Internal anatomy…
Dr. Abdirahman Musa
Maxillary central incisor
• Average tooth length:22.8 mm
2
Pulp chamber
It is located in the center of crown.
It is broad mesio-distally, with its broadest part incisally.
It has three pulp horns that corresponds to the mamelons
in a young tooth.
Root and root canal
It has one root with one root canal.
Root canal is broad labio-palatally, conical in
shape, and centrally located.
Coronally or cervically ,the canal shape is
ovoid in cross-section but in apical region ,the
canal the is round .
• 17% cases show labial or palatal curvature of
the root
• Lateral canals present in about 24% cases
And when present usually in apical third.
Maxillary lateral incisor
• Average tooth length: 21mm
6
Pulp chamber
The shape of the pulp chamber is similar to the maxillary
central incisor.
It has only two pulp horns, corresponding to the
developmental mamelons.
Root and root canal
Configuration of the root canal is conical but it has a
finer diameter than maxillary central incisor.
In cross-section, the canal is ovoid labio-palatally in the
cervical third and ovoid in the middle third & round in
the apical third.
• Lateral canals are more frequent (26%)
than in maxillary central incisors
• Majority shows distal curve(53%) whereas
others are straight.
Maxillary canine
• Average tooth length: 26mm
10
Pulp chamber
It has the largest pulp chamber than any single rooted tooth.
Mesio-distally it is narrower and may resemble like flame.
In cross-section it is ovoid in shape, with greater diameter
labio-palatally.
Only one pulp horn is present.
Root and root canal
11
Single root canal of maxillary cuspid is larger
than that of maxillary incisor.
It is wider labio-palatally than its mesio-distal
diameter, and on reaching middle third, it taper
gradually to an apical constriction.
In cross-section, root canal is ovoid in the
cervical and middle third and generally round in
the apical third.
• One report stated presence of straight root in
39% cases whereas a distal curve in 32%
• Lateral canals are present in 30% cases
Mandibular central incisor
• Average tooth length: 21mm
14
Pulp chamber
It is smallest tooth in the arch.
Three distinct pulp horns present.
Pulp chamber is wide and ovoid labio-lingually and it
tapers incisally.
Root and root canals
It has one root which is flat and narrow mesio-distally
but wide labio-lingually.
It may have a distal labial curvature.
Canal is broad in the cervical & middle thirds of root in
labio-lingual aspect which tapers towards apex
• Canal configuration varies as :
one canal exiting in one apical foramen:70%
one canal bifurcating into two canals
,coming together and exiting into one apical
foramen :22%
• A second canal, when present, is lingual to
primary canal.
Mandibular lateral incisor
• Average tooth length: 21mm
Pulp chambers
Same as mandibular central incisor but it has larger
dimension.
18
Root and root canal
Larger than mandibular central incisor.
Majority of root are straight.
It may also have distally , labially curved root
as central incisor but the distal curve is
sharper.
Mandibular canine
• Average tooth length: 22.5mm
21
Pulp chamber
It is small and flat mesio-distally.
One pulp horn is present.
It is wide and ovoid mesiodistally and tapering incisally.
.
Root and root canal
It is usually single rooted.
It usually has a single canal exiting in one apical
foramen.
Root canal is broad in middle third and taper to
constriction in the apical third in labio-lingual view
• Most of these tooth have single root(68%) but
some have a distal curvature(20%)
Concluding
• Of all phases of anatomic study in human
system one of the most complex is pulp cavity
morphology
• A profound background knowledge of pulp
anatomy is a must in success of any
endodontic treatment
References
• Nisha Garg text book of endodontics.
• Grossman’s endodontic practice
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