Morphological Characteristics of Mesiobuccal Root Canals of the First Maxillary Molars

Introduction The first maxillary molar is a tooth with three roots, and mesiobuccal one is with the most complex canal morphology. Factors influencing variations of its morphology are numerous, and may significantly complicate endodontic treatment. Objective The objective was to investigate the number, configuration and curvature orientation of the mesiobuccal root canals in the maxillary first molars. Methods The study was conducted on 200 mesiobuccal (MB) roots of extracted first molars in human subjects using radiography. In each canal Flexofile was introduced until reaching the apical foramen and the root was then radiographed in series from two projections. Number of root canals (MB(1), MB(2) and MB(3)), configuration according to Vertucci classification, and the orientation of the curvature were established. Relevant statistical parameters and the significance of differences were computed (p<0.05). Results Of total 200 mesiobuccal roots 86.5% were with two, 9% with three, and 4.5% with a single canal. Most frequent configurations were type IV (36%) and 11 (34.5%). From the clinical projection all MB(1) canals were oriented distally, from the proximal 78% palatally and 22% buccally. The orientation of all MB(2) canals was distal from the clinical projection, from the proximal projection 76% were oriented palatally, and 24% buccally. The MB(3) canal was always oriented distally from the clinical projection, and buccally from the proximal aspect. Conclusion The mesiobuccal roots of the first maxillary molars showed multiple canals in 96%, with dominant Vertucci type II and IV of configuration. All canals were curved.