scholarly journals Variations in root canal morphology of the permanent mandibular first molar in Indian population- A CBCT study

2021 ◽  
Vol 7 (2) ◽  
pp. 61-66
Author(s):  
Vasavi Santosh ◽  
Rhea Reji John ◽  
Mandavi Waghmare ◽  
Reema Manoj

The purpose of this study was to determine the variations in the number of canals and its morphology in permanent mandibular first molars using cone-beam computed tomography (CBCT) in a subset of Indian population. A total of 350 CBCT scans were collected and evaluated in all three orthogonal planes to determine the number of root canals and study their anatomic variations using Vertucci’s classification.: The total number of roots and root canals, the root canal configuration, the incidence, and the correlations between left- and right-side occurrences and between males and females were analysed. Statistically significant differences were evaluated using the chi-square test with SPSS 16.0 for Windows (SPSS, Chicago, IL), with significance set at p < 0.05.: The results of this study showed that predominantly, two thirds of the subjects had type VI mesial canal configuration and two-thirds had type I distal canal configuration. Also there was significant variance in the canal anatomy across gender and age of the subjects.: CBCT is a clinically useful tool in understanding the variations in root canal morphology, which guides in the assessment of the canal morphology aiding in successful root canal treatment.

2012 ◽  
Vol 2012 ◽  
pp. 1-6 ◽  
Author(s):  
Hemant Ramesh Chourasia ◽  
Ganesh K. Meshram ◽  
Manjusha Warhadpande ◽  
Darshan Dakshindas

Anin vitrostudy was performed to determine the number of roots, root canals per tooth, root canal configurations, and frequency of isthmi and apical deltas in mandibular first permanent molars in an Indian population. Hundred and fifty mandibular first permanent molars were collected and subjected to clearing technique. The cleared teeth were examined in a stereomicroscope under 7.5x magnifications. The canal configurations were categorized using Vertucci's classification. Overall 94.6% of the mandibular first molars had two roots, and 5.3% had extradistal roots (distolingual root). In addition, 64% of the specimens had three root canals, and 36% had four root canals. The most common canal configurations of mesial and distal roots were Vertucci type IV (54%) and type I (65.3%), respectively. Clinician should be aware of the complex root canal morphology of mandibular first molars among the Indian population before and during the root canal treatment.


2020 ◽  
Vol 16 (12) ◽  
pp. 1033-1036
Author(s):  
Deepa Gurunathan ◽  

It is of interest to compile available information on the root canal morphology of primary maxillary molars from known literature. The literature resources used to collect data include Medline/PubMed, The Cochrane Central Register of Clinical Trials, SIGLE and Science Direct. Data consists of type of population, number of teeth per study, number of root canals, canal length and type of root canal configuration. We used data from a total of 13 studies (951 primary maxillary molars). Maxillary molars (1st and 2nd) are dominant for two roots variant. The first molar the mean root length ranges from 7.9mm – 8.1mm. The second molar ranges from 7.2mm-8.5mm. Type I (explain in a phrase) canal morphology is the common variant in both the molars. Data shows that Root Canal morphology shows variations with the diagnostic aid (example micro CT) used and in different ethnic populations.


2021 ◽  
Vol 12 (1) ◽  
pp. 9-18
Author(s):  
Brankica Davidović ◽  
Ljiljana Bjelović ◽  
Igor Radović ◽  
Bojana Davidović ◽  
Svjetlana Janković ◽  
...  

Introduction. Successful endodontic treatment depends upon the clinician's knowledge and ability to recognize and diagnose the presence of anatomical and morphological variations of the root and canal system. The aim of this study was to establish the number of roots and root canal configurations of the maxillary second premolar in the population of Bosnia and Herzegovina. Methods. The study sample was comprised of 150 maxillary second premolar teeth extracted for orthodontic or prosthetic reasons. Endodontic drills were used for trepanation of cavum dentis, and the number and patency of each root canal were determined by Kexpander # 15. Then, the samples were decalcified, made transparent and colored, to enable 3D viewing of the canal system. Decalcified teeth were observed from two projections (clinical and approximal) and analyzed in detail with a magnifying glass under 3 × and 5 × magnification in order to determine the number of roots, number of canals, root canal configuration using Vertucci's classification and number of anastomoses between canals. Statistical significance was obtained using Chi-square test. Results. The results obtained by decalcification of the teeth showed that, by radiographic analysis from the clinical projection, all the teeth had a single root. While, by the analysis from the approximal projection, 94.0% had one, 6.0% two roots. From the approximal projection, 70.7% with a single root canal and 29.3% with two root canals are visualized. The most common type of root canal configuration in the maxillary second premolars was Type I in both clinical (87.9%) and approximal projection (40.7%). Conclusion. These results emphasize the importance of knowing the variations in root canal morphology, because excluding the possibility of morphological variations can lead to failure of endodontic therapy


2018 ◽  
Vol 2018 ◽  
pp. 1-8 ◽  
Author(s):  
Abdullah Alqedairi ◽  
Hussam Alfawaz ◽  
Yousef Al-Dahman ◽  
Faisal Alnassar ◽  
Asma Al-Jebaly ◽  
...  

