Micro-CT and histological examination of accessory canals in 34 equine cheek teeth.
Abstract: Accessory canals and apical deltas have been extensively studied in human dentistry. Their clinical role as a difficult to clean reservoir for bacteria during endodontic treatments has been well described. Many papers describe in detail the pulp anatomy of equine dentition but little attention has been given to their apical ramifications. The goal of this paper is to describe the presence and anatomy of these accessory canals and apical deltas in healthy equine cheek teeth and discuss their possible relevance in the light of equine endodontics. To accomplish this, 15 maxillary and 19 mandibular healthy cheek teeth were collected ranging from Triadan 06 s to 11 s with eruption ages from 4 to 9 years. Their root anatomy was documented in detail based on micro computed tomography images. A subset of 3 teeth also underwent histological examination. Accessory canals were found in all but two teeth examined. Up to 44 accessory canals per tooth have been found with locations ranging from the root furcation down to the apex of the root and with highly variable diameters. Apical deltas in different stages of development were found in 84% of the roots. The presence of accessory canals identified on microCT images could be confirmed using histological examination although some of them were obliterated by reparative dentin. Accessory canals can be found in most equine cheek teeth and add complexity to their endodontic anatomy. This could have important implications for their treatment in case of pulp pathology. In humans, failure to remove bacterial biofilm from such canals has been associated with failure of endodontic treatment. Research on diseased equine teeth is required to gain a better understanding of their clinical relevance in horses.
Copyright © 2024 Korsós, Staszyk, Boone, Josipovic, Vogelsberg and Vlaminck.
Publication Date: 2024-04-10 PubMed ID: 38659446PubMed Central: PMC11039908DOI: 10.3389/fvets.2024.1396871Google Scholar: Lookup
The Equine Research Bank provides access to a large database of publicly available scientific literature. Inclusion in the Research Bank does not imply endorsement of study methods or findings by Mad Barn.
- Journal Article
Summary
This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.
The research article investigates the presence and anatomy of accessory canals and apical deltas in healthy equine cheek teeth and their implication in equine endodontic treatments. Researchers used micro computed tomography (micro-CT) and histological examinations on collected healthy equine teeth and discovered the presence and location of accessory canals, highlighting the complexity of equine endodontic anatomy.
Research Method and Samples
- The study involved the collection of 15 maxillary and 19 mandibular healthy cheek teeth derived from horses aged between 4 to 9 years.
- Each tooth’s root anatomy was meticulously documented based on images captured through micro computed tomography, allowing researchers to observe accessory canals’ presence and anatomy in each tooth.
- Three of the studied teeth underwent additional histological examination to validate the existence of accessory canals identified through micro-CT imaging.
Findings
- Accessory canals were discovered in all but two teeth examined. The number of these canals varied vastly, with up to 44 identified in a single tooth.
- The accessory canals were located at different points ranging from the root furcation down to the apex of the root, and their diameters varied significantly.
- Different stages of apical delta development were found in 84% of the observed roots. These deltas add further intricacy to equine endodontic anatomy.
Implications
- The study enlightened the complexity of equine teeth’s endodontic anatomy by uncovering numerous accessory canals. The presence of these accessory canals could add complication when treating horses with pulp pathology.
- In human dentistry, the failure to clear bacterial biofilm from accessory canals has been linked to unsuccessful endodontic treatment. Therefore, it is hypothesized that similar complications may occur in equine dentistry as well.
- This paper suggests the need for further research on diseased equine teeth to better understand the clinical importance of these findings in horses.
Cite This Article
APA
Korsós SA, Staszyk C, Boone M, Josipovic I, Vogelsberg J, Vlaminck L.
(2024).
Micro-CT and histological examination of accessory canals in 34 equine cheek teeth.
Front Vet Sci, 11, 1396871.
https://doi.org/10.3389/fvets.2024.1396871 Publication
Researcher Affiliations
- Department of Large Animal Surgery, Anaesthesia and Orthopaedics, Faculty of Veterinary Medicine, Ghent University, Ghent, Belgium.
- Institute of Veterinary-Anatomy,-Histology and -Embryology, Faculty of Veterinary Medicine, Justus-Liebig-University Giessen, Giessen, Germany.
- Department of Physics and Astronomy - Radiation Physics, Faculty of Science, Radiation Physics Research Group - Centre for X-ray Tomography of the UGent, Ghent University, Ghent, Belgium.
- Department of Physics and Astronomy - Radiation Physics, Faculty of Science, Radiation Physics Research Group - Centre for X-ray Tomography of the UGent, Ghent University, Ghent, Belgium.
- Institute of Veterinary-Anatomy,-Histology and -Embryology, Faculty of Veterinary Medicine, Justus-Liebig-University Giessen, Giessen, Germany.
