Cone-Beam Computed Tomography Study of the Root Canal Morphology of Mandibular Anterior Teeth in Serbian Population

Abstract The aim of this study is to describe the morphological characteristics, the number of roots and number of root canals of mandibular central incisors, lateral incisors and canines, and the relationship of these characteristics with the sex and the jaw side where the tooth is located, in the Serbian population using cone-beam computed tomography (CBCT). CBCT images of a total of 902 mandible front teeth, including 296 central incisors, 294 lateral incisors and 312 canines were analyzed in the database. For assessing the morphology of the root canal, Vertucci method of classification was used. Central incisors had two canals in 27%, similar as lateral incisor which had two canals in 26.5%. Mandibular canines had two canals in 7.1% and there was a significant difference between genders. The most prevalent root canal configuration type in all mandibular anterior teeth was type I. In the groups of mandibular incisors with two root canals the most common was type III. In the group of mandibular canines with two root canals, type V had the greatest occurrence. Most mandibular anterior teeth had one root canal. Two root canals were found in 27% of the mandibular incisors. There is a significant difference in root morphology between genders. It is important for dental practitioner to expect different morphological variations when performing endodontic treatment. More studies are needed to further define morphological characteristics of roots of mandibular anterior teeth in Serbian population.

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Assessment of root canal anatomy of mandibular incisors using cone-beam computed tomography in a Turkish subpopulation

International Dental Research ◽

10.5577/intdentres.2021.vol11.no1.8 ◽

2021 ◽

Vol 11 (1) ◽

pp. 46-53

Author(s):

Ata Nisa Çoban Kanyılmaz ◽

Özlem Okumuş ◽

Hakkı Sunay

Keyword(s):

Computed Tomography ◽

Cone Beam Computed Tomography ◽

Root Canal ◽

Cone Beam ◽

Type I ◽

Type Iii ◽

Root Canals ◽

Single Root ◽

Root Canal Anatomy ◽

Mandibular Incisors

Aim: The achievement of root canal treatment is influenced by the status of the root canals. The aim of this study was to investigate the frequency of second root canals in mandibular incisors and the prevalence of root canal separation in the cervical, middle and apical thirds of cases with 2 root canals. Methodology: Retrospective cone-beam computed tomography (CBCT) datas of 500 patients seen between 2016 and 2018 were evaluated. A total of 300 patients, 134 males and 166 females, aged 13-71 years (mean age 39.34±13.44) were included in this study. A total of 587 central mandibular incisors and 582 lateral mandibular incisors were examined. The number of roots and root canal morphology based on the Vertucci’s classification were analyzed. The effect of gender on the prevalence of root canal anatomy was also evaluated. Results: The occurence of more than 1 root canal in mandibular lateral and mandibular central was 41.2% and 40.4% respectively and all teeth had a single root. Type I (59.2%) was the most common type, followed by Type III (31.4%), Type II (5.8%), Type VII (2.1 %), Type VI (0.8%) and Type V (0.7%). Type IV and Type VIII were not observed. The root canal separation in two root canaI of central and lateral mandibular incisors was found in the middle third of the root in 65.4% and 74.6%, respectively. The incidence of Type III in males (39%) was higher than that of females (25.4%), while the incidences of Type I in females (67.7%) were significantly higher than that of males (48.3%). The prevalence of second canals in mandibular incisors were detected more frequently in men than in women. Conclusion: The prevalence of second canal in total mandibular incisors is 40.8% (Type III was observed the most frequently). CBCT is an appropriate method for identifying of canal morphologies of mandibular incisors. How to cite this article: Çoban Kanyılmaz AN, Okumuş Ö, Sunay H. Assessment of root canal anatomy of mandibular incisors using cone-beam computed tomography in a Turkish subpopulation. Int Dent Res 2021;11(1):46-53. https://doi.org/10.5577/intdentres.2021.vol11.no1.8 Linguistic Revision: The English in this manuscript has been checked by at least two professional editors, both native speakers of English.

