Evaluation of the Prevalence and Morphology of Middle Mesial Canals in Bifid‐Apex Mandibular Molars Using Micro‐ <scp>CT</scp>

This micro-CT study analysed 90 mandibular mesial roots with and without a bifid apex. Number of orifices and main apical foramina, main canal counts at coronal/middle/apical thirds, middle mesial canal (MMC) presence, and MB-ML inter-orifice distance in two-orifice roots were measured. The prevalence of MMCs was significantly higher in bifid roots (35.5%) compared to non-bifid roots (11.4%) (p < 0.05). Bifid roots exhibited a significantly higher mean number of apical foramina (2.24 ± 0.43) than non-bifid roots (1.33 ± 0.52) (p < 0.05). In roots with two orifices, the MB-ML inter-orifice distance was significantly wider in the bifid group (2.57 ± 0.56 mm) compared to the non-bifid group (2.28 ± 0.50 mm) (p < 0.05). Canal configurations also differed significantly; bifid roots were predominantly Vertucci Type V (31.1%) and Type IV (26.7%), while non-bifid roots frequently presented with Type I (33.3%) and Type III (26.7%).

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Publication Details

Journal
Australian Endodontic Journal
Published
2026-04-12
DOI
https://doi.org/10.1111/aej.70083
Primary Topic
Endodontics and Root Canal Treatments
Type
article
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article

Evaluation of the Prevalence and Morphology of Middle Mesial Canals in Bifid‐Apex Mandibular Molars Using Micro‐ CT

Cangül Keskin, Ali Keleş, Pembe Büşra Kaygısız
Australian Endodontic Journal
Endodontics and Root Canal Treatments
article

Evaluation of the Prevalence and Morphology of Middle Mesial Canals in Bifid‐Apex Mandibular Molars Using Micro‐ CT

Cangül Keskin, Ali Keleş, Pembe Büşra Kaygısız
article en

Abstract

This micro-CT study analysed 90 mandibular mesial roots with and without a bifid apex. Number of orifices and main apical foramina, main canal counts at coronal/middle/apical thirds, middle mesial canal (MMC) presence, and MB-ML inter-orifice distance in two-orifice roots were measured. The prevalence of MMCs was significantly higher in bifid roots (35.5%) compared to non-bifid roots (11.4%) (p < 0.05). Bifid roots exhibited a significantly higher mean number of apical foramina (2.24 ± 0.43) than non-bifid roots (1.33 ± 0.52) (p < 0.05). In roots with two orifices, the MB-ML inter-orifice distance was significantly wider in the bifid group (2.57 ± 0.56 mm) compared to the non-bifid group (2.28 ± 0.50 mm) (p < 0.05). Canal configurations also differed significantly; bifid roots were predominantly Vertucci Type V (31.1%) and Type IV (26.7%), while non-bifid roots frequently presented with Type I (33.3%) and Type III (26.7%).

Australian Endodontic Journal
Ondokuz Mayıs University (TR), Bolu Abant İzzet Baysal University (TR)
Life below water
Openalex Percentile: Top 13%
Endodontics and Root Canal Treatments
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