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Internal Anatomy of Anterior Teeth

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Peter Moses, DDS<br />

www.habdcprostho.com/pros1124.jpg


Our Goal<br />

• Describe the common shapes <strong>of</strong> roots in cross<br />

section and common canal configurations and<br />

variations<br />

• List the average length, number <strong>of</strong> roots, and<br />

most common root curvatures.<br />

• List each tooth and the root(s) that require a<br />

search for more than one canal.


<strong>Internal</strong> <strong>Anatomy</strong> ‐ Variables<br />

• Age<br />

• Irritants/Caries<br />

• Calcification<br />

• Resorption<br />

• Trauma


Maxillary Central Incisor<br />

• Age <strong>of</strong> eruption : 7 ‐ 8 years<br />

• Average length : 22.5 mm<br />

• Number <strong>of</strong> roots : 1(100%)<br />

• Number <strong>of</strong> canals: 1(100%)<br />

• Apical foramen within 1 mm <strong>of</strong> apex<br />

80%<br />

• Common to find accessory and<br />

lateral canals(60%)


Maxillary Central Incisor


Maxillary Central Incisor


Color Atlas and Text <strong>of</strong><br />

Endodontics, 2nd Edition. Mosby<br />

Elsevier Health Science, 011995


Maxillary Central Access


Maxillary Central Incisor


Maxillary Lateral Incisor<br />

• Age <strong>of</strong> eruption: 8 – 9 years<br />

• Average Length: 22 mm<br />

• Number <strong>of</strong> roots: 1 (99.9%)<br />

• Number <strong>of</strong> canals: 1 (99.9%)<br />

• Root tip <strong>of</strong>ten curves distolabially<br />

• Palatal‐gingival groove may be<br />

present


Maxillary Lateral Access


Maxillary Lateral Incisor


Maxillary Canine<br />

• Age <strong>of</strong> eruption : 10‐12 years<br />

• Average length: 26.5 mm<br />

• Number <strong>of</strong> roots: 1 (99.9%)<br />

• Number <strong>of</strong> canals: 1 (99.9%)<br />

• Root end may curve distally


Maxillary Canine


Maxillary Canine Radicular<br />

<strong>Anatomy</strong><br />

• Radicular canal is straight<br />

and long; many require<br />

instruments longer than<br />

25mm<br />

• Apex <strong>of</strong>ten curves in the last<br />

2‐3mm, and it can turn in<br />

any direction<br />

• Lateral root canals are<br />

infrequent<br />

• Apical root canal deltas occur<br />

occasionally<br />

• Canine morphology seldom<br />

varies


The End‐O

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