / surgery
  • Radiography, Dental
  • Root Canal Preparation / methods
  • Root Canal Therapy / methods*
  • Tooth, Nonvital / diagnostic imaging
  • Tooth, Nonvital / surgery*