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    MAYRA LORENA ROMERO DIAZ
    Root canal morphology can be complex, with multiple branches extending from the main pulp canal. The root canal begins as a funnel-shaped opening and extends to the root apex. Root canals are often curved, which can complicate cleaning and shaping procedures. Accessory canals connect the pulp canal to the outside of the root and allow irritants to pass between the pulp and surrounding tissue. Furcation canals occur in the division of multirooted teeth and also provide a connection between the pulp and outside of the tooth. Understanding the variations in root canal anatomy is important for successful endodontic treatment.

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    Root canal morphology can be complex, with multiple branches extending from the main pulp canal. The root canal begins as a funnel-shaped opening and extends to the root apex. Root canals are often curved, which can complicate cleaning and shaping procedures. Accessory canals connect the pulp canal to the outside of the root and allow irritants to pass between the pulp and surrounding tissue. Furcation canals occur in the division of multirooted teeth and also provide a connection between the pulp and outside of the tooth. Understanding the variations in root canal anatomy is important for successful endodontic treatment.

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    Root canal morphology can be complex, with multiple branches extending from the main pulp canal. The root canal begins as a funnel-shaped opening and extends to the root apex. Root canals are often curved, which can complicate cleaning and shaping procedures. Accessory canals connect the pulp canal to the outside of the root and allow irritants to pass between the pulp and surrounding tissue. Furcation canals occur in the division of multirooted teeth and also provide a connection between the pulp and outside of the tooth. Understanding the variations in root canal anatomy is important for successful endodontic treatment.

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    © All Rights Reserved
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    34 views1 page

    Page 3 PDF

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    MAYRA LORENA ROMERO DIAZ
    Root canal morphology can be complex, with multiple branches extending from the main pulp canal. The root canal begins as a funnel-shaped opening and extends to the root apex. Root canals are often curved, which can complicate cleaning and shaping procedures. Accessory canals connect the pulp canal to the outside of the root and allow irritants to pass between the pulp and surrounding tissue. Furcation canals occur in the division of multirooted teeth and also provide a connection between the pulp and outside of the tooth. Understanding the variations in root canal anatomy is important for successful endodontic treatment.

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    of 1

    Root canal morphology

    Fig. 3. Major anatomic components of the root canal


    system.

    outline corresponds to the external contour of the


    tooth (11). However, factors such as physiologic aging,
    pathology and occlusion shape its size by the produc-
    tion of secondary and tertiary dentine and cementum.
    The pulp cavity is divided into two portions: the pulp Fig. 4. Maxillary first molar illustrating a furcation canal
    chamber which is located in the anatomic crown of the (arrow).
    tooth and the pulp or root canal(s) which are found in
    the anatomic root. Other features include pulp horns,
    lateral, accessory and furcation canals, canal orifices,
    intercanal connections, apical deltas and apical for-
    amina. A root canal begins as a funnel-shaped canal
    orifices generally present at or slightly apical to the
    cervical line and ends at the apical foremen which opens
    onto the root surface between 0 and 3 mm from the
    center of the root apex (12–17). Nearly all root canals
    are curved particularly in a facial-lingual direction (18).
    These curvatures may pose problems during shaping
    and cleaning procedures because they are not evident
    on a standard facial radiograph. Angled views are Fig. 5. Accessory canals occur in three distinct patterns in
    necessary to determine their presence, direction and mandibular first molars. (A) In 13%, a single furcation
    severity. A curvature may be a gradual curve of the canal extends from the pulp chamber to the intraradicular
    region. (B) In 23%, a lateral canal extends from the
    entire canal or a sharp curvature near the apex. Double coronal third of a major root canal to the furcation region;
    ‘s-shaped’ canal curvatures can also occur. In most 80% extend from the distal root canal. (C) Ten percentage
    cases, the number of root canals corresponds with the of the teeth exhibit both lateral and furcation canals.
    number of roots but an oval-shaped root may have
    more than one canal. 6.3% of the time in the cervical third of the root (13).
    Accessory and lateral canals extend from the pulp to They are formed by the entrapment of periodontal
    the periodontium. An accessory canal is any branch of vessels in Hertwig’s epithelial root sheath during
    the main pulp canal or chamber that communicates calcification (20). They serve as avenues for the passage
    with the external surface of the root. A lateral canal is an of irritants primarily from the pulp to the period-
    accessory canal located in the coronal or middle third of ontium.
    the root, usually extending horizontally from the main Accessory canals may also occur in the bifurcation or
    root canal (19). They occur 73.5% of the time in the trifurcation of multirooted teeth (13). Vertucci (21)
    apical third, 11.4% of the time in the middle third and called these furcation canals (Fig. 4). They form as a

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