The document discusses the anatomy of root canals and classifications of root canal morphologies. It introduces several past classification systems from Weine, Vertucci, and others. However, it notes that these systems are unable to categorize all the diversity seen in root canal configurations based on more recent anatomical studies using micro-CT technology. A new simplified classification system is needed that can be adopted universally to better describe the complex variations in root and root canal anatomy.
To make your Root canal easy contact Dental Implant India. We are specialized in root canal and other dental problem. We are the best dentist in North Delhi. To book an appointment visit - http://www.dentalimplantindia.co.in/dental-clinic-in-north-delhi.html
The success of endodontic treatment is directly related to the clinician’s ability to remove maximum number of bacteria from the root canal system.Some teeth are more difficult than others due to access limitations or anatomy, but the problem that faces all of us, in every tooth, is our inability to measure the absence of bacteria within the root canal and the potential for microanatomy to exist at any level of the root—whether it is a five-canal molar or a single-rooted anterior.
For more information, you can book an appointment at
Dr Sachdeva's Dental Aesthetic And Implant Institute,
I 101, Ashok Vihar Phase 1, Delhi- 110052
Contact us at
• Phone : +919818894041,01142464041
• Our Websites:
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To make your Root canal easy contact Dental Implant India. We are specialized in root canal and other dental problem. We are the best dentist in North Delhi. To book an appointment visit - http://www.dentalimplantindia.co.in/dental-clinic-in-north-delhi.html
The success of endodontic treatment is directly related to the clinician’s ability to remove maximum number of bacteria from the root canal system.Some teeth are more difficult than others due to access limitations or anatomy, but the problem that faces all of us, in every tooth, is our inability to measure the absence of bacteria within the root canal and the potential for microanatomy to exist at any level of the root—whether it is a five-canal molar or a single-rooted anterior.
For more information, you can book an appointment at
Dr Sachdeva's Dental Aesthetic And Implant Institute,
I 101, Ashok Vihar Phase 1, Delhi- 110052
Contact us at
• Phone : +919818894041,01142464041
• Our Websites:
• www.sachdevadentalcare.com
• www.dentalclinicindelhi.com
• www.dentalimplantindia.co.in
• www.dentalcoursesdelhi.com
• www.facialaestheticsdelhi.com
• Google+ link: https://goo.gl/vqAmvr
• Facebook link: https://goo.gl/tui98A
• Youtube link: https://goo.gl/mk7jfm
• Linkedin link: https://goo.gl/PrPgpB
• Slideshare link : http://goo.gl/0HY6ep
• Twitter Page : https://goo.gl/tohkcI
• Instagram page : https://goo.gl/OOGVig
In this presentation, we will see the different mishaps or errors that we can encounter during endodontic procedure and what can be the various treatment options for them.
Internal anatomy of permanent/ orthodontic course by indian dental academyIndian dental academy
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Indian Dental Academy: will be one of the most relevant and exciting training center with best faculty and flexible training programs for dental professionals who wish to advance in their dental practice,Offers certified courses in Dental implants,Orthodontics,Endodontics,Cosmetic Dentistry, Prosthetic Dentistry, Periodontics and General Dentistry.
Anatomy of apical third /certified fixed orthodontic courses by Indian dental...Indian dental academy
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Welcome to Indian Dental Academy
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Determination of root canal working length /certified fixed orthodontic cours...Indian dental academy
Welcome to Indian Dental Academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy has a unique training program & curriculum that provides students with exceptional clinical skills and enabling them to return to their office with high level confidence and start treating patients
State of the art comprehensive training-Faculty of world wide repute &Very affordable.
In this presentation, we will see the different mishaps or errors that we can encounter during endodontic procedure and what can be the various treatment options for them.
Internal anatomy of permanent/ orthodontic course by indian dental academyIndian dental academy
Indian Dental Academy: will be one of the most relevant and exciting training center with best faculty and flexible training programs for dental professionals who wish to advance in their dental practice,Offers certified courses in Dental implants,Orthodontics,Endodontics,Cosmetic Dentistry, Prosthetic Dentistry, Periodontics and General Dentistry.
management of non vital open apex roots/ orthodontic course by indian dental...Indian dental academy
Indian Dental Academy: will be one of the most relevant and exciting training center with best faculty and flexible training programs for dental professionals who wish to advance in their dental practice,Offers certified courses in Dental implants,Orthodontics,Endodontics,Cosmetic Dentistry, Prosthetic Dentistry, Periodontics and General Dentistry.
