DOI QR코드

DOI QR Code

Analysis of root number and canal morphology of maxillary premolars using cone-beam computed tomography

  • Yun-Hoa Jung (Department of Oral and Maxillofacial Radiology, School of Dentistry, Pusan National University) ;
  • Jae-Joon Hwang (Department of Oral and Maxillofacial Radiology, School of Dentistry, Pusan National University) ;
  • Ji-Soo Lee (Department of Oral and Maxillofacial Radiology, School of Dentistry, Pusan National University) ;
  • Bong-Hae Cho (Department of Oral and Maxillofacial Radiology, School of Dentistry, Pusan National University)
  • 투고 : 2024.07.22
  • 심사 : 2024.09.06
  • 발행 : 2024.12.31

초록

Purpose: This study aimed to evaluate the number of roots and type of root canals in maxillary first and second premolars within a selected Korean population utilizing cone-beam computed tomography (CBCT). Additionally, it sought to investigate potential differences in these features according to sex and tooth type. Materials and Methods: CBCT images of 585 maxillary first premolars and 578 maxillary second premolars from 303 patients were retrospectively reviewed. The number of roots was classified based on root morphology, and canal configurations were categorized into 8 types according to the Vertucci classification. For statistical analysis, chi-square or Fisher exact tests were employed to compare root number and canal morphology according to sex and tooth type. Results: CBCT analysis revealed that 71.5% of maxillary first premolars and 97.6% of maxillary second premolars had 1 root. The most common canal configuration in maxillary first premolars was Vertucci type IV (42.6%), whereas type I predominated in maxillary second premolars (76.5%). Significant differences in root number and canal configurations were found between men and women (P<0.05), with single roots and Vertucci type I canals more commonly observed in women. Conclusion: Both maxillary first premolars and maxillary second premolars typically had 1 root, with a smaller percentage possessing 2 roots. Significant sex differences were observed in root number and canal type. This study highlights the variability in root number and canal configuration, emphasizing the importance of recognizing these variations to achieve successful endodontic treatment.

키워드

과제정보

This work was supported by a 2-Year Research Grant from Pusan National University.

