Analysis of the obliteration of the root canal: an investigation with Micro-CT

Abstract Introduction Traumatized teeth may undergo calcific metamorphosis of the pulp, a factor which makes endodontic treatment difficult due to the total or partial obliteration of the root canal. Objective To compare the existence of root canal lumen between Cone Beam Computerized Tomography a...

Full description

Saved in:
Bibliographic Details
Main Authors: Maria Luiza Zamparoni VICTORINO, Marcelo Augusto SERON, Gabriela SANTIN, Eduardo Inocente JUSSIANI, Avacir Casanova ANDRELLO, Fausto Rodrigo VICTORINO
Format: Article
Language:English
Published: Universidade Estadual Paulista 2024-12-01
Series:Revista de Odontologia da UNESP
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-25772024000100415&lng=en&tlng=en
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850250533528403968
author Maria Luiza Zamparoni VICTORINO
Marcelo Augusto SERON
Gabriela SANTIN
Eduardo Inocente JUSSIANI
Avacir Casanova ANDRELLO
Fausto Rodrigo VICTORINO
author_facet Maria Luiza Zamparoni VICTORINO
Marcelo Augusto SERON
Gabriela SANTIN
Eduardo Inocente JUSSIANI
Avacir Casanova ANDRELLO
Fausto Rodrigo VICTORINO
author_sort Maria Luiza Zamparoni VICTORINO
collection DOAJ
description Abstract Introduction Traumatized teeth may undergo calcific metamorphosis of the pulp, a factor which makes endodontic treatment difficult due to the total or partial obliteration of the root canal. Objective To compare the existence of root canal lumen between Cone Beam Computerized Tomography and X-ray Microtomography in human teeth. Material and method Ten single-rooted permanent teeth with some degree of obliteration observed in 2D radiographic images were selected. Cone Beam Computerized Tomography was performed, and the tomographic profile of root canal calcification was analyzed. The presence of root canal lumen was observed in the in the cervical, middle and apical thirds, and in the pulpal chamber, using scores from 1 to 5. The teeth were analyzed using X-ray Microtomography, and reconstructions were made using the NRecon software. The Friedman test with a significance level of 5% was used. Results Notably, in the cervical region, the evaluators observed a low probability of the existence of lumen in the canal, using Cone Beam Tomography. However, the Micro-CT consistently identified the presence of canal lumen in this region. In the middle and apical regions, the probability of the existence of root canal lumen was confirmed among the evaluators at 100%, using Microtomography. A pattern of root canal obliteration from the crown to the apex was also observed in all specimens, and the canal lumen was confirmed using Microtomography images. Conclusion It was evident that, for the endodontic treatment of cases with canals barely visible in the tomography, the probability of their existence is high.
format Article
id doaj-art-07ca54e09cb94fdbaccf1a3f5c79da9e
institution OA Journals
issn 1807-2577
language English
publishDate 2024-12-01
publisher Universidade Estadual Paulista
record_format Article
series Revista de Odontologia da UNESP
spelling doaj-art-07ca54e09cb94fdbaccf1a3f5c79da9e2025-08-20T01:58:11ZengUniversidade Estadual PaulistaRevista de Odontologia da UNESP1807-25772024-12-015310.1590/1807-2577.01124Analysis of the obliteration of the root canal: an investigation with Micro-CTMaria Luiza Zamparoni VICTORINOhttps://orcid.org/0000-0002-4483-0984Marcelo Augusto SERONhttps://orcid.org/0000-0001-7160-6550Gabriela SANTINhttps://orcid.org/0000-0003-0216-0502Eduardo Inocente JUSSIANIhttps://orcid.org/0000-0002-8500-5710Avacir Casanova ANDRELLOhttps://orcid.org/0000-0001-6943-8973Fausto Rodrigo VICTORINOhttps://orcid.org/0000-0002-4603-5829Abstract Introduction Traumatized teeth may undergo calcific metamorphosis of the pulp, a factor which makes endodontic treatment difficult due to the total or partial obliteration of the root canal. Objective To compare the existence of root canal lumen between Cone Beam Computerized Tomography and X-ray Microtomography in human teeth. Material and method Ten single-rooted permanent teeth with some degree of obliteration observed in 2D radiographic images were selected. Cone Beam Computerized Tomography was performed, and the tomographic profile of root canal calcification was analyzed. The presence of root canal lumen was observed in the in the cervical, middle and apical thirds, and in the pulpal chamber, using scores from 1 to 5. The teeth were analyzed using X-ray Microtomography, and reconstructions were made using the NRecon software. The Friedman test with a significance level of 5% was used. Results Notably, in the cervical region, the evaluators observed a low probability of the existence of lumen in the canal, using Cone Beam Tomography. However, the Micro-CT consistently identified the presence of canal lumen in this region. In the middle and apical regions, the probability of the existence of root canal lumen was confirmed among the evaluators at 100%, using Microtomography. A pattern of root canal obliteration from the crown to the apex was also observed in all specimens, and the canal lumen was confirmed using Microtomography images. Conclusion It was evident that, for the endodontic treatment of cases with canals barely visible in the tomography, the probability of their existence is high.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-25772024000100415&lng=en&tlng=enEndodonticscone beam spiral computerized tomographypathology
spellingShingle Maria Luiza Zamparoni VICTORINO
Marcelo Augusto SERON
Gabriela SANTIN
Eduardo Inocente JUSSIANI
Avacir Casanova ANDRELLO
Fausto Rodrigo VICTORINO
Analysis of the obliteration of the root canal: an investigation with Micro-CT
Revista de Odontologia da UNESP
Endodontics
cone beam spiral computerized tomography
pathology
title Analysis of the obliteration of the root canal: an investigation with Micro-CT
title_full Analysis of the obliteration of the root canal: an investigation with Micro-CT
title_fullStr Analysis of the obliteration of the root canal: an investigation with Micro-CT
title_full_unstemmed Analysis of the obliteration of the root canal: an investigation with Micro-CT
title_short Analysis of the obliteration of the root canal: an investigation with Micro-CT
title_sort analysis of the obliteration of the root canal an investigation with micro ct
topic Endodontics
cone beam spiral computerized tomography
pathology
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-25772024000100415&lng=en&tlng=en
work_keys_str_mv AT marialuizazamparonivictorino analysisoftheobliterationoftherootcanalaninvestigationwithmicroct
AT marceloaugustoseron analysisoftheobliterationoftherootcanalaninvestigationwithmicroct
AT gabrielasantin analysisoftheobliterationoftherootcanalaninvestigationwithmicroct
AT eduardoinocentejussiani analysisoftheobliterationoftherootcanalaninvestigationwithmicroct
AT avacircasanovaandrello analysisoftheobliterationoftherootcanalaninvestigationwithmicroct
AT faustorodrigovictorino analysisoftheobliterationoftherootcanalaninvestigationwithmicroct