Maxillary Canines

Maxillary canines are the longest teeth in the mouth, with crowns that are typically as long as those of the maxillary central incisors and roots that are longer than any other teeth. As a result, they have the largest buccolingual root dimension of any tooth in the mouth. Additionally, the pulp chamber of the maxillary canine may also be the largest in the mouth due to its close correspondence to the tooth’s shape.

 

Morphological aspects of the root and root canal anatomy of maxillary central incisors

 

 

Tooth notation (right/left)(6 and 11), (3| and |3), or (#13 and #23)
Overall length26.4 mm (20.0–38.4 mm)
Root length16.5 mm (10.8–28.5 mm)
Complete root formation11.9–13.7 years (male-female)
Tooth axes angulation6° (orthoradial) and 17° (proximal)
Number of roots1 (100%)a,b
Apical root curvatureStraight (38.5%), distal (19.5%), buccal (12.8%), mesial (12%), palatal (6.5%), others (10.7%)
Root groovesDevelopmental grooves on both mesial and distal sides
Number of canals1 (100%)a
1 (97%) 2 (3%)b
Canal configurationType I (100%)a
Types I (98.5%), III (1.2%), II (0.8%), V (0.7%), IV (0.2%), others (0.1%)b
Canal cross-sectionCoronal, broad buccolingually and appears ovoid; middle, oval; apical, round
Canal taperBL, 0.08 mm/mm; MD, 0.05 mm/mm
Transverse anastomosis
Furcation canals
Apical foramen positionCentral, 14%; lateral, 86%
Accessory canals3.4–30% (coronal, 0%; middle, 10%; apical, 90%)
Apical ramification15–33.8%
Canal curvatureClinical view, 0–29°; proximal view, 0–33°
Canal diameterBL: 0.31 mm (0.16–0.58 mm)
MD: 0.29 mm (0.11–0.50 mm)
AnomaliesTwo canals [34–36]; dens invaginatus
Clinical remarksLarge mid-root canal diameter becoming much narrower only in the final third near the apex;
root canal cross section is usually oval-shaped, and clinician must take care to circumferentially
file labially and palatally to shape and clean the canal properly; lingual shoulder should be
removed as it prevents direct access to the root canal

 

The access cavity begins about halfway up the crown on the palatal side. With an ovoid pulp chamber and a single horn, the access cavity is oval in outline and shape. The root canal is quite straight in the coronal and middle third and long enough to require the use of long 30-mm instruments.

 

 

 

Clinical photographs demonstrating access cavity preparation in a maxillary canine tooth. Note (a) preoperative view and (b) completed access preparation showing the ovoid outline
Canines with a normal crown and root but with two canals are rare and difficult to identify because the canals may be superimposed. An adequate pulp chamber opening and careful observation of intra-operative radiographs may help in these difficult cases.