Introduction. The aim of this study was to establish the number of roots and
present the root canal configuration in the maxillary and mandibular
premolar teeth, and evaluate the relations among these characteristics with
gender and teeth position in the Serbian population using cone-beam computed
tomography. Material and Methods. Cone-beam computed tomography images of
570 teeth of 150 patients were evaluated. Teeth were classified into the
following groups: maxillary first premolars, maxillary second premolars,
mandibular first premolars and mandibular second premolars, and the number
of roots and root canals per tooth, whereas root canal configurations were
examined along with the tooth position and patients? gender. The root canal
configuration was classified using Vertucci?s classification. Statistical
significance was obtained using Chi square test. Results. In maxillary first
premolars, two roots (53.5%) and two root canals (84.5%) were the most
prevalent, as well as type IV configuration (58.9%). In maxillary second
premolars, most teeth had one root (88.1%) and one root canal (59.6%). In
regard to gender, complex configurations with multiple canals were more
prevalent in males. Higher incidence of type IV configuration in maxillary
first premolars was present on the right side of the jaw (70.2%). Most
mandibular first premolars had one root (98.5%). In mandibular second
premolar, all teeth had one root and most had type I configuration (96.2%).
Males showed higher incidence of two canals in mandibular first premolars.
Conclusion. Cone-beam computed tomography is a useful tool for obtaining
valuable information on root canal morphology of premolar teeth. Patient?s
gender should be considered when performing the preoperative assessment of
endodontic treatment.