RESUMEN
A pyramidal molar is which has completely fused roots with a solitary enlarged canal. The purpose of this retrospective study was to assess the prevalence and characteristics of pyramidal molars among adolescent.A total of 1,612 patients’ panoramic radiographs were screened. A total of 12,896 first and second molars were evaluated. The relative incidence and the correlations regarding the location of pyramidal molar (maxillary versus mandibular) and gender were analyzed using the chi-square test.The overall incidence of patients with pyramidal molars was 1.49%. 24 patients were found to have a pyramidal molar and it was more prevalent in women (18 women and 6 men). The prevalence of pyramidal molars from all first and second molars examined was 0.31%. 88 percent of pyramidal molars occurred in maxilla. All pyramidal molars were second molar.Pyramidal molar has a relatively poor periodontal prognosis compared with common multi-rooted teeth and it is important to understand the structural characteristics of root canal during pulp treatment. Clinicians should be able to understand the anatomical properties of pyramidal molar and apply it to treatment and prognostic evaluation.
RESUMEN
Objective: Knowledge of accurate airway length [AL] enables safer placement of the endotracheal tube [ETT] in the trachea. Our objective was to check the safety of a new formula [Touch and Read method] to determine ETT depth
Methods:AL was measured in 176 patients. Patients were divided into a normal group [AL >25 cm in men, >23 cm in women] and a risk group [AL /=25 cm in men, /=23cm in women]. A control test [Conventional method] was performed in which the ETT was secured at a depth of 23 cm from the central incisor in men and 21 cm in women. In the experimental test [Touch and Read method], the ETT was secured at a depth equal to the distance from the angle of the mouth to the epiglottis tip plus 12.5 cm in men and 11.5 cm in women. The mean distance from the tube tip to the carina and that from the vocal cords to tube cuff were compared between the control and experimental tests in each group
Results:The two distances were similar between control and experimental tests in the normal group, but differed in the risk group [Women: mean distance from tube tip to carina, 1.2 cm and from vocal cords to cuff, 2.7 cm [control test]; 1.9 and 2.0 cm, respectively [experimental test]. Men: 0.7 and 3.5 cm, respectively [control test]; 2.0 and 2.3 cm, respectively [experimental test]]
Conclusion:Touch and Read method enables safer placement of the ETT in the trachea than the conventional method in the risk group