2100 Üst Birinci ve İkinci Molar Dişte İkinci Meziobukkal Kanalların Prevelansının ve Lokasyonunun Değerlendirilmesi: Konik Işınlı Bilgisayarlı Tomografi Çalışması

Yıl 2025, Cilt: 13 Sayı: 3, 752 - 765, 16.10.2025

Bahar Kaplan , Özkan Adıgüzel , Ayşe Gül Öner Talmaç , Elif Meltem Aslan

https://doi.org/10.33715/inonusaglik.1642980

Öz

Klinik olarak başarılı bir tedaviye ulaşmak için tüm kök kanallarının kapsamlı bir şekilde hazırlanması, debridmanı ve doldurulması gerekir. Hem maksillar birinci hem de ikinci molar bulunan 525 KIBT görüntüsü analiz edildi. Meziobukkal ikinci kanalın tespit metodolojisini standartlaştırmak için gözlem ve ölçümler pulpa tabanından apikal olarak 1milimetre (mm) konumlandırıldı. İstatistiksel analizler için IBM SPSS Version 21.0. kullanıldı ve tip I hata düzeyi %5 olarak kabul edildi.Çalışmaya dahil edilen hastaların birinci maksiller molar(1MM) ve ikinci maksiller molar(2MM) dişlerinin genel olarak %36.5'inde MB2 kanalı tespit edilmiştir. MB2 kanalının cinsiyete ve sağ-sol tarafa göre görülme sıklığı değerlendirildiğinde istatistiksel olarak anlamlı farklılık olmadığı saptanmıştır (p>0.05). Kanallar arasındaki mesafeler ve MB2 varlığının MB kök uzunluğuyla ilişkisini değerlendirmek için MB kök uzunluğu mm olarak ölçülmüştür. MB2 varlığının MB kök uzunluğuyla arasındaki ilişkiye bakıldığında sadece sol ikinci molar dişte MB2’ si olanlarda bir miktar düşük ölçülmüştür. Bu çalışmanın diş hekimlerine söz konusu dişlere yapılan kanal tedavisinin başarısının artması konusunda önemli verileri sunacağını düşünmekteyiz.

Anahtar Kelimeler

Konik ışınlı bilgisayarlı tomografi , Maksiller azı dişleri , İkinci meziobukkal kanal

EVALUATION OF THE PREVALENCE AND LOCATION OF SECOND MESIOBUCCAL CANALS IN 2100 UPPER FIRST AND SECOND MOLAR TEETH: A CONE BEAM COMPUTED TOMOGRAPHY STUDY

Öz

It is essential to undertake thorough preparation, debridement and filling of all root canals in order to achieve a clinically successful treatment outcome. A total of 525 CBCT images of both maxillary first and second molars were analyzed. The observations and measurements were positioned 1 millimeter (mm) apically from the pulp base to standardize the methodology for the detection of the second mesiobuccal canal (MB2). To assess the distances between the canals and the relationship between the presence of MB2 and mesiobuccal (MB) root length, MB root length was quantified in millimeters. IBM SPSS Version 21.0 was employed for statistical analyses, with a type I error level of 5% accepted. MB2 was identified in 36.5% of the first maxillary molar (1MM) and second maxillary molar (2MM) teeth of the patients included in the study. When the frequency of MB2 was evaluated according to gender and right-left side, no statistically significant difference was found (p>0.05). When examining the relationship between the presence of MB2 and the length of the MB root, it was observed that only in the left second molars with MB2 present, the root length was slightly shorter. It is our contention that this study will furnish dentists with crucial data that will enhance the efficacy of root canal therapy for these teeth.

Anahtar Kelimeler

Cone-beam computed tomography , Maxillary molars , Second mesiobuccal canal

Kaynakça

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