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Ok Clinical Research| Volume 45, ISSUE 10, P1209-1218, October 2019 Download Full Issue Download started. Ok Analysis of Fused Rooted Maxillary First and Second Molars with Merged and C-shaped Canal Configurations: Prevalence, Characteristics, and Correlations in a Saudi Arabian Population * Purchase * Academic & Personal: 24 hour online access * Corporate R&D Professionals: 24 hour online access * Subscribe * Save * Add To Online LibraryPowered ByMendeley * Add To My Reading List * Export Citation * Create Citation Alert * Share Share on * Twitter * Facebook * Linked In * Sina Weibo * Email * more * Reprints * Request * Top ANALYSIS OF FUSED ROOTED MAXILLARY FIRST AND SECOND MOLARS WITH MERGED AND C-SHAPED CANAL CONFIGURATIONS: PREVALENCE, CHARACTERISTICS, AND CORRELATIONS IN A SAUDI ARABIAN POPULATION * Mohammed Mashyakhy, BDS, MSc Mohammed Mashyakhy Correspondence Address requests for reprints to Dr Mohammed Mashyakhy, Department of Restorative Dental Sciences, College of Dentistry, Jazan University Kingdom of Saudi Arabia, PO Box 114, Jazan, Saudi Arabia. Contact Affiliations Department of Restorative Dental Sciences, College of Dentistry, Jazan University, Jazan, Saudi Arabia Search for articles by this author * Hemant Ramesh Chourasia, BDS, MDS Hemant Ramesh Chourasia Affiliations Department of Restorative Dental Sciences, College of Dentistry, Jazan University, Jazan, Saudi Arabia Search for articles by this author * Ahmad Jabali, BDS, MS Ahmad Jabali Affiliations Department of Restorative Dental Sciences, College of Dentistry, Jazan University, Jazan, Saudi Arabia Search for articles by this author * Abdulmajeed Almutairi, BDS, AEGD, SBRD Abdulmajeed Almutairi Affiliations Dental Department, Alkharj Armed Forced Hospital, Al Kharj, Saudi Arabia Search for articles by this author * Gianluca Gambarini, MD, DDS Gianluca Gambarini Affiliations Department of Restorative Dentistry and Endodontics, Sapienza University of Rome, Rome, Italy Search for articles by this author Published:August 01, 2019DOI:https://doi.org/10.1016/j.joen.2019.06.009 Plum Print visual indicator of research metrics PlumX Metrics * Citations * Citation Indexes: 23 * Captures * Readers: 57 see details Previous ArticleDifferences in Inflammation and Bone Resorption between … Next ArticleCervical Level Biological Repair of the Access Opening after … * Abstract * Key Words * References * Article info * Related Articles ABSTRACT INTRODUCTION The aims of this in vivo cone-beam computed tomographic (CBCT) study were to evaluate the prevalence, characteristics, and correlations between the fused rooted maxillary first and second molars as well as their consequent merged and C-shaped canals in a Saudi Arabian population. METHODS CBCT imaging of 726 maxillary first and second molars from 208 subjects of Saudi origin were evaluated in the present study. The prevalence of fused rooted maxillary molars, merged canals, C-shaped configurations, and correlations between the presence of fused rooted teeth between first and second molars were examined as the primary outcome. Differences by sex, location in the jaw, and bilateral symmetry (similarity between right- and left-side teeth in the same patient) were evaluated as the secondary outcome. The Z test was used for differences in the independent proportions, the chi-square test was used for differences between sex and locations, and the Cohen kappa test was used for bilateral symmetry. The kappa test was also used for intrarater reliability. A value of P < .05 was considered significant. RESULTS The prevalence of fused rooted maxillary first and second molars was 7% and 21%, respectively. Within fused rooted teeth, the presence of merged canals was 8.3% and 32.1%, whereas the prevalence of C-shaped canals was 8.3% and 5.1% in first and second maxillary molars, respectively. Among 57 subjects who had fused rooted maxillary molars, 19.3% showed a correlation between first and second molars. In fused rooted maxillary molars, 3.8% first molars and 13% second molars were bilaterally symmetrical. There were no statistically significant differences between sexes and right- and left-sided fused rooted maxillary molars, merged canals, or C-shaped canals. CONCLUSIONS Maxillary second molars presented more complex external and internal morphology compared with maxillary first molars, with an overall prevalence of 14% of fused rooted maxillary molars and 3.7% merged and 0.8% C-shaped canal configurations for all maxillary molars. The clinician should be aware of such challenges, and for a better treatment outcome, the use of CBCT imaging (small field of view) and an operative dental microscope can be considered when a preoperative periapical radiograph shows signs of fused rooted maxillary molars. KEY WORDS * Cone-beam computed tomography * C shaped * fused rooted molars * merged canals * morphology To read this article in full you will need to make a payment PURCHASE ONE-TIME ACCESS: Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access One-time access price info * For academic or personal research use, select 'Academic and Personal' * For corporate R&D use, select 'Corporate R&D Professionals' SUBSCRIBE: Subscribe to Journal of Endodontics Already a print subscriber? Claim online access Already an online subscriber? Sign in Register: Create an account Institutional Access: Sign in to ScienceDirect REFERENCES 1. * Vertucci F.J. 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