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Use of Cone Beam Computed Tomography to Identify the Morphology of Maxillary and Mandibular Premolars in Chennai Population

Brazilian Dental Science ◽

10.14295/bds.2019.v22i1.1673 ◽

2019 ◽

Vol 22 (1) ◽

pp. Process

Author(s):

Rajamohan Rajakeerthi ◽

Malli Suresh Babu Nivedhitha

Keyword(s):

Computed Tomography ◽

Cone Beam Computed Tomography ◽

Root Canal ◽

Treatment Success ◽

Cone Beam ◽

Type I ◽

Root Canals ◽

Computed Tomographic ◽

Root Canal Anatomy ◽

Computed Tomography Scanning

Objective: The complex root canal anatomy is inherently colonised by microbial flora. Endodontic treatment success is always related to adequate disinfection of the root canal space, which ultimately affects the treatment outcome. A thorough understanding of the external and internal root canal anatomy by using adequately imaging modalities is essential before planning any treatment. The aim of this study was to investigate the number and morphology of the root canals of maxillary and mandibular premolars in Chennai population. Material and Methods: Full-size cone-beam computed tomographic images were randomly collected from 100 patients, resulting in a total of 200 first and 200 second maxillary premolars as well as 200 first and 200 second mandibular premolars. All the eight premolars were analysed in single patients, who underwent cone-beam computed tomography scanning during pre-operative assessment (before implant surgery, orthodontic treatment, diagnosis of dental-alveolar trauma or difficult root canal treatment). Total number of roots and root canals, frequency and correlations between men and women were recorded and statistically analysed by using chi-square tests. The root canal configurations were rated according to the Vertucci’s classification. Results: In the maxillary first premolar group (n = 200), 36.3% had 1 root, 56.7% had 2 roots and 7.0% had 3 roots, with most exhibiting a type IV canal configuration. In the maxillary second premolar group (n = 200), 60% had 1 root, 29.8% had 2 roots and 10.2% had 3 roots, with the majority of single-rooted second premolars exhibiting a type I canal configuration. In the mandibular first premolar group (n = 200), 80.5% had 1 root, 9.8% had 2 roots and 5% had 3 roots. In the mandibular second premolar group (n=200), 90.1% had 1 root, 6.4% had 2 roots and 3.5 % had 3 roots, with most exhibiting a type I canal configuration. No statistical correlation was found between number of roots, gender and tooth position. Conclusion: This cone-beam computed tomographic study confirmed previous anatomical and morphological investigations. Therefore, the possibility of additional root canals should be considered when treating premolars. Keywords: Cone-beam computed tomography; Mandibular; Maxillary; Premolar; Root canal; Morphology.

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Analysis of the internal anatomy of mandibular molars using different cone-beam computed tomography protocols

RSBO ◽

10.21726/rsbo.v17i1.275 ◽

2020 ◽

Vol 17 (1) ◽

pp. 12-20

Author(s):

Flares Baratto-Filho ◽

Nathaly Dias Morais ◽

Kauhanna Vianna de Oliveira ◽

Flávia Sens Fagundes Tomazinho ◽

Carla Castiglia Gonzaga ◽

...

Keyword(s):

Computed Tomography ◽

Cone Beam Computed Tomography ◽

Root Canal ◽

Anatomical Variations ◽

Cone Beam ◽

Type I ◽

Root Canals ◽

Mandibular Molars ◽

Type V ◽

Level Of Agreement

The aim of this study was to analyze the root canal anatomy variations of permanent mandibular molars using three different cone-beam computed tomography (CBCT) protocols. Material and methods: Thirty-five freshly extracted first and second mandibular molars were collected and subjected to three CBCT protocols: i-CAT Classic (ICC); i-CAT Next Generation (ICN), and PreXion 3D (PXD). Images were evaluated by two previously calibrated and experienced endodontists. The morphological root canal configurations were classified according to Vertucci. Data were analyzed for frequency, and the binomial and Kappa tests were then performed (α = 0.05). Results: ICC and ICN were able to diagnose a higher percentage of anatomical variations in the mesial roots. In this same root, Vertucci’s type V was the most prevalent, and in distal was the type I. In comparisons of CBCT techniques for agreement, significant differences in the mesial root canals were found in the following: ICC versus (vs) ICN; ICC vs PXD; and ICN vs PXD (p <0.001). However, there were no statistical differences in the distal root canals (p >0.05). The level of agreement in mesial roots was poor or absent, while in distal was moderate.

