CBCT based three dimensional odontometric mapping of maxillary anterior teeth in an Indian cohort to guide precision endodontic access cavity preparation

Kohok, Monal Ajay and Mandwe, Ashish and Bhardwaj, Anuj and Wahjuningrum, Dian Agustin and Arora, Suraj and Diah, Diah and Prakoso, Tegar Permadi Dimas and Pawar, Ajinkya M. (2025) CBCT based three dimensional odontometric mapping of maxillary anterior teeth in an Indian cohort to guide precision endodontic access cavity preparation. Scientific Reports, 15 (1).

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Abstract

Access cavity preparation is an important part of endodontic therapy, affecting the effectiveness of canal instrumentation and the durability of the tooth over time. Currently, most access preparation protocols are based on information from a Western population and do not address the anatomical differences of different ethnic groups. This retrospective CBCT study assessed specific odontometric measurements in maxillary anterior teethâcentral incisors, lateral incisors and caninesâ using an Indian population to help identify a clinically relevant and conservative access cavity preparation. A total of six hundred cone-beam computed tomography (CBCT) images of maxillary central incisors, lateral incisors, and canines (n = 200 per tooth) were evaluated. Three measurements were made in sagittal view: the distance from the central fossa to the pulp chamber roof (CFâPC), the incisal edge to pulp chamber (IEâPC), and the central fossa to cingulum (CFâC). These images were obtained from Indian individuals aged 18 to 25 years. Differences attributable to sex-based variation, and between teeth, were statistically significant (p < 0.05). The lateral incisors had the largest amount of anatomical variability, while the canines had the steepest trajectory of access. These findings provide the first population-based CBCT base-line morphometric values for maxillary anterior teeth in India, and a practical guide to help achieve safe access design that is mindful of tooth anatomy and minimizes the invasiveness of the access. © The Author(s) 2025.scopu

Item Type: Article
Additional Information: Cited by: 0; All Open Access; Gold Open Access; Green Open Access
Uncontrolled Keywords: Adolescent; Adult; Cone-Beam Computed Tomography; Cuspid; Dental Pulp Cavity; Female; Humans; Imaging, Three-Dimensional; Incisor; India; Male; Maxilla; Odontometry; Retrospective Studies; Root Canal Preparation; Young Adult; accuracy; adult; article; central incisor; cingulum (brain); cone beam computed tomography; diagnosis; endodontic procedure; ethnic group; female; human; Indian; lateral incisor; major clinical study; male; maxilla; maxillary central incisor; morphology; odontometry; protocol; retrospective study; three-dimensional imaging; tooth; young adult; adolescent; canine tooth; dental pulp cavity; diagnostic imaging; incisor; India; procedures; root canal preparation
Subjects: R Medicine > RK Dentistry > RK1-715 Dentistry
Divisions: Artikel Ilmiah > SCOPUS INDEXED JOURNAL
Creators:
CreatorsNIM
Kohok, Monal AjayUNSPECIFIED
Mandwe, AshishUNSPECIFIED
Bhardwaj, AnujUNSPECIFIED
Wahjuningrum, Dian AgustinUNSPECIFIED
Arora, SurajUNSPECIFIED
Diah, DiahUNSPECIFIED
Prakoso, Tegar Permadi DimasUNSPECIFIED
Pawar, Ajinkya M.UNSPECIFIED
Depositing User: Ny Wahyuni -
Date Deposited: 05 Oct 2026 05:31
Last Modified: 05 Oct 2026 05:31
URI: http://repository.unair.ac.id/id/eprint/145893
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