Non-Cochrane · prognostic · PM42741005

Prevalence of the second mesiobuccal canal of maxillary molars in the South American population: a systematic review and meta-analysis of CBCT studies.

Poclin-Quispe Kevin José, Arbildo-Vega Heber Isac, Becerra-Suarez Fray L, et al. · Frontiers in dental medicine · 2026 · PubMed · doi:10.3389/fdmed.2026.1928424

Findings

19 findings

Population
South American patients with permanent maxillary first or second molarsCBCT assessmentNonePresence of second mesiobuccal canal
Chile
Prevalence .57 [.50, .65]
GRADE not reported
Studies not reported
South American patients with permanent maxillary first or second molarsCBCT assessmentNonePresence of second mesiobuccal canal
Brazil
Prevalence .62 [.53, .72]
GRADE not reported
Studies not reported
South American patients with permanent maxillary first or second molarsCBCT assessmentNonePresence of second mesiobuccal canalPrevalence .59 [.53, .66]
High
23 studies
Permanent maxillary molars (first and second), South American patients, CBCTCBCT assessment (examination)Not applicable (single-proportion prevalence)MB2 canal prevalence
South America; CBCT · Country: Peru
Prevalence 0.40 [0.33, 0.47]
GRADE not reported
1 study
Permanent maxillary molars (first and second), South American patients, CBCTCBCT assessment (examination)Not applicable (single-proportion prevalence)MB2 canal prevalence
South America; CBCT · Country: Venezuela
Prevalence 0.49 [0.43, 0.55]
GRADE not reported
1 study
Permanent maxillary molars (first and second), South American patients, CBCTCBCT assessment (examination)Not applicable (single-proportion prevalence)MB2 canal prevalence
South America; CBCT · Country: Argentina
Prevalence 0.63 [0.57, 0.69]
GRADE not reported
1 study
Permanent maxillary first molars, South American patients, CBCTCBCT assessment (examination)Not applicable (single-proportion prevalence)MB2 canal prevalence
South America; CBCT · Country: Venezuela
Prevalence 0.49 [0.43, 0.55]
GRADE not reported
1 study
South American patients with permanent maxillary first molarsCBCT assessmentNonePresence of second mesiobuccal canalPrevalence .66 [.60, .72]
High
21 studies
South American patients with permanent maxillary first molarsCBCT assessmentNonePresence of second mesiobuccal canal
Low risk of bias
Prevalence .69
GRADE not reported
Studies not reported
South American patients with permanent maxillary first molarsCBCT assessmentNonePresence of second mesiobuccal canal
Chile
Prevalence .68 [.64, .72]
GRADE not reported
Studies not reported
South American patients with permanent maxillary first molarsCBCT assessmentNonePresence of second mesiobuccal canal
Brazil
Prevalence .67 [.58, .77]
GRADE not reported
Studies not reported
Permanent maxillary first molars, South American patients, CBCTCBCT assessment (examination)Not applicable (single-proportion prevalence)MB2 canal prevalence
South America; CBCT · Country: Argentina
Prevalence 0.63 [0.57, 0.69]
GRADE not reported
1 study
South American patients with permanent maxillary second molarsCBCT assessmentNonePresence of second mesiobuccal canal
Brazil
Prevalence .43 [.26, .60]
GRADE not reported
Studies not reported
South American patients with permanent maxillary second molarsCBCT assessmentNonePresence of second mesiobuccal canal
Chile
Prevalence .39 [.26, .62]
GRADE not reported
Studies not reported
South American patients with permanent maxillary second molarsCBCT assessmentNonePresence of second mesiobuccal canalPrevalence .41 [.31, .51]
Moderate
Downgraded: imprecision, inconsistency
11 studies
Permanent maxillary second molars, South American patients, CBCTCBCT assessment (examination)Not applicable (single-proportion prevalence)MB2 canal prevalence
South America; CBCT · Country: Peru
Prevalence 0.40 [0.33, 0.47]
GRADE not reported
1 study
South American patients with permanent maxillary second molarsCBCT assessmentNonePresence of second mesiobuccal canal
Leave-one-out: Reis et al. excluded
Prevalence .37
GRADE not reported
Studies not reported
Male South American patients with permanent maxillary first molarsCBCT assessmentFemale patients with permanent maxillary first molarsPresence of second mesiobuccal canalOR 1.08 [.95, 1.22]
GRADE not reported
Studies not reported
Male South American patients with permanent maxillary second molarsCBCT assessmentFemale patients with permanent maxillary second molarsPresence of second mesiobuccal canalOR 1.35 [1.09, 1.67]
GRADE not reported
Studies not reported