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Root canal morphology and variations in mandibular second molars: an in vivo cone-beam computed tomography analysis

BMC Oral Health ◽

10.1186/s12903-021-01787-7 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Francisco Gomez ◽

Gisbeli Brea ◽

Jose Francisco Gomez-Sosa

Keyword(s):

Computed Tomography ◽

Cone Beam Computed Tomography ◽

Root Canal ◽

Anatomical Variation ◽

Cone Beam ◽

Canal System ◽

Root Canals ◽

Single Root ◽

Significant Difference ◽

Root Canal System

Abstract Background The purpose of this study was to determine the anatomical variations of the root canal system of mandibular second molars using cone-beam computed tomography (CBCT). Methods 190 mandibular second molars cone-beam computed tomography images were reviewed. The evaluation was performed by a radiologist with endodontic experience and two endodontists trained with CBCT technology. Tooth position, number of root and root canals, C-shaped root canal system configuration, presence of extra root (radix), and radicular grooves were assessed. Data was statistically analyzed using The Chi-square test (α = 0,05) to determine any significant difference between gender and the total number of root and root canals, and any significant difference between gender and root canal anatomical variation. Results Overall, 85.5% showed two separated roots, 12.1% a single root, 2.6% three roots or radix. 87.7% showed three root canals, 12.1% two root canals, 2.6% four root canals, and 1.6% a single root canal. 10% showed a single foramen, 75.3% two foramina, 13.6% three foramina and 1% showed four foramina.19.5% showed C-shaped anatomical variation, 51.4% in male patients, 48.6% in female patients. According to Fan classification: C1 13.6% in cervical third, C2 10% in the middle third, C3 17.3% in middle third, 15.5% in apical third, and C4 12.7% in the apical third. Root canals number in these samples were 5.4% a single canal, 21.6% two canals, 70.3% three canals, and 2.7% four canals. The root showed 46% with one foramen, 46% two foramina, and 8% three foramina. Radicular grooves 83.3% were found in the lingual area and 16.2% towards the buccal area. Conclusions The most prevalent anatomic presentation of the evaluated sample was a mandibular second molars with two roots, three root canals, and two apical foramina. Their variation was C-shaped root canals and Radix Paramolaris.

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Second Root Canal in Mandibular Incisors: an Ex Vivo Cone-Beam Computed Tomography (CBCT) Study

Balkan Journal of Dental Medicine ◽

10.2478/bjdm-2018-0007 ◽

2018 ◽

Vol 22 (1) ◽

pp. 38-42

Author(s):

Maria Elpida Kalaitzoglou ◽

Eleni Kantilieraki ◽

Charalampos Beltes ◽

Christos Angelopoulos ◽

Panagiotis Beltes

Keyword(s):

Computed Tomography ◽

Cone Beam Computed Tomography ◽

Root Canal ◽

Ex Vivo ◽

Cone Beam ◽

Mean Values ◽

Root Canals ◽

The Mean ◽

Type 3 ◽

Mandibular Incisors

SummaryBackground/Aim: To analyze the internal morphology of mandibular incisors with two root canals using cone-beam computed tomography (CBCT). Material and Methods: 289 (143 central and 146 lateral) extracted intact mandibular incisors were radiographed for detection of a second root canal. The teeth presenting a second root canal were imaged with CBCT and evaluated regarding: root canal type, the distance of the cementoenamel junction (CEJ) to the bifurcation of the canals and the distance of the canal fusion to the apical foramen (in teeth in which canals rejoined). Results: Out of 143 central and 146 lateral mandibular incisors, 41 (28.7%) and 44 (30.1%) teeth respectively showed a second root canal. Types II, III, V and an additional type to Vertucci’s classification were identified. Type III was the most prevalent and presented in 30 (73.2%) central and 34 (77.3%) lateral mandibular incisors with two root canals. The mean values of the distance of the CEJ to the canal bifurcation were 4.2 mm and 4.0 mm for central and lateral mandibular incisors respectively. The mean values of the distance of the canal fusion to the apical foramen 5.5 mm and 5.1 mm for central and lateral mandibular incisors respectively. Conclusions: Mandibular incisors with two root canals mainly present with Vertucci’s Type 3 canal configuration. The canal bifurcation was identified mostly at the coronal and middle thirds of the root, while the canal fusion occurred in the middle third of the root.