- Department of Large Animal Surgery, Anaesthesia and Orthopaedics, Faculty of Veterinary Medicine, Ghent University, Ghent, Belgium.
Conflict of Interest Statement
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. The author(s) declared that they were an editorial board member of Frontiers, at the time of submission. This had no impact on the peer review process and the final decision.
References
This article includes 44 references
- Muylle S, Simoens P, Lauwers H. Age-related morphometry of equine incisors.. J Vet Med Ser A (1999) 46:633–43.
- Gasse H, Westenberger E, Staszyk C. The endodontic system of equine cheek teeth: a reexamination of pulp horns and root canals in view of age-related physiological differences.. Pferdeheilkunde Equine Med (2004) 20:13–8.
- Dacre IT, Kempson S, Dixon PM. Pathological studies of cheek teeth apical infections in the horse. 1: Normal endodontic anatomy and dentinal structure of equine cheek teeth.. Vet J (2008) 178:311–20.
- Windley Z, Weller R, Tremaine WH, Perkins JD. Two- and three-dimensional computed tomographic anatomy of the enamel, infundibulae and pulp of 126 equine cheek teeth. Part 1: findings in teeth without macroscopic occlusal or computed tomographic lesions.. Equine Vet J (2009) 41:433–40.
- Liuti T, Smith S, Dixon PM. Radiographic, computed tomographic, gross pathological and histological findings with suspected apical infection in 32 equine maxillary cheek teeth (2012–2015).. Equine Vet J (2018) 50:41–7.
- Kirkland KD, Baker GJ, Manfra Marretta S, Eurell JA, Losonsky JM. Effects of aging on the endodontic system, reserve crown, and roots of equine mandibular cheek teeth.. Am J Vet Res (1996) 57:31–8.
- Kopke S, Angrisani N, Staszyk C. The dental cavities of equine cheek teeth: three-dimensional reconstructions based on high resolution micro-computed tomography.. BMC Vet Res (2012) 8:173.
- Roßgardt J, Heilen LB, Büttner K, Dern-Wieloch J, Vogelsberg J, Staszyk C. The equine dental pulp: histomorphometric analysis of the equine dental pulp in incisors and cheek teeth.. Vet Sci (2022) 9:261.
- Gerlach K, Ludewig E, Brehm W, Gerhards H, Delling U. Magnetic resonance imaging of pulp in normal and diseased equine cheek teeth.. Vet Radiol Ultrasound Off J Am Coll Vet Radiol Int Vet Radiol Assoc (2013) 54:48–53.
- Bühler M, Fürst A, Lewis FI, Kummer M, Ohlerth S. Computed tomographic features of apical infection of equine maxillary cheek teeth: a retrospective study of 49 horses.. Equine Vet J (2014) 46:468–73.
- Englisch LM, Rott P, Lüpke M, Seifert H, Staszyk C. Anatomy of equine incisors: pulp horns and subocclusal dentine thickness.. Equine Vet J (2018) 50:854–60.
- Dixon PM, du Toit N, Staszyk C. A fresh look at the anatomy and physiology of equine mastication.. Vet Clin North Am Equine Pract (2013) 29:257–72.
- Staszyk C, Suske A, Pöschke A. Equine dental and periodontal anatomy: a tutorial review.. Equine Vet Educ (2015) 27:474–81.
- White C, Dixon PM. A study of the thickness of cheek teeth subocclusal secondary dentine in horses of different ages.. Equine Vet J (2010) 42:119–23.
- Vertucci FJ. Root canal anatomy of the human permanent teeth.. Oral Surg Oral Med Oral Pathol (1984) 58:589–99.
- Carrotte P. Endodontics: part 4. Morphology of the root canal system.. Br Dent J (2004) 197:379–83.
- Gao X, Tay FR, Gutmann JL, Fan W, Xu T, Fan B. Micro-CT evaluation of apical delta morphologies in human teeth.. Sci Rep (2016) 6:36501.
- Xu T, Fan W, Tay FR, Fan B. Micro–computed tomographic evaluation of the prevalence, distribution, and morphologic features of accessory canals in Chinese permanent teeth.. J Endod (2019) 45:994–9.
- Mazzi-Chaves JF, Silva-Sousa YTC, Leoni GB, Silva-Sousa AC, Estrela L, Estrela C. Micro-computed tomographic assessment of the variability and morphological features of root canal system and their ramifications.. J Appl Oral Sci Rev FOB (2020) 28:e20190393.
- American Association of Endodontists. Glossary of endodontic terms.. (2020).
- Cutright DE, Bhaskar SN. Pulpal vasculature as demonstrated by a new method.. Oral Surg Oral Med Oral Pathol (1969) 27:678–83.
- Masson E, Hennet PR, Calas PL. Apical root canal anatomy in the dog.. Dent Traumatol (1992) 8:109–12.