Anatomy of apical third /certified fixed orthodontic courses by Indian dental...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
Anatomy of apical third /certified fixed orthodontic courses by Indian dental...Indian dental academy
Welcome to Indian Dental Academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy has a unique training program & curriculum that provides students with exceptional clinical skills and enabling them to return to their office with high level confidence and start treating patients
State of the art comprehensive training-Faculty of world wide repute &Very affordable.
Determination of root canal working length /certified fixed orthodontic cours...Indian dental academy
Welcome to Indian Dental Academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy has a unique training program & curriculum that provides students with exceptional clinical skills and enabling them to return to their office with high level confidence and start treating patients
State of the art comprehensive training-Faculty of world wide repute &Very affordable.
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
1. Dr. Hadil Abdallah Altilbani
BDS Santiago de Compostela University Spain.
MSc. University of Valencia Spain.
Department of Endodontics University of Palestine .
INTERNAL
ANATOMY
2.
3.
4. INTRODUCTION
In Terms Of Success Of Treatment,
✓ knowledge of pulp anatomy cannot be overstated.
✓ For the success of endodontic therapy, the knowledge of Pulp Anatomy Cannot Be Ruled Out.
✓ As a cause of treatment failures, Lack Of A Working Knowledge of pulp anatomy ranks second only
to errors in diagnosis and treatment planning.
✓ It is critical to know the Normal Or Usual Configuration of the pulp and to be aware of Variations.
✓ Special techniques are required to determine the internal anatomy of the tooth under treatment.
✓ Knowledge of the pulp anatomy must be Threedimensional.
✓ The Pulp Cavity Must Be Mentally Visualized Three Dimensionally.
✓ The pulp cavity must be mentally visualized both longitudinally (from coronal aspect to apical foramen)
and in cross section.
✓ In addition to general morphologic features, Irregularities And "Hidden" regions of pulp are present
within each canal.
✓ To clean and shape the pulp system maximally, intracanal instruments must reach as many of these
regions as possible to plane the walls to loosen tissue and tissue remmants.
✓ Lack of attention to this important principle may lead to treatment failure.
5. Data generated from classical studies demonstrated
that the complexity of the internal and external
anatomy of teeth required the creation of a
classification system.
6. Appreciable knowledge of the morphology of this ‘small zone’ and its variance, ability to interpret it
correctly in radiograph, and to ‘feel’ it through tactile sensation during instrumentation are essential for an
effective rendering of the treatment of root canals.
THE ROOT
APEX
Anatomy of the apical third
7. INTRODUCTION
✓ Morphologically-most complex region
✓ Therapeutically-most challenging zone
✓ Prognostically- most important part
✓ Radiographically-most obscure and
unclear area
8. Thorough comprehension of apical region
of tooth
is essential to determine the working length
and working width to the most accurate
position biologically .
Scrupulous understanding and knowledge
of the root apex is also a requisite to
perform a successful endodontic surgical
procedure.
A detailed knowledge of the apical part of
the root canal system is vital as it is a
common area for procedural errors during
nstrumentation
9.
10. Significance of apical third
• The main problems associated with apical part of root
are its variability and unpredictability. Because of great
variation in size and shape, problems may occur during
the endodontic treatment.
• The root canal treatment of apical part of root is
difficult sometimes because of presence of accessory and
lateral canals, pulp stones, varying amounts of irregular
secondary dentin and areas of resorption.
• Most of curvatures occur in apical third, so one has
to be very careful while canal preparation.
• Obturation should end at apical constriction so as to
have optimal results of treatment.
• Apical 3 mm of root is generally resected during
endodontic surgery in order to eliminate canal
aberrations.
11. ANATOMY OF ROOT APEX
(Kuttler’s studies)
A.Anatomic apex
B.Apical constriction (minor diameter)
F. Apical foramen
The mean distance between the major and minor diameters
0.5 mm in a young person and 0.67 mm in an older individual.
The increased length in older individuals is due to the increased
buildup of cementum
12.
13.
14.
15. GREEN(1955 1956 1960)-
Major apical foramen are situated directly at
the apex more frequently in maxillary
centrals, laterals, cuspids, first premolars and
mandibular second Premolars
In the maxillary molars and all the
mandibular teeth with the exception of the
2nd PM, the main apical foramina coincide
with the apexes less frequently.
16. Anatomy of Apical Canal
According to Kuttler, the narrowest diameter of
the canal is definitely not at the site of exiting of the
canal from the tooth but usually occurs within the dentin,
just prior to the initial layers of cementum.