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Cone Beam Computed Tomography a Noval Innovation for assessing the Canal Morphology of Maxillary First Bicuspid

Conservative Dentistry and Endodontic Journal ◽

10.5005/jp-journals-10048-0016 ◽

2017 ◽

Vol 2 (1) ◽

pp. 4-7

Author(s):

M Remya ◽

VP Prabath Singh

Keyword(s):

Computed Tomography ◽

Cone Beam Computed Tomography ◽

Root Canal ◽

Cone Beam ◽

Type I ◽

Root Canals ◽

High Incidence ◽

Study Population ◽

Root Canal Morphology ◽

Canal Morphology

ABSTRACT Aim To evaluate the root canal morphology of maxillary first premolar using Cone beam computed tomography (CBCT). Materials and methods A total of 125 teeth were selected and CBCT scans were taken and following factors were recorded – number of roots, number of root canals, anatomy, and configuration of canals. Results Overall 88% teeth had two roots. Most frequent canal configuration was type I in 93.6%; 94.4% teeth had single canal exiting in single apical foramen. Conclusion Within the limitation of the study, it was concluded that among the study population, there is a high incidence of two-rooted maxillary first bicuspid with two canals with type I Vertucci canal configuration. How to cite this article Remya M, Singh VPP. Cone Beam Computed Tomography a Noval Innovation for assessing the Canal Morphology of Maxillary First Bicuspid. Cons Dent Endod J 2017;2(1):4-7.

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A Retrospective Study of Roots and Root Canal Morphology in Mandibular Premolars using Cone Beam Computed Tomography in Delhi-NCR

JOURNAL FOR CLINICAL AND DIAGNOSTIC RESEARCH ◽

10.7860/jcdr/2021/48413.15106 ◽

2021 ◽

Author(s):

Sneh Mishra ◽

Sonali Taneja ◽

Vidhi Kiran Bhalla ◽

Akshay Rathore

Keyword(s):

Computed Tomography ◽

Cone Beam Computed Tomography ◽

Root Canal ◽

Cone Beam ◽

Type I ◽

National Capital Region ◽

Chi Square ◽

Exact Test ◽

Root Canals ◽

Single Root

Introduction: The anatomical heterogeneity of mandibular premolars has always been considered an enigma and it makes them potentially prone to high rates of endodontic failure. Only few studies have discussed the potential role of Cone Beam Computed Tomography (CBCT) in the assessment of root morphology, canal configuration and their complex variations. Aim: To investigate the number of roots and root canals along with the canal configuration in mandibular premolars in the Delhi- National Capital Region (NCR) population using CBCT imaging. Materials and Methods: The retrospective observational study was conducted where 432 CBCT images of 108 patients were acquired from different CBCT centres in Delhi-NCR region to determine the anatomy and morphology of mandibular premolars. The number of roots, root canals and their configuration and its association with symmetry and gender was evaluated. Pearson Chi-square test and Fisher’s-exact test were used for statistical analysis. Results: The mandibular first and second premolars reported with single root in 94.9% and 98.1% cases, respectively. Majority of 1st premolars displayed 2 canals (59.7%) whereas 2nd premolars exhibited single canal (58.3%) more frequently. Type I configuration was most prevalent in both 1st premolar (39.8%) and 2nd premolars (60.2%). Type V configuration was significantly reported on the left in both mandibular 1st and 2nd premolars (13.9% and 4.6%), respectively. There was no significant gender predilection observed for the morphology of roots, root canal and canal configuration. Conclusion: In Delhi-NCR, there was a high prevalence of multiple canals and variable configurations in 1st premolars whereas single root canal and Type I canal configuration were more frequent in 2nd premolars with a significant bilateral distribution. However, in both mandibular premolars there was a slight inclination reported for multiple canals and variable configurations towards left with no gender predilection.

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Cone-beam computed tomography study of root number and root canal configuration of premolars in Serbian population

Medicinski pregled ◽

10.2298/mpns1804100p ◽

2018 ◽

Vol 71 (3-4) ◽

pp. 100-107 ◽

Cited By ~ 1

Author(s):

Milica Popovic ◽

Milos Papic ◽

Aleksandar Acovic ◽

Suzana Zivanovic ◽

Tatjana Kanjevac

Keyword(s):

Computed Tomography ◽

Cone Beam Computed Tomography ◽

Root Canal ◽

Statistical Significance ◽

Preoperative Assessment ◽

Cone Beam ◽

Type I ◽

Root Canals ◽

Type Iv ◽

Computed Tomography Images

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.

