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Email this article Challenges associated with Second mesiobuccal canal in Maxillary Molars, literature review
Abstract
Abstract
Background: The usual suspect of complication in upper maxillary molars with endodontically treated teeth is ignored second Mesiobuccal canal. Studies show that ignored canals can be the reason for apical periodontitis and treatment failure. Hiding under tick deposition of the dentinal shelf the entrance of the second Mesiobuccal canal is not always visible. Two-dimensional X-ray is not a solution due to overlapping projection. Different tools like a Dental Operating Microscope, ultrasonic tips, and Cone Beam Computed Tomography can be useful for locating the second Mesiobuccal canal. Much research has been done on the prevalence of the second Mesiobuccal canal in different populations, however, awareness of distribution is still not high.
Aim: This literature review aims to discuss and analyze the existing literature on the prevalence, detection, and negotiation of the second Mesiobuccal canal.
Methods: Different scientific papers from Elsevier, PubMed, and Research Gate were selected between the years 2000- and 2022, which contain keywords: second Mesiobuccal canal, CBCT, DOM, maxillary molar canal morphology, prevalence
Results: The results of the research show difficulties existing with distinct information about the distribution of the second mesiobuccal canal, as well as the significance of the use of a Dental Operative Microscope, ultrasound tips, and Cone-beam Computed tomography for enhanced accuracy while locating and negotiating mesuibuccal canal in maxillary molars.
Conclusions: It is of high importance that clinicians be aware of the challenging anatomy of Maxillary molars, know the prevalence of the Mesiobuccal canal in their region, interpret data from CBCT scan, and for better results use a Dental Operating Microscope and ultrasound tips to ensure the quality treatment and prevention of formation apical periodontitis in the future.
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