scholarly journals Retrospective Evaluation of Variations in Root Canal Morphology of Permanent Maxillary Premolars Among the Emirate Population

2021 ◽  
Author(s):  
Hajir S.Y. Alnaqbi ◽  
Mehmet Omer Gorduysus ◽  
Saaid Al Shehadat ◽  
Saad Wahbi Al Bayatti ◽  
Ibrahim Mahmoud
Keyword(s):  
Cone Beam ◽  
Cavity Preparation ◽  
Two Samples ◽  
Significant Difference ◽  
Chi Squared ◽  
Iatrogenic Damage ◽  
Maxillary Premolars ◽  
Root Canal Morphology ◽  
Type V ◽  
Canal Morphology

Abstract Background: This research aims to identify the most common morphology of the upper premolars in a group of local and nonlocal people in the UAE using cone-beam computed tomography (CBCT).Methods: CBCT images of a total of 214 intact maxillary premolars were analysed with 3D reconstruction GALAXIS viewer software. The Pearson Chi squared test and the two samples t test were applied.Results: In all, 90% of the maxillary first premolars had two roots (92% females, 88% males, 83% locals, 96% nonlocals). A total of 52% of maxillary second premolars had two roots (47% females, 56% males, 38% locals, 67% nonlocals). Two cases had three roots among local males. A significant difference of one root in the maxillary second premolar was observed between locals (63%) and nonlocals (33%), while two roots were higher among nonlocals (67%) than locals (37%, p = 0.002). Three roots were discovered in two teeth of the local UAE first premolar. The most common canal morphology in the maxillary first premolar group among local UAE subjects was type V (52%), and among nonlocal UAE subjects was type V (59%). Additional types included 7 (13.2%) identified and unrelated to the Vertucci classification. The dominant canal morphology in the maxillary second premolar among local UAE subjects was type II (32%), and among nonlocal UAE subjects was type V (25%); among the additional types, 12 (23.1%) were identified and not related to the Vertucci classification. There was a significant difference in the distance from the pulp chamber roof to the cementoenamel junction (CEJ) and the measurement between the single-rooted maxillary premolar CBCT for local UAE subjects was 1.36 mm (SD ±0.75) and for nonlocal subjects was 1 mm (SD ±0.27, p = 0.049). There were statistically significant differences in all measurements between multiple rooted maxillary premolar CBCTs for local UAE and South Asian subjects (p < 0.05)Conclusions: The results suggest a more quantitative approach to maxillary first and second premolar access cavity preparation in the UAE population to prevent errors and iatrogenic damage when identifying the canals; using CBCT measurements for more precise access preparations may be advantageous.

Evaluation of root canal morphology of maxillary premolars: a cone‐beam computed tomography study

2018 ◽  
Vol 45 (2) ◽  
pp. 196-201 ◽  
Author(s):  
Carolina Oliveira Lima ◽  
Laura Campos Souza ◽  
Karina Lopes Devito ◽  
Maíra Prado ◽  
Celso Neiva Campos
Keyword(s):  
Computed Tomography ◽  
Cone Beam Computed Tomography ◽  
Root Canal ◽  
Cone Beam ◽  
Maxillary Premolars ◽  
Root Canal Morphology ◽  
Canal Morphology

scholarly journals Cone-Beam Computed Tomographic Evaluation of Root Canal Morphology of Maxillary Premolars in a Saudi Population

2018 ◽  
Vol 2018 ◽  
pp. 1-8 ◽  
Author(s):  
Abdullah Alqedairi ◽  
Hussam Alfawaz ◽  
Yousef Al-Dahman ◽  
Faisal Alnassar ◽  
Asma Al-Jebaly ◽  
...  
Keyword(s):  
Root Canal ◽  
Cone Beam ◽  
Type I ◽  
Saudi Population ◽  
Chi Square ◽  
Type Iv ◽  
Maxillary Premolars ◽  
Root Canal Morphology ◽  
Canal Morphology ◽  
Chi Square Tests

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.

scholarly journals Evaluation of Root Canal Morphology of Mandibular First and Second Premolars Using Cone Beam Computed Tomography in a Defined Group of Dental Patients in Iran

Scientifica ◽  
2017 ◽  
Vol 2017 ◽  
pp. 1-7 ◽  
Author(s):  
Neda Hajihassani ◽  
Neda Roohi ◽  
Karim Madadi ◽  
Mahin Bakhshi ◽  
Maryam Tofangchiha
Keyword(s):  
Computed Tomography ◽  
Cone Beam Computed Tomography ◽  
Root Canal ◽  
Cone Beam ◽  
Type I ◽  
Type Ii ◽  
Dental Patients ◽  
Root Canal Morphology ◽  
Type V ◽  
Canal Morphology

Background. Successful dental root canal treatments require a complete knowledge of dental anatomy and root canal morphology. Materials and Methods. One hundred and forty-five cone beam computed tomography (CBCT) images were used to assess the anatomy and morphology of mandibular premolars based on Vertucci’s classifications in a defined group of dental patients in Iran. The number of roots and root canals, root canal morphology, root and canal shape (curvature), existence of C-shaped canal, and influence of sex on each of these were evaluated. A chi-squared test was used for statistical analysis. Results. The mandibular first and second premolars had a single root in 95.97% and 100% cases, respectively. In the mandibular first premolars, 62.2% were of type I, 0.8% type II, 10.9% type III, 0.8% type IV, 20.3% type V, 4.2% type VI, and 0.8% type VII; in the second premolars, 78% of canals were of type I, 3% type II, 11% type III, 7% type V, and 1% type VI. C-shaped canals did not exist in either of the premolars. The most prevalent root and canal shape was straight. The most prevalent root curvature was a distal curvature in both premolars (71.4% and 74% of first and second premolars, resp.). The most prevalent canal curvature was lingual and buccal for the first premolars (7.6% each) and distal for the second premolars (11%). No significant difference was found between men and women in nearly all of the above (P>0.05). Conclusion. The results suggest that there is a need to conduct further evaluations on finding root and canal variations among more populations to gain better knowledge prior to root canal treatment.

