Intricate Internal Anatomy of Teeth and Its Clinical Significance in Endodontics - A Review
Intricate Internal Anatomy of Teeth and Its Clinical Significance in Endodontics - A Review
Intricate Internal Anatomy of Teeth and Its Clinical Significance in Endodontics - A Review
Review Article
ABSTRACT
Beyond the simple perception is often the intricate internal tooth anatomy and a complex root canal system. Root
canal treatment has transformed remarkably since the hollow tube theory was postulated in 1930. Research into
the morphology of the pulp has revealed that the dental pulp takes many intricate shapes and configurations
before reaching the tooth apex. The prospect of the treatment depends on accurate diagnosis followed by location,
cleaning and shaping and finally obturation of the root canal system. As a professional, one should be aware of all
the probable nooks and crannies of the complex root canal, its protean permutations and combinations, to render
the finest possible treatment. As is the case with any other treatment, endodontic therapy; if performed in the
properly delineated and precise manner spells more than 99% success rate. This review article attempts to bring
out the possible nuances of the complex root canal system and various methods of reckoning with these significantly
essential details.
Keywords: Intricate, internal, tooth anatomy, complex, root canal system
Introduction
160
ENDODONTOLOGY
pulp-chamber.
crown.
chamber.(Figure-2)
chamber floor.
crown:
junction).(Figure-1)
wall junction.
161
ENDODONTOLOGY
INTRICATE INTERNAL ANATOMY OF TEETH AND ITS CLINICAL SIGNIFICANCE IN ENDODONTICS - A REVIEW
instrument separation
. Branched canal
examined
ENDODONTOLOGY
Isthmus
13
Isthmus
12
(Figure-4)
Type I
communication.
sodium
hypochlorite
and
mechanical
Type IV- is when the canals extend into the isthmus area.
sophistication
19,20
Type II
Type III
Type IV
Type V
163
ENDODONTOLOGY
INTRICATE INTERNAL ANATOMY OF TEETH AND ITS CLINICAL SIGNIFICANCE IN ENDODONTICS - A REVIEW
C-shaped canal
23
24
26
Canal curvatures
A straight root canal extending the entire
length of the root is uncommon The curvature may
be a gradual curvature of the entire canal, a sharp
curvature of the canal near the apex, or a gradual
ENDODONTOLOGY
curvature
can
be
Berbert&Nishiyamas
30
measured
either
by
method or by Schneiders
31
2 sin S
and b 31 .(Figure-6)
ENDODONTOLOGY
INTRICATE INTERNAL ANATOMY OF TEETH AND ITS CLINICAL SIGNIFICANCE IN ENDODONTICS - A REVIEW
sizes larger than the first file that binds to the apex
Apical anatomy
32
described by Kutler
32
33
shaped. (Figure-7)
ENDODONTOLOGY
167
ENDODONTOLOGY
INTRICATE INTERNAL ANATOMY OF TEETH AND ITS CLINICAL SIGNIFICANCE IN ENDODONTICS - A REVIEW
Conclusion
complex system simply as the Root Canalbecause it actually is a very complex system of
the buccal.
. Similarly C-shaped
38
39,40
success rate.
References :
fracture lines.
Radiography is needed, first as an aid to the
ENDODONTOLOGY
35. Dummer PM, McGinn JH, Rees DG. The position and
topography of the apical canal constriction and apical
foramen. IntEndod J1984;17:192-8.
25. Yang ZP, Yang SF, Lin YC, Shay JC, Chi CY. C-shaped
root canals in mandibular second molars in a Chinese
population.Endod Dent Traumatol 1988;4:160-3.
169