Three-dimensional analysis of pulp chambers in mandibular first deciduous molars

In crown restoration, it is important to understand the internal anatomical feature of each tooth, as the morphology of human deciduous teeth is particularly complex. The purpose of this study was to clarify threedimensionally the topographic relationship between the crown contour and the pulp chamber of the mandibular first deciduous molars using a micro-CT system. Fifteen mandibular first deciduous molars obtained from the dried skulls of Indian children in the deciduous dentition period were used as specimens. Three-dimensional reconstructed images were reproduced by combining the two-dimensional slice imaging data using a micro-CT system. Crown contours and shapes of the pulp chamber were observed from various directions. In addition, the thickness of tooth substance at each pulp horn was also measured. In observations of the topographic relationship between the crown contour and the pulp chamber, the pulp horn of the mesiobuccal pulp chamber was found to project the most to the cusp side. The distance between the pulp horn and enamel surface was also shortest (2.45 ± 0.30 mm) in this region. Furthermore, in teeth with a deep, wide trigonid notch, the lateral wall of the mesiobuccal pulp chamber projected in the mesial direction. These results suggest that in preparation of cavities in mandibular first deciduous molars, close attention must be focused on pulp exposure in the pulp horn of the mesiobuccal pulp chamber. In addition, the lateral wall of the mesiobuccal pulp chamber should be noted in teeth with the deep, wide trigonid notch.