Canal configuration and root morphology of mandibular premolars using cone-beam computed tomography in a Korean population

Author(s):  
Yoon Joo Choi ◽  
Chena Lee ◽  
Kug Jin Jeon ◽  
Ji-Taek Jang ◽  
Sang-Sun Han
2016 ◽  
Vol 10 (04) ◽  
pp. 454-458 ◽  
Author(s):  
Roberto Pippi ◽  
Marcello Santoro ◽  
Ferdinando D'Ambrosio

ABSTRACT Objective: Cone-beam computed tomography (CBCT) has been proposed in surgical planning of lower third molar extraction. The aim of the present study was to assess the reliability of CBCT in defining third molar root morphology and its spatial relationships with the inferior alveolar nerve (IAN). Materials and Methods: Intraoperative and radiographic variables of 74 lower third molars were retrospectively analyzed. Intraoperative variables included IAN exposure, number of roots, root morphology of extracted third molars, and presence/absence of IAN impression on the root surface. Radiographic variables included presence/absence of the cortex separating IAN from the third molar roots on CBCT examination, number of roots and root morphology on both orthopantomography (OPG) and CBCT. The statistical association between variables was evaluated using the Fisher's exact test. Results: In all cases of intraoperative IAN exposure, the cortex appeared discontinuous on CBCT images. All cases, in which the cortical bone was continuous on CBCT images, showed no association with nerve exposure. In all cases in which nerve impression was identified on the root surface, the IAN cortex showed interruptions on CBCT images. No nerve impression was identified in any of the cases, in which the cortex appeared continuous on CBCT images. CBCT also highlighted accessory roots and apical anomalies/curvatures, not visible on the OPG. Conclusions: CBCT seems to provide reliable and accurate information about the third molar root morphology and its relationship with the IAN.


Author(s):  
Cristiane Martins Rodrigues Bernardes ◽  
Luiz Eduardo Gregoris Rabelo ◽  
Cyntia Rodrigues DE Araújo Estrela ◽  
Orlando Aguirre Guedes ◽  
Brunno Santos DE Freitas Silva ◽  
...  

Introduction: The prevalence of Apical Root Resorption (ARR) after orthodontic treatment is high. It is associated with several factors, such as tooth group, type and duration of treatment, applied force and root morphology. Aim: To evaluate the apical root morphology of maxillary incisors in a Brazilian subpopulation using Cone Beam Computed Tomography (CBCT) images. Materials and Methods: In this retrospective and cross-sectional study, 400 maxillary incisors from 167 patients registered in the data base of Dental Radiology Clinics between January 2012 and April 2017 were analysed. The apical root configuration was verified by navigating 0.1 mm/0.1 mm, in the three planes, axial, coronal, and sagittal sections on CBCT images, from the root canal entrance to the apical foramen, as well as from the apical direction to the crown. The standard reference for apical root form corresponded to the long axis of the tooth. The root forms and their frequency were characterised according to the classification proposed by Levander and Malmgren (1988). The qualitative variables were analysed by the Chi-square test. The level of significance was p-value <0.05. Results: A total of 400 maxillary anterior teeth (central and lateral incisors; n=200 each) from 167 patients (101 women; mean age was 41.8±16.20 years) were analysed. The most common apical root form presented in the central incisors was the blunt root {99 (49.5%)}, followed by pipette-shaped root {69 (34.5%)}. The less frequent was the short root {13 (6.5%)} (p-value <0.001). In the lateral incisors, the highest frequency presented was lacerated root {111 (55.5%)}, followed by blunt root {47 (23.5%)}, and pipette- shaped root {37 (18.5%)} (p-value <0.001). Conclusion: Maxillary central incisors had a higher frequency of rhomboid (blunt) root morphology, while lateral incisors had a higher frequency of curved (lacerated) root form.


2015 ◽  
Vol 33 (4) ◽  
pp. 1333-1337 ◽  
Author(s):  
J Abarca ◽  
B Gómez ◽  
C Zaror ◽  
H Monardes ◽  
L Bustos ◽  
...  

2020 ◽  
Vol 79 (2) ◽  
pp. 327-332
Author(s):  
J. Abarca ◽  
M. Duran ◽  
D. Parra ◽  
K. Steinfort ◽  
C. Zaror ◽  
...  

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