Objective. The aim of the study was to investigate the root canal morphology of maxillary first and second premolars in a Saudi population using Cone-Beam Computed Tomography (CBCT).Methods. This retrospective cross-sectional study assessed CBCT images of 707 Saudi patients. The number of roots and canal configuration were identified based on Vertucci’s classification. Fisher’s exact Chi-square tests were performed to analyze the association between sex and number of roots and sex and root canal configuration.Results. Most teeth had two roots in maxillary first premolars (75.1%) and one root in maxillary second premolars (85.2%). Type IV was the most prevalent canal configuration in maxillary first premolars (69.1%), while Type I was the most in maxillary second premolars (49.4%). All types of canal configurations were observed in maxillary premolars except Type VII for the maxillary second premolar. Chi-square tests showed no significant association between gender and number of roots and sex and root canal configuration in both maxillary first and second premolars although higher number of roots was seen in men (P > 0.05).Conclusion. Most maxillary first premolars had two roots with Type IV being the most predominant canal configuration, while a single root with Type I canal configuration was the most frequently observed morphology in maxillary second premolars. In maxillary first premolars, 21.3% had one canal apically, 75.4% had two canals apically, and 3.3% had three canals apically. In maxillary second premolars, 80.2% had one canal apically, 18.9% had two canals apically, and 0.9% had three canals apically.


2015 ◽  
Vol 2015 ◽  
pp. 1-7 ◽  
Author(s):  
Roshan Peiris ◽  
Uthpala Malwatte ◽  
Janak Abayakoon ◽  
Anuradha Wettasinghe

The present study was conducted to determine the number of roots and morphology of the root canal system of permanent mandibular first molars (M1) in a Sri Lankan population. Sample of 529 M1 teeth was used. The number of roots was examined and the lengths of the mesial and distal roots were measured to the nearest 0.01 mm. Vacuum injection protocol was used to inject China ink into the root canal system, making it transparent. Root canal morphology was recorded using Vertucci’s classification. Presence of furcation canals, position of lateral canals, intercanal communications, level of bifurcation, and convergence of the root canal system were recorded. M1 showed three roots in 4.1% of the sample. Commonest root canal morphology of the mesial root was type IV and the distal root was type I. The level of bifurcation of the root canals was commonly observed in the cervical one-third of the root while convergence was observed in the apical one-third in both roots. Prevalence of three rooted mandibular first molars is less than 5%. Mesial root showed the most variable canal morphology. Prevalence of furcation canals was 1.5% while that of middle mesial canals was 0.2%.


2016 ◽  
Vol 2016 ◽  
pp. 1-4
Author(s):  
Shiraz Pasha ◽  
Bathula Vimala Chaitanya ◽  
Kusum Valli Somisetty

Root canal treatment of tooth with aberrant root canal morphology is very challenging. So thorough knowledge of both the external and internal anatomy of teeth is an important aspect of root canal treatment. With the advancement in technology it is imperative to use modern diagnostic tools such as magnification devices, CBCT, microscopes, and RVG to confirm the presence of these aberrant configurations. However, in everyday endodontic practice, clinicians have to treat teeth with atypical configurations for root canal treatment to be successful. This case report presents the management of a mandibular first molar with six root canals, four in mesial and two in distal root, and also emphasizes the use and importance of Cone Beam Computed Tomography (CBCT) as a diagnostic tool in endodontics.


2015 ◽  
Vol 03 (03) ◽  
pp. 140-147
Author(s):  
Gurkirat Grewal ◽  
Ajay Chhabra ◽  
Varun Jindal ◽  
Simran Bindra ◽  
Vandana Chhabra ◽  
...  

Abstract Aim: The aim of this study was to investigate the root canal morphology of mandibular premolars in Northern region of India using adecalcification and clearing technique. Method: Three hundred extracted human mandibular premolars, collected from dental clinics within North India were selected for this study. Following pulp tissue removal, India ink was injected into the root canals and the teeth were decalcified with 5% nitric acid, dehydrated with ascending concentrations of alcohol and rendered clear by immersion in methyl salicylate. Cleared teeth were examined under 5X magnification and the following features were evaluated: (i) number and type of root canals; (ii) presence and location of lateral canals and; (iii) location of apical foramina. Results: 84.2% of the specimens exhibited Type I canal pattern. Type VIII was not observed in any of the specimens. The lateral canals were in the apical third in 78.7% of the specimens followed by middle third in 16.5% and the cervical third in 4.7%. 82.7%of the specimens showed lateral position of the apical foramen. Conclusion: Mandibular premolar teeth present a wide variety of radicular features, with one root and one canal being found in majority of the cases. An accurate knowlegde of the morphology of the root canal is essential for proper diagnosis and successful treatment of endodontic cases.


