Morphology Self Assessment

Maxillary teeth
 TrueFalse
The only teeth with always one root canal are maxillary central incisors
The only teeth with always one root canal are maxillary incisors
The only teeth with always one root canal are maxillary incisors and canine
The root tip of maxillary lateral incisor often bends mesially
The root tip of maxillary lateral incisor often bends distally
The average length of an intact maxillary lateral incisor is ca 23 mm
The average length of an intact maxillary canine is ca 24 mm
The root tip of maxillary canine may bend distally and labially
Mandibular canine is the longest tooth
First maxillary premolar is the shortest tooth
Molarization may occur in all front teeth and premolars
Maxillary "molarization" premolars have two buccal roots and one palatal root
The roots in three-rooted maxillary premolars are easy to detect in the radiographs
Maxillary second premolar with two root canals has one mesial and one distal canal
Two root canals in maxillary second premolar usually join 1 - 5 mm before apex
Maxillary first molar has usually three (3) root canals
Maxillary second molar has usually three (3) root canals
MB1 and MB2 canals of upper molars often join before apex
Sometimes maxillary second molar has only one root canal
MB2 canal is located in the distobuccal root
The openings of MB1 and MB2 canals in the same root are of same size and equally easy/difficult to find
MB2 canal in first maxillary molar is located on the straight line between MB1 and palatal canal
MB2 canal in first maxillary molar is located mesially to the straight line between MB1 and palatal canal
There is always only one palatal canal in maxillary molars
Palatal canal in maxillary molars is the narrowest canal
Mesiobuccal root of maxillary molars in flattened mesio-distally
Palatal canal of maxillary molars often curves palatally at the apical end
Palatal canal of maxillary molars often curves buccally at the apical end
The apical curvature of maxillary molar palatal canal is readily visible in the radiographs
Mandibular teeth
 TrueFalse
Mandibular incisors and canines have always one root canal
20 % of mandibular incisors have two canals in the same root (= double canals)
Double canals in mandibular incisors usually join 1 - 5 mm before apex
The root tip of lower lateral incisor often curves distally
Lower incisors of the same patient are always equally long
Lower central incisor is usually longer than the lateral incisor
Mandibular canine has always only one root
Mandibular canine may have two root canals that often join before apex
First mandibular premolar can have one canal
First mandibular premolar can have two canals
First mandibular premolar can have three canals
Two canals are more usual in lower second than in lower first premolar
When two canals are present in lower premolars, the files typically have easier access to the lingual canal
Molarization is more frequent in second than in first lower premolar
First mandibular molar has usually three or four root canals
First mandibular molar can have five root canals
Double canals in molar roots (except upper palatal roots) are always buccal and lingual
Curved root canals in lower molars curve only in mesio-distal direction
When an extra root is present in lower molars, it is usually mesial
Double canals in molar roots typically have anastomoses
Lower third molar can have up to four root canals
Evagination
 TrueFalse
Evaginations are more frequent than invaginations
Evagination can increase the risk for pulpal infection
Invagination
 TrueFalse
Invagination can increase the risk for pulpal infection
Invaginations occur only in maxillary lateral incisors
Invagination has always a connection to the root canal
A tooth with an invagination cannot be saved from pulpal necrosis
Invaginations cannot occur in mandibular teeth
Type III (three) invagination opens into periodontal tissue in mid-root
Type I invagination is the deepest of the four invaginations
Pulp stone
 TrueFalse
A pulp stone is not an indication for endodontic treatment
Pulp stones are found only in the pulp chamber
Pulp stones are found only in the root canal
Pulp stones are not always round
Once diagnosed, pulp stones are always easy to remove
Pulp stones are much softer than dentine
Apex
 TrueFalse
Apical foramen can be located at the radiographical apex
Apical foramen can be located at the lateral root surface
One root canal has always only one apical foramen
Lateral canals end at the dentine-cement border
Root surface cement can be found a few micrometers inside the apical canal
Changes in morphology
 TrueFalse
Reduction of pulpal space is always a consequence of a pathological phenomenon
Calcification/obliteration of the pulp is an indication for endodontic treatment
Pulp chamber space reduction occurs mainly by the floor "growing up"
Pulp chamber space reduction occurs mainly by the roof "growing down"
In the apical 1 - 4 mm most canals are oval or round in cross section
Curved canals
 TrueFalse
Ca. 10% of the canals are curved
Canals curve only in mesio-distal direction
Normal radiographs can detect mesio-distal and bucco-lingual curvatures equally easily
Sharp curves with a short radius are more difficult to instrument than even curves with long radius
S-shaped canal curves two times to the same direction
Palatal canal of upper molars often curves buccally
Double canals
 TrueFalse
Double canals can join and separate again before apex
Double canals always join before apex
Difficulty to see double canals in radiographs is because they are located bucco-lingual
Sudden disappearance of canal shadow in mid-root in the radiograph in a strong indication of a double canal
Depending on the angulation, periodontal ligament space can cause canal-resembling vertical shadows on the root in the radiograph
Molarization
 TrueFalse
Is equally common/rare in all premolars
The frequency of molarization is ca 1%
Maxillary "molarization" premolars have two buccal and one palatal root
C-shaped canals
 TrueFalse
C-shaped canal is a special feature of lower second molar
In C-shaped canals the mesial canals join forming a C-shaped orifice in the pulp chamber
Ca. 5 % of lower second molars have a C-shaped canal system
Taurodontism
 TrueFalse
In taurodontism, the pulp chamber is exceptionally deep
Taurodontic teeth are generally difficult to instrument
Taurodontic teeth are easier to root fill than normal teeth