Included primary studies 23

Open in Studies
StudyYearAlso included byOutcomes it informs hereTrial data
Martins 2018
Worldwide Analyses of Maxillary First Molar Second Mesiobuccal Prevalence: A Multicenter Cone-beam Computed Tomographic Study
DOI:10.1016/j.joen.2018.07.027
20181 other reviewnot statednot extracted yet
Abarca 2015
Assessment of Mesial Root Morphology and Frequency of MB2 Canals in Maxillary Molars using Cone Beam Computed Tomography
DOI:10.4067/s0717-95022015000400023
2015this review onlynot statednot extracted yet
Abuabara 2013
Efficacy of clinical and radiological methods to identify second mesiobuccal canals in maxillary first molars
DOI:10.3109/00016357.2011.654262
2012this review onlynot statednot extracted yet
Baratto Filho 2009
Analysis of the Internal Anatomy of Maxillary First Molars by Using Different Methods
DOI:10.1016/j.joen.2008.11.022
2009this review onlynot statednot extracted yet
Benazzo 2020
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Betancourt 2013
Prevalencia del segundo canal en la raíz mesiovestibular de los primeros molares maxilares mediante tomografía computarizada de haz de cono
DOI:10.4321/s0213-12852013000100004
2013this review onlynot statednot extracted yet
Betancourt 2015
Cone-beam computed tomography study of prevalence and location of MB2 canal in the mesiobuccal root of the maxillary second molar.
PMID:26309568
2015this review onlynot statednot extracted yet
Betancourt 2016
Prevalence and location of the secondary mesiobuccal canal in 1,100 maxillary molars using cone beam computed tomography
DOI:10.1186/s12880-016-0168-2
2016this review onlynot statednot extracted yet
Betancourt 2017
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Blank-Goncalves 2025
Anatomical Configuration of the MB2 Canal Using High-Resolution Cone-Beam Computed Tomography
DOI:10.1016/j.joen.2025.01.006
2025this review onlynot statednot extracted yet
Borges 2025
DOI:10.5281/zenodo.15303396
NRthis review onlynot statednot extracted yet
Calero-Hinostroza 2017
Frecuencia del cuarto conducto y variaciones anatómicas en segundas y terceras molares superiores mediante tomografía computarizada de haz…
DOI:10.21142/2523-2754-0502-2017-701-712
2018this review onlynot statednot extracted yet
Candeiro 2019
Internal configuration of maxillary molars in a subpopulation of Brazil’s Northeast region: A CBCT analysis
DOI:10.1590/1807-3107bor-2019.vol33.0082
2019this review onlynot statednot extracted yet
Dufey 2023
Segundo Conducto Mesiovestibular en Molares Superiores: Prevalencia y Análisis Anatómico Mediante Tomografía Computarizada de Haz Cónico
DOI:10.4067/s0717-95022023000401112
2023this review onlynot statednot extracted yet
Estrela 2015
Study of Root Canal Anatomy in Human Permanent Teeth in A Subpopulation of Brazil's Center Region Using Cone-Beam Computed Tomography -…
DOI:10.1590/0103-6440201302448
2015this review onlynot statednot extracted yet
Falcao 2016
Frequency of the mesiopalatal canal in upper first permanent molars viewed through computed tomography.
PMID:27701499
2016this review onlynot statednot extracted yet
Gomes Alves 2018
DOI:10.22037/iej.v13i1.18007
NRthis review onlynot statednot extracted yet
Magalhaes 2022
Morphological Study of Root Canals of Maxillary Molars by Cone-Beam Computed Tomography
DOI:10.1155/2022/4766305
2022this review onlynot statednot extracted yet
Mohara 2019
Root Anatomy and Canal Configuration of Maxillary Molars in a Brazilian Subpopulation: A 125-μm Cone-Beam Computed Tomographic Study
DOI:10.1055/s-0039-1688736
2019this review onlynot statednot extracted yet
Normando 2022
Location of the Second Mesiobuccal Canal of Maxillary Molars in a Brazilian Subpopulation: Analyzing Using Cone-beam Computed Tomography
DOI:10.5005/jp-journals-10024-3422
2023this review onlynot statednot extracted yet
Reis 2013
Second Canal in Mesiobuccal Root of Maxillary Molars Is Correlated with Root Third and Patient Age: A Cone-beam Computed Tomographic Study
DOI:10.1016/j.joen.2013.01.003
2013this review onlynot statednot extracted yet
Rios 2023
Descripción de la Morfología del Sistema de Canales Radiculares del Primer Molar Maxilar Mediante Tomografía Computarizada Cone-Beam en…
DOI:10.4067/s0717-95022023000200477
2023this review onlynot statednot extracted yet
Silva 2014
Evaluation of Root Canal Configuration of Maxillary Molars in a Brazilian Population Using Cone-beam Computed Tomographic Imaging: An…
DOI:10.1016/j.joen.2013.10.002
2014this review onlynot statednot extracted yet

Overlap with other reviews

Reviews that include the same primary studies are not independent evidence. Shared counts match studies by PMID, DOI or NCT, and otherwise by author and year (a probable match). Only the non-Cochrane dental reviews have study lists, so overlap with Cochrane reviews is not counted yet.

Review question

ElementPlanned (methods)Found (results)
PopulationPermanent maxillary first and second molars with complete root formation in patients residing in South American countries23 studies; 21 assessed maxillary first molars and 12 second molars; subjects 32 to 618; Brazil, Chile, Argentina, Peru, Venezuela
InterventionRoot canal system evaluated exclusively by CBCT (voxel size up to 0.3 mm)CBCT (voxel size 76 to 500 um; small, medium and large FOV)
ComparisonNot applicable (prevalence review)Not applicable (prevalence review)
OutcomesPrevalence (absolute frequency or percentage) of the second mesiobuccal (MB2) canal, by molar type and sexPooled MB2 prevalence 59% overall, 66% first molars, 41% second molars; male versus female OR 1.08 (first molars), 1.35 (second molars)
Study designsObservational studies (cross-sectional, descriptive, retrospective, prospective) published from 199023 cross-sectional and retrospective observational studies (n=23)
TimingNot specifiedNot specified