scholarly journals Cone-beam computed tomography study of tooth root and canal morphology of permanent molars in a Serbian population

2020 ◽  
Vol 77 (5) ◽  
pp. 470-478
Author(s):  
Milica Popovic ◽  
Suzana Zivanovic ◽  
Tamara Vucicevic ◽  
Miona Grujovic ◽  
Milos Papic

Background/Aim. For successful endodontic therapy, it is necessary to know root morphology. Therefore, the aim of our study was to analyze root canal morphology and root canal length of permanent molars in a Serbian population, using cone-beam computed tomography (CBCT). Methods. The study included a total of 305 maxillary molars, and 280 mandibular molars receiving cone-beam computed tomography examination and determined root numbers, canal morphology according to Vertucci classification, and canal lengths. Results were correlated with sex and tooth location in the jaw. Results. The mesiobuccal roots of first maxillary molars showed Vertucci type I in 45.7%, followed by type II in 29% of cases. For the second molar, Vertucci type I was found in 60.5% of cases in mesiobuccal canals. Palatal and distobuccal canals mostly presented Vertucci type I configuration. The mesial roots of mandibular molars had the highest frequency of two canals with Vertucci type IV as the most frequent for the first molar, and Vertucci type II for the second molar. Distal roots most commonly had one canal in both molars. Palatal canal length was the highest in maxillary first molars, with the mean value of 20.62 mm, while in second molars, the highest length value was for the mesiobuccal canal (20.09 mm). In both mandibular molars the mesial root canal was the longest one. Differences were found according to sex and tooth location in the jaw. Conclusion. Mesiobuccal roots of maxillary first molars had two canals; it was more frequently compared to second molars. Mesial roots of mandibular molars showed same frequency of two canals, and diversity in Vertucci types. Male patients tended to have higher complexity of root canal morphology compared to that of females. CBCT can improve understanding of the root canal morphology.

2014 ◽  
Vol 08 (02) ◽  
pp. 154-159 ◽  
Author(s):  
Bilge Gulsum Nur ◽  
Evren Ok ◽  
Mustafa Altunsoy ◽  
Osman Sami Aglarci ◽  
Mehmet Colak ◽  
...  

ABSTRACT Objective: The aim of this retrospective study was to determine the root and canal morphology of the mandibular first and second permanent molars in a Turkish population using cone-beam computed tomography (CBCT). Materials and Methods: CBCT images of mandibular first (n = 966) and second molar (n = 1165) teeth from 850 Turkish patients were evaluated. The root canal configurations were classified according to the method of Vertucci. The data were analyzed by Pearson's Chi-square test. Results: The majority of mandibular molars were two rooted with three canals; however, three roots were identified in 0.05% of the first molars and 0.01% of the second molars, and 100% of the additional root canals were of type I configuration. Mesial roots had more complex canal systems with more than one canal, whereas most distal roots had a type I configuration. Conclusions: Within the limitations of this study, it can be concluded that CBCT scanning provides supplemental information about the root canal configurations of mandibular molars in a Turkish population. This study may help clinicians in the root canal treatment of mandibular molars.


2015 ◽  
Vol 9 (1) ◽  
pp. 267-272 ◽  
Author(s):  
Georgia E. Nikoloudaki ◽  
Taxiarchis G. Kontogiannis ◽  
Nikolaos P. Kerezoudis

Objectives: Cone-Beam Computed Tomography is an alternative imaging technique which has been recently introduced in the field of Oral & Maxillofacial Radiology. It has rapidly gained great popularity among clinicians due to its ability to detect lesions and defects of the orofacial region and provide three-dimensional information about them. In the field of Endodontics, CBCT can be a useful tool to reveal tooth morphology irregularities, additional root canals and vertical root fractures. The objective of this study is to evaluate the root and root canal morphology of the maxillary permanent molars in Greek population using Cone-Beam Computed Tomography.Materials and Methods:273 cone-beam computed tomography (CBCT) images were examined. The number of roots and root canals of the first and second maxillary molars were evaluated. Root canal configuration was classified according to Weine’s classification by two independent examiners and statistical analysis was performed.Results:A total of 812 molars (410 first and 402 second ones) were evaluated. The vast majority of both first and second molars had three roots (89.26% and 85.07%, respectively). Most first molars had four canals, while most second molars had three. In the mesiobuccal roots, one foramen was recorded in 80.91% of all teeth. Other rare morphologic variations were also found, such as fusion of a maxillary second molar with a supernumerary tooth.Conclusion:Within the limitations of this study, it can be concluded that more attention should be given to the detection of additional canals during root canal treatment in maxillary permanent molars. Towards this effort, CBCT can provide the clinician with supplemental information about the different root canal configurations for successful Root Canal Treatment.


2013 ◽  
Vol 39 (12) ◽  
pp. 1545-1548 ◽  
Author(s):  
Gianluca Plotino ◽  
Luigi Tocci ◽  
Nicola M. Grande ◽  
Luca Testarelli ◽  
Daniela Messineo ◽  
...  

Scientifica ◽  
2017 ◽  
Vol 2017 ◽  
pp. 1-7 ◽  
Author(s):  
Neda Hajihassani ◽  
Neda Roohi ◽  
Karim Madadi ◽  
Mahin Bakhshi ◽  
Maryam Tofangchiha

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.


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.


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