He referred to this position as the minor diameter
of the canal, although others call it the apical constriction.
The diameter of the canal at the site of exiting from the
tooth (major diameter) was found to be approximately
twice as wide as minor diameter. This means that the
longitudinal view of the canal as a tapering funnel to the
tip of the root is incorrect.
17.
18. Topography of the apical constriction
(DUMMER CLASSIFICATION)
1. Typical Single Constriction
2. Tapering Constriction With The Narrowest Portion Near The Actual Apex
3. Several Constrictions
4. Constriction Followed By A Narrow, Parallel Canal
5. Complete Blockage Of The Apical Canal By Secondary Dentin
26. BULBOUS APEX
usually due to hypercementosis
proper care required during length determination
Apical constriction is significantly shorter from radiographic apex
27. ▪When heavy stress is placed on tooth, thickened amount of cementum is
elaborated, increasing the area of periodontal attachment and strengthening the
supporting mechanism - this increased deposition of cementum is in response to
function and is known as hypercementosis (hypertrophy).
28. RESORBED APEX
caused due to advanced
inflammation at the
periapex resorption of
cementum and dentin and
widening of apical
foramen
WL determination
,preparation and
condensation of gutta-
percha is difficult-
Preparation should stop
1-2mm short of
radiographic apex
29.
30.
31. BLUNDERBUSS APEX
newly erupted tooth showing an
incompletely formed root having a
wide canal and the pulp may get
necrosed due to caries or trauma
and may require root canal
standard instrumentation and
obturation techniques are not
favorable
32. Open Apex
Endodontic management of the pulpless,
permanent teeth with wide open blunder buss
apex offers dentists a most difficult condition
to treat.
Problem of open apex - the open apex occurs
when trauma or caries cause pulpal exposure
prior to the completion of root development.
An open apex refer to absence of sufficient root
development to provide a conical taper to the
canal - “Blunderbuss” canal.
Since it is necessary to seal the apex to gain
endodontic success, it is physically impossible to
achieve this objective through ordinary procedure
in open apex cases. www.indiandentalacademy.com
38. GENERAL CONSIDERATIONS
• Root and Canal Anatomy
• Identification of Canals and Roots
ROOT AND CANAL ANATOMY
Although root shape in cross section is variable, there are seven general
configurations: round, oval, long oval, bowling pin, kidney bean, ribbon, and
hourglass.
Shape and location of canals are governed by root shape (in cross section).
Different shapes may appear at any level in a single root. For example, a
root may be hourglass shaped in cross section at the cervical third, taper to
a deep oval in the middle third, and blend to oval in the apical third; the
number and shape of canals in each level will vary accordingly." Importantly
though, a canal is seldom round at any level.
To assume that it is may result in improper canal preparation
39. a canal occupies the center of the
root. When there are two canals
in a root, each will often occupy
the center of its own root “bulge.”
40. IDENTIFICATION OF CANALS AND
ROOTS
Obviously, to clean, shape, and obturate a canal, it must be
located."
In roots that may contain two canals, a basic rule is to
assume that the root contains two canals until proved
otherwise.
Rather than memorize roots that often contain two canals,
it is easier to remember those few that are unlikely to have
two canals.
41.
42. Shape of the Canals -Torabineajad
6 different shapes have been noted
1. •Round
2. •Oval
3. •Deep oval
4. •Bowling pin
5. •Kidney bean
6. •Hour glass
Canal
Morphologies
43. They include round, ribbon or figure eight, ovoid, bowling pin, kidney bean, and C shape.
With the exception of the round morphologic shape, each presents unique problems f
or adequate cleaning and shaping.
A, Round. B, Ribbon-shaped (hourglass). C, Ovoid.
48. It contains pulp or pulpally derived tissue and acts as store house for bacteria
49.
50. Types
Type•I
Incomplete isthmus; faint
communication between two
canals.
Type• II
Characterized by two canals with
definite connection between
them.
Type• III
Very short complete isthmus
between two canals.
Types. IV
Complete or incomplete isthmus
between two or more canals.
Type. V
Marked by two or three canal
openings without visibleconnections
54. When tooth erupts
into oral cavity Its apex Is not
Completely formed
this slow Bodily movement of the incompletely
formed tooth is the cause of Curvatures in the
apical third of the root
as the tooth becomes functional it is
subjected to Biting stresses which may
move the tooth mesially
Curvature formation
55. Root Canal Curvatures
SCHNEIDER‘ sclassification on the basis of degree
of curvature
➢ Straight: 5 ̊or less
➢Moderate: 10°-20°
➢Severe: 25°-70
56.