scholarly journals Anatomic symmetry of root and root canal morphology of posterior teeth in Indian subpopulation using cone beam computed tomography: A retrospective study

2015 ◽  
Vol 09 (04) ◽  
pp. 500-507 ◽  
Author(s):  
Gnanasekaran Felsypremila ◽  
Thilla Sekar Vinothkumar ◽  
Deivanayagam Kandaswamy
Keyword(s):  
Computed Tomography ◽  
Cone Beam Computed Tomography ◽  
Cone Beam ◽  
Posterior Teeth ◽  
Second Molar ◽  
Root Canals ◽  
Maxillary Premolars ◽  
Root Canal Morphology ◽  
Maxilla And Mandible ◽  
Canal Morphology

ABSTRACT Objective: To investigate the anatomic symmetry of maxillary and mandibular posteriors in Indian subpopulation using cone beam computed tomography (CBCT). Materials and Methods: CBCT images of 246 patients that had at least one noncarious, posterior tooth free of restorations in each quadrant were enrolled for retrospective analysis. A total of 3015 teeth (811 maxillary premolars, 845 mandibular premolars, 738 maxillary molars, and 621 mandibular molars) were analyzed for number of roots and root canals, canal morphology and anatomic symmetry, and concurrent types between the maxilla and mandible. Results: There was no difference in the percentage of symmetry for maxillary first (81.5%) and second (81.5%) premolars. Mandibular second premolars (98.3%) exhibited greater symmetry than mandibular first premolars (96.1%). First molars (77.5% and 82.1%) showed greater symmetry than second molars (70.8% and 78.6%), in both maxillary and mandibular arches, respectively. The most common anatomy observed were: maxillary first premolars – 2 roots with 2 canals, maxillary second premolars – 1 root with 2 canals, mandibular first and second premolars – 1 root with 1 canal, maxillary first and second molars – 3 roots with 4 canals, and mandibular first and second molars – 2 roots with 3 canals. When compared with any other teeth, maximum asymmetry was observed in maxillary second molar (29.2%). Conclusion: The percentage of symmetry observed in the present study varied from 70% to 98% with least percentage of symmetry in maxillary second molars. These data should alert the clinicians while treating homonymous teeth of the same patient.

scholarly journals 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

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.

scholarly journals Endodontic Management of a Maxillary First Molar with Two Palatal Canals and a Single Buccal Canal: A Case Report

2012 ◽  
Vol 2012 ◽  
pp. 1-4 ◽  
Author(s):  
Leila Atash biz Yeganeh ◽  
Mamak Adel ◽  
Reza Vahedi ◽  
Maryam Tofangchiha
Keyword(s):  
Computed Tomography ◽  
Treatment Outcome ◽  
Case Report ◽  
Cone Beam Computed Tomography ◽  
Cone Beam ◽  
Root Canals ◽  
Type Iv ◽  
Maxillary Molars ◽  
Root Canal Morphology ◽  
Canal Morphology

Thorough knowledge of root canal morphology is essential for the endodontic therapy. There are rare variations in canal number and configuration in maxillary molars, which could affect treatment outcome. This paper presents the endodontic management of a maxillary first molar with two palatal canals in one root (Vertucci type IV) and a single buccal canal. In this paper cone-beam computed tomography was made to asses this morphology. This paper is intended to reinforce clinician’s awareness of the rare morphology of root canals.

scholarly journals Prevalence of complex root canal morphology in the mandibular first and second premolars in Thai population: CBCT analysis

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Paramee Thanaruengrong ◽  
Sirinya Kulvitit ◽  
Mettachit Navachinda ◽  
Pornkawee Charoenlarp
Keyword(s):  
Root Canal ◽  
Horizontal Tube ◽  
Type I ◽  
Complex Root ◽  
Thai Population ◽  
Single Root ◽  
Chi Squared ◽  
Root Canal Morphology ◽  
Cbct Analysis ◽  
Canal Morphology

Abstract Background Mandibular premolars demonstrate high variability in root canal morphology, especially mandibular first premolars. The purposes of this study were to determine the prevalence of root canal configurations of mandibular premolars according to Vertucci classification in a Thai population. Methods Total of 1159 CBCT images of Thai patients who received radiographic imaging at the Department of Radiology, Faculty of Dentistry, Chulalongkorn University in 2017–2018 was evaluated. The data were reported using descriptive statistics and the relationship between the prevalence of the root canal complexities and sex was analyzed using the chi-squared test. Results The most common root canal configuration was Vertucci type I, with a 63.1% and 98% prevalence in the mandibular first and second premolars, respectively. More than 98% of mandibular premolars had a single root. The prevalence of a bifurcation was 28.5% and 1.5% in the mandibular first and second premolars, respectively. The prevalence of a trifurcation was 3.2% in the mandibular first premolar. A C-shaped root canal was observed at 23.7% and 0.7% in the mandibular first and second premolars, respectively. The level of branching was mostly found at the middle 1/3 of the root. Bilateral appearance of the same root canal configuration was identified in 80.3% and 95.9% in the mandibular first and second premolars, respectively. There was no relationship between sex and the prevalence of a bifurcation, trifurcation, or C-shaped root canal. Conclusion Mandibular first premolars have more root canal complexities than mandibular second premolars. Horizontal tube shift x-ray technique, CBCT, dental operating microscope, and knowledge of root canal configurations have an important role in root canal identification in mandibular premolar with suspected complex root canal morphology.

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