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Variation in
maxillary
permanent molars
Done by :
Salma ahmed khatab ,Omar mahmoud fadl, Mennatalla hatem ,Noah mustafa noah
Semester Two
Under supervision of : A.Prof Samah Kamel
Variations in the morphological feature of maxillary
molars
1)Accessory
cusps:
Human dentition shows a high variation in
the morphology, both in primary and
permanent dentitions.
The variations in the tooth morphology may
be clinically seen as an accessory cusp or in
a number of root and root canal .
A parastyle/paramolar
cusp/paramolar tubercle
is an accessory cusp on the buccal surface
of the mesiobuccal cusp of maxillary
molars.
It is considered as a cingulum derivative
expressed usually on the buccal surface of
the paracone of the upper molars and
rarely on the metacone of the upper molars.
Abnormalities of
number of roots
in maxillary
molars
Maxillary first molar
a) Variation in the root shape {fig 5}
The incidence of second MB canal has been reported
between (18%) and (96.1%)
01
02
03
04
“Ruiz badanelli” reported a max. first molar with
6 root canals 3 MB, 2 DB and 1 palatal
“Kattoor” reported for the first time a maxillary first
molar with 7 root canal 3 MB , 2 DB and 2 palatal
b)variation in the root canal:-
“Thomas” reported the incidence of 2 canals in the DB (1.9%) and
05
06
07
08
b)variation in the root canal
:-
It is reported the incidence of 2 root canals in the
palatal with (2%) and (5.1%)
It is reported the incidence of 5 root canals 2 MB ,2 DB
and 1 palatal
C -shaped root canal
It is also reported of the presence of o-shaped root as a result of fusion of MB,
DB and palatal root all together.
● Variation in the number or
morphology of roots is challenging
and may lead to failure of the root
canal treatment if not Recognized.
● number of roots from 2-5 but It is
common for the maxillary second
molar to have three roots with three
or four canals, but it is rare to have
four separated roots.
a) variation in
the root :-
Maxillary second molar
b)variation in the root canal :-
1-three separate roots and three separate canals (56.9%).
2-three separate roots and four canals (two in the mesiobuccal
root) (22.7%).
3-three roots and canals whose mesiobuccal and distobuccal
canals combine to form a common buccal with a separate
palatal (9%).
4- two separate roots with a single canal in each (6.9%)
5- one main root and canal (3.1%).
6- four separate roots and four separate canals
including two palatal (1.4%).
● The root and root canal morphology of
maxillary third molars show an increase
either in the number of roots or the canal
configuration.
● The number of roots in maxillary third
molar teeth ranges from 1 to 5 and the
number of encased root canal has been
reported from 1 to 6.
a)variation in the root :- Maxillary third molar
1-Maxillary third molar 2 root variation
2-Maxillary third molar 4 root variation
3-Maxillary third molar 5 root variation
,
Variation in the root canal :-
Type I.(1-1) Type II (2-1) Type III.(1-2-1) Type IV (2-2) Type V (1-2)
Type VIII (3-3)
References
•https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6344787/
•https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3961836/pdf/iej-09-153.pdf
•http://www.endodontologyonweb.org/article.asp?issn=0970-
7212;year=2018;volume=30;issue=1;spage=84;epage=87;aulast=Bansal
•https://pubmed.ncbi.nlm.nih.gov/10332235/
•http://www.saudiendodj.com/article.asp?issn=1658-
5984;year=2017;volume=7;issue=2;spage=128;epage=131;aulast=Alaajam
•https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5683840/
•http://www.saudiendodj.com/article.asp?issn=1658-
5984;year=2016;volume=6;issue=3;spage=113;epage=121;aulast=Ahmad
Thanks
for
listening

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Variation in maxillary molars