57.
58. Introduction
“A thorough understanding of the complexity of the root canal system
is essential for understanding the principles and problems of
shaping and cleaning, for determining the apical limits and
dimensions of canal preparations, and for performing successful
microsurgical procedures”
59. Data generated from classical studies demonstrated
that the complexity of the internal and external
anatomy of teeth required the creation of a
classification system.
60. Introduction
CARABELLI (1842) MUHLREITER (1870) BLACK (1890) GYSI (1892) PREISWERCK (1901) FISHER (1907)
DEWEY (1916)
FASOLI (1913) HESS (1917) PUCCI & REIG (1944) DE DEUS (1960)
61. ROOT CANALS (PULP CANALS)
Root canals (pulp canals) are the portions of the pulp cavity located within
the root(s) of a tooth. Root canals connect to the pulp chamber through
canal orifices on the floor of the pulp chamber, and pulp canals open to the
outside of the tooth through openings called apical foramina (singular
foramen) most commonly located at or near the root apex. The shape and
number of root canals in any one root have been divided into four major
anatomic configurations or types.
62. Introduction
Weine et al. (1969) were the first authors to categorize root canal
configurations within a single root.
Type I
(1-1)
Type II
(2-1)
Type III
(2-2)
Type IV
(1-2)
Later, Weine (1982) added an
additional type to his system.
Using Roman numbers, configurations were
classified into 3 types according to the pattern of
division of the main root canal along its course
from the pulp chamber to the root apex.
63. Introduction
In 1974, Vertucci et al. identified more
complex canal systems in the study of 200
maxillary second premolars using the clearing
technique
64. Introduction
Using Roman numbers, authors
reported a total of 8 configuration types
according to the pattern of division of the main
root canal along its course from the pulp
chamber to the root apex
65. Introduction
Despite these efforts to systematically describe the diversity of canal
configurations, additional types of canal morphologies have been reported in
different populations.
66. Introduction
AhmedHMA, VersianiMA, De-Deus G, Dummer PMH. A new system for classifying root and root canal morphology. International Endodontic Journal 2016
Recently, based on previous reports and anatomical studies using micro-CT technology,
Versiani & Ordinola-Zapata (2015) were able to identify 37 types of root canal configuration.
67. In summary, the most used
classification systems are
unable to categorize the
diversity of root canal
configurations as reported in
the literature.
Introduction
68. • Root canal curvature (Schneider 1971, Pruett et al. 1997)
• Canal bifurcation and root fusion (Vertucci 2005)
• Accessory canals and apical ramifications (De Deus 1975)
• Dens invaginatus (Oehlers 1957)
• C-shaped canals (Melton et al. 1991, Fan et al. 2004, Kato et al. 2014)
• Taurodontism (Shaw 1928, Jafarzadeh et al. 2008)
• Supernumerary roots (Christie et al. 1991, Carlsen & Alexandersen 2000, Song et al. 2010)
• And others
Exclusion Criteria
Literature already has many comprehensive classifications categorizing several morphological
aspects and developmental anomalies of the teeth. Therefore, including the following
anatomical variations in the root and root canal system:
Despite such information could be useful, the benefits of any new system must be the
simplicity, so that it can be adopted universally!
69. Weine’s Classification
Type I: A single canal from pulp chamber to the apex.
Type II: Two separate canals leaving the chamber, but merging short of the canal terminus to form a single
canal.
Type III: Two distinct canals from pulp chamber to the canal terminus.
Type IV: A single canal leaving the chamber and dividing into two separate canals at the canal terminus.
70. Vertucci’s Classification
Type I: A single canal from pulp chamber to the canal terminus.
Type II: Two separate canals leaving the chamber, but merging short of the canal terminus to form a
single canal.
Type III: A single canal that divides into two and subsequently merges to exit as one.
Type IV: Two distinct canals from pulp chamber to the canal terminus.
71. Vertucci’s Classification (cont.)
Type V: A single canal leaving the chamber and dividing into two separate canals at the canal
terminus.
Type VI: Two separate canals leaving the pulp chamber, merging in the body of the root, and
dividing again into two distinct canals short of the canal terminus.
Type VII: A single canal that divides, merges and exits into two distinct canals short of the canal
terminus.
Type VIII: Three distinct canals from pulp chamber to the canal terminus.