• Restorative Dentistry and Endodontics
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• v.39 no.1
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• pp.45-50
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• 2014

Ambiguity in the root morphology of the mandibular second molars is quite common. The most common root canal configuration is 2 roots and 3 canals, nonetheless other possibilities may still exist. The presence of accessory roots is an interesting example of anatomic root variation. While the presence of radix entomolaris or radix paramolaris is regarded as a typical clinical finding of a three-rooted mandibular second permanent molar, the occurrence of an additional mesial root is rather uncommon and represents a possibility of deviation from the regular norms. This case report describes successful endodontic management of a three-rooted mandibular second molar presenting with an unusual accessory mesial root, which was identified with the aid of multiangled radiographs and cone-beam computed tomography imaging. This article also discusses the prevalence, etiology, morphological variations, clinical approach to diagnosis, and significance of supernumerary roots in contemporary clinical dentistry.

• The korean journal of orthodontics
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• v.23 no.4 s.43
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• pp.493-501
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• 1993

It is the aim of this study to determine the impacts of radicular development of lower third molars on its eruption/impaction and to grope the prediction for eruption and/or impaction in advance. Three hundred and thirty cases of orthopantomogram were employed and classified as mesial root-dominant group, distal root-dominant group and Identical group according to the radicular development of lower third molars. This presentation has carried out the incipient mesial inclination, radicular development, impaction/eruption rate and changes of mesial inclination of the very teeth. Consequently the following summary and conclusions were drawn; Radicular development dominated mesial root than the distal and dominant mesial root invited higher potentialities for normal eruption. The mesial or honzontal impactions were detected on the distal root-dominant group. This analysis has been suggested the potential eruption/impaction of lower third molars were dependent upon the radicular development and the incipient mesial inclination.

• Journal of Periodontal and Implant Science
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• v.23 no.1
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• pp.159-169
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• 1993

The thirty six mandibular second molars, which were extracted because of hopeless tooth due to advanced periodontal disease, were measured the length of mesial and distal root and the distance from cementoenamel junction to root separation. The molars were cross-sectioned every 1.5 milimeter from cementoenamel junction to root apex perpendicular to long axis and each section was photographed, projected and measured with a calibrated Digital Curvi-Meter(Com Curvi-8. Japan). The root surface area (RSA), percentage of the RSA and the linear variation of the RSA were calibrated for each 1. 5 mm section. The results were as follows. 1. The mean length of the roots was 12. 98mm for mesial root, 11.84 mm for distal root. The mesial root was longer than distal root.(p<0.01) 2. The mean distance from the cementoenamel junction to the point at which the root separate from the root trunk was 3.82mm for the buccal furcation and 4.75mm for lingual furcation. The buccal root separation was coronal than the lingual root separation.(p<0.01) 3. The total root surface area was $317.78mm^2$. 4. The mean surface area of the root trunk was $150.06mm^2$ and averaged 42.54% of the total root surface area. 5. The mean root surface area was $88.79\;mm^2$ for the mesial root, $78.93mm^2$ for distal root, The mesial root surface area was wider than the distal root surface area.(p<0.05) 6. In comparision, the mean root trunk surface area of the mandibular 2nd molar was wider than that of mandibular 1st molar(p<0.01), but each root of 2nd molar was smaller than that of 1st molar(p<0.01).

• Journal of Oral Medicine and Pain
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• v.17 no.2
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• pp.119-128
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• 1992

In order to evaluate the relationship of age with the developmental stage on mandibular second molars in female, the author examined the radiographs in standard films taken by intraoral paralleling technic and analysed the development of 620 roots of 310 females ranged from 10 to 18 years. The development was divided into 7 stages : Crown complete (Cr.C.), Root lengthed 1/4(R.1/4), Root length 1/2 (R.1/2), Rooth length 3/4 (R.3/4), Rooth length complete (R.C), Apex 1.2 closed (A. 1/2), Apical closure complete (A.C) The obtained results were as follows : 1. The formation of roots in fulllength of mandibular second molars was completed at 14.21-year-age in mesial root and at 14.96-year-age in distal root. 2. The formation of apical foramen of mandibular second molars was completed at 17.11-year-age in mesial root and at 17.53-year-age in distal root. 3. The mesial root of mandibular second molar was generally developed earlier than distal root (p<0.01) 4. Coefficients of correlation and regression equations between for age(Y) and the developmental stage of mandibular second molar(X) were "Y=1.53X+6.54, r=0.91 (p<0.01)" in mesial root and "Y=1.52X+7.11, r=0.92(p<0.01)" in distal root respectively.l root respectively.

