Assessment of the prevalence and configuration of middle distal canals in the mandibular molars in a Saudi subpopulation using Cone-Beam computed tomography

Purpose: The 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 prevalenc...

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Main Authors: Faisal Alnassar, Yousef Aldahman, Ahmed Altuwalah, Abdullah Aldafaas, Ra'ed A-Sadhan, Waleed Alnassar, Riyadh Alroomy, Basim Almulhim, Badar Alshammari, Saad Alnazhan
Format: Article
Language:English
Published: Springer 2022-02-01
Series:Saudi Dental Journal
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Online Access:http://www.sciencedirect.com/science/article/pii/S1013905221001620
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author Faisal Alnassar
Yousef Aldahman
Ahmed Altuwalah
Abdullah Aldafaas
Ra'ed A-Sadhan
Waleed Alnassar
Riyadh Alroomy
Basim Almulhim
Badar Alshammari
Saad Alnazhan
author_facet Faisal Alnassar
Yousef Aldahman
Ahmed Altuwalah
Abdullah Aldafaas
Ra'ed A-Sadhan
Waleed Alnassar
Riyadh Alroomy
Basim Almulhim
Badar Alshammari
Saad Alnazhan
author_sort Faisal Alnassar
collection DOAJ
description Purpose: The 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. Methods: A 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. Results: One 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. Conclusions: The 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.
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spelling doaj-art-6bfb01ef5a9245c6abf3147e455558302025-08-20T01:55:49ZengSpringerSaudi Dental Journal1013-90522022-02-0134215015410.1016/j.sdentj.2021.12.004Assessment of the prevalence and configuration of middle distal canals in the mandibular molars in a Saudi subpopulation using Cone-Beam computed tomographyFaisal Alnassar0Yousef Aldahman1Ahmed Altuwalah2Abdullah Aldafaas3Ra'ed A-Sadhan4Waleed Alnassar5Riyadh Alroomy6Basim Almulhim7Badar Alshammari8Saad Alnazhan9Department of Restorative Dental Sciences, College of Dentistry, Majmaah University, Al-Majmaah 11952, Saudi ArabiaEndodontist, Department of Endodontics, Eastern Riyadh Dental Center, Second Health Cluster, Ministry of Health, Saudi ArabiaDepartment of Restorative Dental Sciences, College of Dentistry, Majmaah University, Al-Majmaah 11952, Saudi ArabiaEndodontist, King Fahd Security College, Riyadh, Saudi ArabiaAssociate Professor and Consultant of Oral and Maxillofacial Radiology, Department of Oral Medicine and Diagnostic Sciences, College of Dentistry, King Saud University, Riyadh, Saudi ArabiaGeneral dental practitioner, Saudi ArabiaDepartment of Restorative Dental Sciences, College of Dentistry, Majmaah University, Al-Majmaah 11952, Saudi Arabia; Corresponding Author.Department of Preventive Dental Sciences, College of Dentistry, Majmaah University, Al-Majmaah 11952, Saudi ArabiaDepartment of Dental, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi ArabiaProfessor, Department of Restorative Dentistry-Endodontics, College of Dentistry, Riyadh Elm University, Riyadh 11681, Saudi ArabiaPurpose: The 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. Methods: A 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. Results: One 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. Conclusions: The 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.http://www.sciencedirect.com/science/article/pii/S1013905221001620Dental anatomyMandibular molarsMiddle distal canalRoot canal anatomy
spellingShingle Faisal Alnassar
Yousef Aldahman
Ahmed Altuwalah
Abdullah Aldafaas
Ra'ed A-Sadhan
Waleed Alnassar
Riyadh Alroomy
Basim Almulhim
Badar Alshammari
Saad Alnazhan
Assessment of the prevalence and configuration of middle distal canals in the mandibular molars in a Saudi subpopulation using Cone-Beam computed tomography
Saudi Dental Journal
Dental anatomy
Mandibular molars
Middle distal canal
Root canal anatomy
title Assessment of the prevalence and configuration of middle distal canals in the mandibular molars in a Saudi subpopulation using Cone-Beam computed tomography
title_full Assessment of the prevalence and configuration of middle distal canals in the mandibular molars in a Saudi subpopulation using Cone-Beam computed tomography
title_fullStr Assessment of the prevalence and configuration of middle distal canals in the mandibular molars in a Saudi subpopulation using Cone-Beam computed tomography
title_full_unstemmed Assessment of the prevalence and configuration of middle distal canals in the mandibular molars in a Saudi subpopulation using Cone-Beam computed tomography
title_short Assessment of the prevalence and configuration of middle distal canals in the mandibular molars in a Saudi subpopulation using Cone-Beam computed tomography
title_sort assessment of the prevalence and configuration of middle distal canals in the mandibular molars in a saudi subpopulation using cone beam computed tomography
topic Dental anatomy
Mandibular molars
Middle distal canal
Root canal anatomy
url http://www.sciencedirect.com/science/article/pii/S1013905221001620
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