- Gamm DJ, Howard PE, Walia H, Nencka DJ. Prevalence and morphologic features of apical deltas in the canine teeth of dogs.. J Am Vet Med Assoc (1993) 202:63–70.
- Gioso MA, Knobl T, Venturini MAFA, Correa HL. Non-apical root canal ramifications in the teeth of dogs.. J Vet Dent (1997) 14:89–90.
- Hernández SZ, Negro VB, Maresca BM. Morphologic features of the root canal system of the maxillary fourth premolar and the mandibular first molar in dogs.. J Vet Dent (2001) 18:9–13.
- Watanabe K, Kikuchi M, Barroga E, Okumura M, Kadosawa T, Fujinaga T. The formation of Apical Delta of the permanent teeth in dogs.. J Vet Med Sci Jpn Soc Vet Sci (2001) 63:789–95.
- Hennet PR, Harvey CE. Apical root canal anatomy of canine teeth in cats.. Am J Vet Res (1996) 57:1545–8.
- Negro VB, Hernández SZ, Maresca BM, Lorenzo CE. Furcation canals of the maxillary fourth premolar and the mandibular first molar teeth in cats.. J Vet Dent (2004) 21:10–4.
- Proost K, Boone MN, Josipovic I, Pardon B, Chiers K, Vlaminck L. Clinical insights into the three-dimensional anatomy of cheek teeth in alpacas based on micro-computed tomography. Part 1: mandibular cheek teeth.. BMC Vet Res (2021) 17:334.
- Wu MK, Dummer PMH, Wesselink PR. Consequences of and strategies to deal with residual post-treatment root canal infection.. Int Endod J (2006) 39:343–56.
- Ricucci D, Siqueira JF. Fate of the tissue in lateral canals and apical ramifications in response to pathologic conditions and treatment procedures.. J Endod (2010) 36:1–15.
- Arnold M, Ricucci D, Siqueira JF. Infection in a complex network of apical ramifications as the cause of persistent apical periodontitis: a case report.. J Endod (2013) 39:1179–84.
- Siqueira JF. Aetiology of root canal treatment failure: why well-treated teeth can fail.. Int Endod J (2001) 34:1–10.
- Muylle S, Simoens P, Lauwers H. Ageing horses by an examination of their incisor teeth: an [im]possible task?. Vet Rec (1996) 138:295–301.
- Masschaele B, Dierick M, Loo DV, Boone MN, Brabant L, Pauwels E. HECTOR: a 240kV micro-CT setup optimized for research.. J Phys Conf Ser (2013) 463:012012.
- Vlassenbroeck J, Dierick M, Masschaele B, Cnudde V, Van Hoorebeke L, Jacobs P. Software tools for quantification of X-ray microtomography.. (2007).
- De Deus QD. Frequency, location, and direction of the lateral, secondary, and accessory canals.. J Endod (1975) 1:361–6.
- Lowman JV, Burke RS, Pelleu GB. Patent accessory canals: incidence in molar furcation region.. Oral Surg Oral Med Oral Pathol (1973) 36:580–4.
- Pineda F, Kuttler Y. Mesiodistal and buccolingual roentgenographic investigation of 7,275 root canals.. Oral Surg Oral Med Oral Pathol (1972) 33:101–10.
- Chuppani Dastgerdi A, Navabi M, Rakhshan V. Isthmuses, accessory canals, and the direction of root curvature in permanent mandibular first molars: an in vivo computed tomography study.. Restor Dent Endod (2020) 45:e7.
- Takahashi K, Kishi Y, Kim S. A scanning electron microscope study of the blood vessels of dog pulp using corrosion resin casts.. J Endod (1982) 8:131–5.
- Lundström T, Wattle O. Description of a technique for orthograde endodontic treatment of equine cheek teeth with apical infections.. Equine Vet Educ (2016) 28:641–52.
- Schramme MC, Boswell JC, Robinson J, May SA, Smith RK, Platt D. Endodontic therapy for periapical infection of the cheek teeth: a study of 19 horses.. Proceedings of the Annual Convention of the AAEP, San Antonio (2000).
- Simhofer H, Stoian C, Zetner K. A long-term study of apicoectomy and endodontic treatment of apically infected cheek teeth in 12 horses.. Vet J (2008) 178:411–8.
Citations
This article has been cited 0 times.Use Nutrition Calculator
Check if your horse's diet meets their nutrition requirements with our easy-to-use tool Check your horse's diet with our easy-to-use tool
Talk to a Nutritionist
Discuss your horse's feeding plan with our experts over a free phone consultation Discuss your horse's diet over a phone consultation
Submit Diet Evaluation
Get a customized feeding plan for your horse formulated by our equine nutritionists Get a custom feeding plan formulated by our nutritionists