• The Journal of the Korean dental association
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• v.10 no.3
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• pp.149-153
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• 1972

The apical foramen is not always found on the very tip of the root. The apical foramen may make its exit on the mesial, distal, labial or lingual side of a root slightly short of the root apex rather than at the root apex itself. The author collected 43 upper first molars and 84 lower first molars as a samples. Apical foramens were carefully checked and examined these location on each tip. (table 1) 1. About 33% to 49% of upper cases were found on extreme tip of roots and the remaining cases were on the distal side or mesial side. 2. Except distal simple canal of lower molars, approximately 40% to 50% were located on the very tip of the root. The remaining cases were on distal or mesial surface. 3. On lower distal simple canal, about 51% of cases made its exit on distal side. The remaining cases located on the tip end or mesial side.

• Journal of Korean Academy of Oral and Maxillofacial Radiology
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• v.25 no.2
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• pp.375-387
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• 1995

The purpose of this study was to quantitatively evaluated experimental tooth root resorption for digital radiography. For this study, experimentally three root sites were used, and radiograms were taken with standardized apparatus. Digital imaging system were consisted of NEC PC-980l(computer), TRINITRON(monitor), SONY XC-711 CCD camera. The display monitor had a resolution of 512X512 pixels. The obtained results were as follows: 1. In the difference of the four X-ray film of the contrast correction, the contrast difference was one gray scale variation at mean value. 2. Viewing of the view box of the periapical radiographs, experimental tooth root resorption of the periapical area of the first premolar, middle of mesial surface of the first molar mesial root, middle of lingual surface of the first molar distal root were recognized by increased diameter. 3. On the analysis by histogram, the periapical area of the first premolar, the middle of mesial surface of the first molar mesial root were each recognized tooth root resorption of the 5,6,7 pixel, 2,4,5 pixel by increased diameter. 4. On the analysis by histogram, the middle of lingual surface of the first molar distal root was each recognized tooth root resorption of the none, 3,6 pixel by increased diameter.

• Journal of Periodontal and Implant Science
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• v.31 no.3
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• pp.573-579
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• 2001

The purpose of this study was to investigate the characteristiss of korean multi-rooted teeth extracted by periodontal disease. A total of 182 extracted multi-rooted teeth were examined. The distance from the cementoenamel junction(CEJ) to the root groove and from the CEJ to the root division was measured. The frequency of the root grooves were calculated. The results are as follows : 1. Distances from CEJ to the root groove were $1.53{\cdot}1.60mm$ for maxillary first premolars mesial${\cdot}$distal sides, $1.26{\cdot}1.38{\cdot}1.75mm$ for maxillary first molars buccal${\cdot}$mesial${\cdot}$distal sides, $1.38{\cdot}1.71{\cdot}1.41mm$ for maxillary second molars buccal${\cdot}$mesial${\cdot}$distal sides, $0.98{\cdot}0.99mm$ for mandibular first molars buccal${\cdot}$lingual sides and $1.28{\cdot}1.35mm$ for mandibular second molars buccal${\cdot}$lingual sides. 2. The frequency of the root grooves were $17.4{\cdot}30.4%$ for maxillary first premolars mesial${\cdot}$distal sides, $44.4{\cdot}84.1{\cdot}67.5%$ for maxillary first molars buccal${\cdot}$mesial${\cdot}$distal sides, $100{\cdot}90.3{\cdot}90.3%$ for maxillary second molars buccal${\cdot}$mesial${\cdot}$distal sides, $42.9{\cdot}77.8%$ for mandibular first molars buccal${\cdot}$lingual sides and 90.6% for mandibular second molars buccal${\cdot}$lingual sides. 3. Distances from CEJ to the root division were $6.8{\cdot}7.2mm$ for maxillary first premolars mesial${\cdot}$distal sides, $3.3{\cdot}4.38{\cdot}4.34mm$ for maxillary first molars buccal${\cdot}$mesial${\cdot}$distal sides, $3.67{\cdot}4.8{\cdot}4.07mm$ for maxillary second molars buccal${\cdot}$mesial${\cdot}$distal sides, $3.1{\cdot}3.89mm$ for mandibular first molars buccal${\cdot}$lingual sides and $3.2{\cdot}4.06mm$ for mandibular second molars buccal${\cdot}$lingual sides.