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Cone-beam Computed Tomography Evaluation of Root Canal Preparation using Various Rotary Instruments: An in vitro Study

The Journal of Contemporary Dental Practice ◽

10.5005/jp-journals-10024-1773 ◽

2015 ◽

Vol 16 (11) ◽

pp. 869-872 ◽

Cited By ~ 2

Author(s):

Suhashini Ramanathan ◽

Pradeep Solete

Keyword(s):

Computed Tomography ◽

Cone Beam Computed Tomography ◽

Root Canal ◽

Cone Beam ◽

Root Canal Preparation ◽

Root Canals ◽

Rotary Instruments ◽

Significant Difference ◽

Dentin Thickness

ABSTRACT Aim To evaluate the remaining dentin thickness of teeth after cleaning and shaping the root canal using three rotary instrumentation technique using cone-beam computed tomography (CBCT). Materials and methods This in vitro study is being done with 30 premolar samples with 20’ curvature. The study is divided into three groups a CBCT was taken to measure the shortest distance from the root canal outline to the closest adjacent root surface was measured at each level from the cementoenamel junction (CEJ) (1,3, 5 and 7 mm) before and after root canal instrumentation. The purpose of this study was to compare the effects of different instruments used to prepare curved root canals on the remaining cervical dentin thickness and total amount of dentin removed from root canals during instrumentation by using multi-slice CBCT. The remaining dentin thickness is very much necessary for the success rate of root canal treatment. However, this study helps to prove that a conservative preparation with a sound remaining dentin thickness is much more advisable. Result It was observed that there was a significant difference at 1 and 3 mm (p < 0.05) and at 5 and 7 mm there was no significant difference (p > 0.05). Mtwo has removed less amount dentin when compared to ProTaper Universal and ProTaper Next system at 1 and 3 mm. Conclusion Under the conditions of the study, we concluded that ProTaper Universal and ProTaper Next should be used judiciously, as it causes higher thinning of root dentin of the root when compared with Mtwo. How to cite this article Ramanathan S, Solete P. Cone-beam Computed Tomography Evaluation of Root Canal Preparation using Various Rotary Instruments: An in vitro Study. J Contemp Dent Pract 2015;16(11):869-872.

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Vertucci's Root Canal Configuration of 11376 Mandibular Anteriors and its Relationship with Distolingual Roots in Mandibular First Molars in A Cantonese Population: A Cone-Beam Computed Tomography Study

10.21203/rs.3.rs-1080802/v1 ◽

2021 ◽

Author(s):

Yeqing Yang ◽

Chong Jiang ◽

Ming Chen ◽

Junkai Zeng ◽

Buling Wu

Keyword(s):

Computed Tomography ◽

Cone Beam Computed Tomography ◽

Root Canal ◽

Statistical Significance ◽

Age Groups ◽

Cone Beam ◽

Anterior Teeth ◽

Significant Difference ◽

Root Canal Morphology ◽

Canal Morphology

Abstract Background: Cone-beam computed tomography (CBCT) was used to study the root canal system of mandibular anteriors (MAs) in a Cantonese population and to evaluate the correlation between the complicated root canal configurations of mandibular lateral incisors (MLIs) and the presence of distolingual roots (DLRs) in mandibular first molars (MFMs).Methods: A total of 11376 mandibular anterior teeth were scanned by CBCT. Those whose images met the inclusion criteria were first analysed according to Vertucci's root canal configuration and then grouped based on gender, age, and side, and their effects on root canal morphology were analysed. Finally, statistical analysis was used to evaluate the correlation between the complicated root canal configurations of MLIs and the existence of DLRs in MFMs. All statistical analyses were performed by using SPSS 21.0 software. Quantitative data are presented as the mean ± standard deviation. Student’s t tests were used to calculate statistical significance. P < 0.05 was considered statistically significant.Results: In MAs in the Cantonese population, all mandibular central incisors (MCIs) and MLIs had one root, and 0.37% of mandibular canines (MCs) had two roots. The most common Vertucci's root canal configuration was Vertucci I followed by Vertucci III. A total of 30.91% of MLIs and approximately 8% of MCIs and MCs have complicated root canal configurations. There were no significant differences in the prevalence of DLRs in MFMs and the incidence of complicated root canal configurations of MLIs between males and females or between the right and left teeth. However, a significant difference was found in different age groups of root canal configurations in MLIs. Moreover, significant ipsilateral and contralateral correlations between MFMs with DLRs and MLIs with complicated root canal configurations were observed on both sides.Conclusion: There is a correlation between the presence of DLRs in MFMs and complicated root canal morphology in MCIs in the Cantonese population.

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