2017 ◽  
Vol 2 (1) ◽  
pp. 4-7
Author(s):  
M Remya ◽  
VP Prabath Singh

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.


2018 ◽  
Vol 21 (01) ◽  
pp. 1-9
Author(s):  
Dewi Kartika ◽  
Trelia Boel ◽  
Sondang Pintauli

The incisor has a variation of root canal morphology, which can be assessed using periapical radiography. Periapical radiography with standard angulation often makes complicates the assessment of the root canal morphology that is branched off in buccal and lingual directions because the radiograph result of the root canal will appear superimposed. Therefore, it is necessary to change horizontal angulation to mesial or distal to help assess the superimposed root canal. Root canal morphology may vary by population. The population in Indonesia consists mainly of the sub-races of Proto and Deutro-Malay. The purpose of this study was to determine the difference of root canal morphology between maxillary and mandibular incisors; between the sub-races of Proto and Deutro-Malay; and between the right and left regions, using twice the radiation projection. This study was an analytical study with cross-sectional method using 55 subjects who come from three previous generations of Proto and Deutro-Malay. On each tooth were performed twice radiations periapical radiography, using standard angulation and altering horizontal angulation toward distal 30º. The results showed that in Proto-Melayu, for maxillary central incisors maxillary teeth were obtained type I (99.1%) and III (0.9%) Vertucci, and maxillary lateral incisors were obtained type I Vertucci (100%). In mandibular central incisors were obtained type I (90%), II (3.6%), III (2.7%) Vertucci and IV Gulabivala (3.6%), and mandibular lateral incisors were obtained type I (87.3 %), II (1.8%), III (7.3%) Vertucci and type IV Gulabivala (3.6%). In Deutro-Malay, maxillary central incisors were obtained 100% Vertucci type I and maxillary lateral incisors were obtained type I (99.1%) and II (0.9%). In mandibular central incisors were obtained type I (85.5%), III (11.8%) Vertucci, IV Gulabivala (1.8%), and other types 1-2-1-2-1 (0.9%), and mandibular lateral incisors were obtained by type I (81.8%) and III (18.2%) Vertucci. The result of chi-square analysis showed there were no significant differences of root canal morphology of maxillary insicors tooth between Proto and Deutro-Malay and between right and left region (p> 0,05), but there were significant differences of root canal morphology between maxillary and mandibular incisors and root canal morphology of the mandibular incisor between Proto and Deutro-Malay (p <0.05). In conclusion, maxillary and mandibular incisors of Proto and Deutro-Malay sub-races have variations in root canal configuration and there were differences found in the mandibular incisors.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Saad M. Al‑Zubaidi ◽  
Moazzy I. Almansour ◽  
Nada N. Al Mansour ◽  
Ahad S. Alshammari ◽  
Ahad F. Alshammari ◽  
...  

Abstract Background The objective of this study was to use CBCT to look into the root canal morphology of maxillary premolars in a Saudi Arabian subpopulation and associate the results to existing canal morphology classifications. Methods The sample size for this analysis was 500 right and left untreated maxillary first and second premolars with fully formed roots from 250 Saudi residents (125 male and 125 female). The following observations were made using CBCT on the teeth related: (1) The number and morphology of roots; (2) The canal morphology for each root according to Vertucci's classification. The frequency and similarities between the right and left sides, as well as between females and males, were studied. The Chi-square test was used to assess the results. Results Of the 500 maxillary first premolars studied, 199 teeth had one root (39.8%), whilst 293 (58.6%) were two-rooted. Three-rooted maxillary first premolars were found in 8 (1.6%). For maxillary second premolars, 416 premolars had one root (83.2%), whilst 79 (15.8%) had two roots and the rest 5 (1.0%) were three roots. There were significant differences of number of root were found between groups (p > 0.05). For maxillary first premolar, Type IV was the most frequent, accounting for 57.8% of the sample (n = 289), followed by type II (32.8%, n = 164). For maxillary second premolar, Type I was mainly occurrence 302 (60.4%), followed by Type II (16.4%, n = 82). Conclusions The majority of maxillary first premolars had two roots and two root canals, while one root and one root canal was the most common anatomical configuration for maxillary second premolars. Additional canal forms do occur on occasion, and clinicians should pay close attention to them.


Sign in / Sign up

Export Citation Format

Share Document