• Journal of Periodontal and Implant Science
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• v.24 no.1
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• pp.165-177
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• 1994

To investigate the depth of the root concavity and root surface area of the maxillary first premolar, 40 maxillary first premolars were used. All the teeth which extracted because of advanced periodontal disease and orthodontic treatment procedure, were sectioned every 1.5mm from cementoenameljunction to the apex with hard tissue microtome. Each sectioned root was taken photograph with slide film, and projected for measuring with a calibrated digital Curvi-Meter. The root surface area, percentage of the RSA and the linear variation of the RSA were calibrated for each 1.5mm section. Linear variation of the depth of root concavity was measured on mesial and distal root surface for each section using computer-aided digitizer. The results were as follows. 1. The total mean root length of maxillary first premolar was 13.48mm. Mean buccal root length of 2-rooted tooth was 12.59mm, mean palatal root length was 12.73mm, and mean root length of single rooted tooth was 13.78mm. 2. The total mean root surface area of maxillary first premolar was $194.17mm^2$, mean root surface area for 2-rooted tooth was $205.97mm^2$ and mean root surface area for single rooted tooth was $188.49mm^2$. 3. It was 59.93% of the total root surface area that the area from CEJ to coronal 6mm. And, the coronal half of the root length accounted for approximately 71.76% of the total root surface area. 4. Most deepest concavity of the mesial root surface was 0.65mm at apical 3.0mm, 4.5mm level in maxillary first premolar. And, that of the distal root surface was 0.37mm at apical 4.5mm level. 5. All of the maxillary first premolar had mesial root surface concavity. This mesial root surface concavity appeared to be more pronounced in 2-rooted tooth than single rooted tooth.

• Journal of Periodontal and Implant Science
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• v.34 no.3
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• pp.523-533
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• 2004

The purpose of this study was to evaluate the alveolar bone surface following root separation angle in the mandibular second molars. The fifty mandibular second molars(which were extracted) were selected, and the alveolar bone surface following root separation angle of the selected teeth were evaluated. The results were obtained as follows; 1. The root separation angle of fifty mandibular second molars were divided into three groups. The first $group(10-20^{\circ})$ was made up of ten teeth, the second $group(20-30^{\circ})$ was made up of fifteen teeth, and the third group(30-40$^{\circ}$) was made up of twenty-five teeth. 2. The mean root separation angle was $28.1^{\circ}$. The mean alveolar bone rate on the mesial surface of the mesial root was 44.27%, on the distal surface of the mesial root was 36.52%, on the mesial surface of the distal root was 33.45%, and on the distal surface of the distal root was 25.28%. 3. The mean alveolar bone rate on the distal surface of the mesial root, which composed the root separation area, was 32.95% in the first group, 36.06% in the second group, and 38.22% in the third group. The mean alveolar bone rate in the mesial surface of the distal root was 31.40% in the first group, 31.93% in the second group, and 35.18% in the third group. 4. The positive correlation was found between the root separation angle and the alveolar bone rate in the root separation area.(P<0.05) Although the mandibular second molar is a very important tooth in the oral cavity, its treatment and diagnosis is very difficult due to the variation of its root form. When periodontal disease involves the mandibular second molar, the result of this study assists in its treatment and diagnosis.

• Restorative Dentistry and Endodontics
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• v.7 no.1
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• pp.59-63
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• 1981

Ninety four human mandibular third molars were chosen to study the anatomy of the root canal. The experimental teeth were injected with china ink, decalcified, cleared and used in study, in vitro, to determine the number of root, the number of root canals, canals per root, frequency and location of transverse anastomoses, frequency and location of lateral canals and frequency of the apical deltas. The results were as follows: 1. Most of the teeth showed two canals, but 17.0% of the teeth were found to have one canal, 17.0% of them three canals, 3.2% of them four canals and l.1% of them five canals. 2. In so far as observing one canal per root, 17.0% of the teeth were found to have one canal in single-rooted tooth, 48.9% of them in mesial root and 58.5% of them in distal root. 3. In roots with two or three canals, the separated apical foramen appeared in 55.6% in single-rooted tooth, 64.3% in mesial side and 80.0% in distal side, and the common apical foramen appeared in 44.4% in single-rooted tooth, 35.7% in mesial side and 20.0% in distal side. 4. Of the two root canals in one root, 19.1% of the canals were found to have transverse anastomoses and were usually located in the apical third of the root. 5. 63.8% of 94 teeth were found to have lateral canals, and ramifications were mainly located in the apical third of the root.