참고문헌

  1. Vertucci FJ. Root canal anatomy of the human permanent teeth. Oral Surg Oral Med Oral Pathol 1984; 58: 589-99.
  2. Martins JN, Marques D, Francisco H, Caramês J. Gender influence on the number of roots and root canal system configuration in human permanent teeth of a Portuguese subpopulation. Quintessence Int 2018; 49: 103-11.
  3. Zaatar EI, al-Kandari AM, Alhomaidah S, al-Yasin IM. Frequency of endodontic treatment in Kuwait: radiographic evaluation of 846 endodontically treated teeth. J Endod 1997; 23: 453-6.
  4. Li YH, Bao SJ, Yang XW, Tian XM, Wei B, Zheng YL. Symmetry of root anatomy and root canal morphology in maxillary premolars analyzed using cone-beam computed tomography. Arch Oral Biol 2018; 94: 84-92.
  5. Saber SE, Ahmed MH, Obeid M, Ahmed HM. Root and canal morphology of maxillary premolar teeth in an Egyptian subpopulation using two classification systems: a cone beam computed tomography study. Int Endod J 2019; 52: 267-78.
  6. Asheghi B, Momtahan N, Sahebi S, Zangoie Booshehri M. Morphological evaluation of maxillary premolar canals in Iranian population: a cone-beam computed tomography study. J Dent (Shiraz) 2020; 21: 215-24.
  7. Al-Zubaidi SM, Almansour MI, Al Mansour NN, Alshammari AS, Alshammari AF, Altamimi YS, et al. Assessment of root morphology and canal configuration of maxillary premolars in a Saudi subpopulation: a cone-beam computed tomographic study. BMC Oral Health 2021; 21: 397.
  8. OlczakK,Pawlicka H, Szymanski W. Rootform and canal ana-tomy ofmaxillary first premolars: a cone-beam computed tomo-graphy study.Odontology 2022; 110: 365-75.
  9. Aljawhar AM, Ibrahim N, Abdul Aziz A, Ahmed HM, Azami NH. Characterization of the root and canal anatomy of maxillary premolar teeth in an Iraqi subpopulation: a cone beam computed tomography study. Odontology 2024; 112: 570-87.
  10. Wang FM, Rudman J, Walsh RM, Jalali P. A retrospective study of initial root canal treatment failure in maxillary premolars via using cone-beam computed tomography. J Am Dent Assoc 2023; 154: 471-8.
  11. Vertucci F, Seelig A, Gillis R. Root canal morphology of the human maxillary second premolar. Oral Surg Oral Med Oral Pathol 1974; 38: 456-64.
  12. Kartal N, Özçelik B, Cimilli H. Root canal morphology of maxillary premolars. J Endod 1998; 24: 417-9.
  13. Gupta S, Sinha DJ, Gowhar O, Tyagi SP, Singh NN, Gupta S. Root and canal morphology of maxillary first premolar teeth in north Indian population using clearing technique: an in vitro study. J Conserv Dent 2015; 18: 232-6.
  14. Al-Ghananeem MM, Haddadin K, Al-Khreisat AS, Al-Weshah M, Al-Habahbeh N. The number of roots and canals in the maxillary second premolars in a group of Jordanian population. Int J Dent 2014; 2014: 797692.
  15. Buchanan GD, Gamieldien MY, Tredoux S, Vally ZI. Root and canal configurations of maxillary premolars in a South African subpopulation using cone beam computed tomography and two classification systems. J Oral Sci 2020; 62: 93-7.
  16. Ahmed HM, Ibrahim N, Mohamad NS, Nambiar P, Muhammad RF, Yusoff M, et al. Application of a new system for classifying root and canal anatomy in studies involving micro-computed tomography and cone beam computed tomography: explanation and elaboration. Int Endod J 2021; 54: 1056-82.
  17. Altan Şallı G, Egil E. Evaluation of mesial root canal configuration of mandibular first molars using micro-computed tomography. Imaging Sci Dent 2021; 51: 383-8.
  18. Keleş A, Keskin C, Alqawasmi R, Versiani MA. Micro-computed tomographic analysis of the mesial root of mandibular first molars with bifid apex. Arch Oral Biol 2020; 117: 104792.
  19. Ahmed HM. A critical analysis of laboratory and clinical research methods to study root and canal anatomy. Int Endod J 2022;55 Suppl 2: 229-80.
  20. Special Committee to Revise the Joint AAE/AAOMR Position Statement on use of CBCT in Endodontics. AAE and AAOMR Joint Position Statement: Use of Cone Beam Computed Tomography in Endodontics 2015 Update. Oral Surg Oral Med Oral Pathol Oral Radiol 2015; 120: 508-12.
  21. Ahmed HM, Versiani MA, De-Deus G, Dummer PM. A new system for classifying root and root canal morphology. Int Endod J 2017; 50: 761-70.
  22. Weine FS, Healey HJ, Gerstein H, Evanson L. Canal configuration in the mesiobuccal root of the maxillary first molar and its endodontic significance. Oral Surg Oral Med Oral Pathol 1969;28: 419-25.
  23. Alqedairi A, Alfawaz H, Al-Dahman Y, Alnassar F, Al-Jebaly A, Alsubait S. Cone-beam computed tomographic evaluation of root canal morphology of maxillary premolars in a Saudi population. Biomed Res Int 2018; 2018: 8170620.
  24. deLima CO,de SouzaLC,Devito KL,do Prado M, Campos CN. Evaluation of root canal morphology of maxillary premolars: a cone-beam computed tomography study. Aust Endod J 2019;45: 196-201.
  25. Liu X, Gao M, Bai Q, Ruan J, Lu Q. Evaluation of palatal furcation groove and root canal anatomy of maxillary first premolar: a CBCT and micro-CT study. Biomed Res Int 2021; 2021:8862956.
  26. Almeida JC, Candemil AP, Bertolini GR, Souza-Gabriel AE, Cruz-Filho AM, Sousa-Neto MD, et al. Cone-beam computed tomographic evaluation of the root canal anatomy of the lower premolars and molars in a Brazilian sub-population. Imaging Sci Dent 2023; 53: 77-82.
  27. Maghfuri S, Keylani H, Chohan H, Dakkam S, Atiah A, Mashyakhy M. Evaluation of root canal morphology of maxillary first premolars by cone beam computed tomography in Saudi Arabian southern region subpopulation: an in vitro study. Int J Dent 2019; 2019: 2063943.
  28. Khanna S, Jobanputra L, Mehta J, Parmar A, Panchal A, Mehta F. Revisiting premolars using cone-beam computed tomography analysis and classifying their roots and root canal morphology using newer classification. Cureus 2023; 15: e38623.
  29. Abella F, Teixidó LM, Patel S, Sosa F, Duran-Sindreu F, Roig M. Cone-beam computed tomography analysis of the root canal morphology of maxillary first and second premolars in a Spanish population. J Endod 2015; 41: 1241-7.
  30. Wu D, Hu DQ, Xin BC, Sun DG, Ge ZP, Su JY. Root canal morphology of maxillary and mandibular first premolars analyzed using cone-beam computed tomography in a Shandong Chinese population. Medicine (Baltimore) 2020; 99: e20116.
  31. Martins JN, Gu Y, Marques D, Francisco H, Caramês J. Differences on the root and root canal morphologies between Asian and white ethnic groups analyzed by cone-beam computed tomography. J Endod 2018; 44: 1096-104.
  32. Olczak K, Pawlicka H, Szymański W. Root and canal morphology of the maxillary second premolars as indicated by cone beam computed tomography. Aust Endod J 2023; 49: 92-103.
  33. Yang L, Chen X, Tian C, Han T, Wang Y. Use of cone-beam computed tomography to evaluate root canal morphology and locate root canal orifices of maxillary second premolars in a Chinese subpopulation. J Endod 2014; 40: 630-4.
  34. Yan Y, Li J, Zhu H, Liu J, Ren J, Zou L. CBCT evaluation of root canal morphology and anatomical relationship of root of maxillary second premolar to maxillary sinus in a western Chinese population. BMC Oral Health 2021; 21: 358.
  35. Beltes P, Kalaitzoglou ME, Kantilieraki E, Beltes C, Angelopoulos C. 3-rooted maxillary first premolars: an ex vivo study of external and internal morphologies. J Endod 2017; 43: 1267-72.
  36. Soares JA, Leonardo RT. Root canal treatment of three-rooted maxillary first and second premolars - a case report. Int Endod J 2003; 36: 705-10.
  37. Tian YY, Guo B, Zhang R, Yu X, Wang H, Hu T, et al. Root and canal morphology of maxillary first premolars in a Chinese subpopulation evaluated using cone-beam computed tomography. Int Endod J 2012; 45: 996-1003.
  38. Kartik SN,Shetty K, Vergis BA, Natarajan S,D'Souza JL.Anal-ysis ofroot morphology and internal anatomy of 400 maxillary first premolars using cone-beam computed tomography in an Indian Dravidian subpopulation: an ex VIVO study.J Conserv Dent 2022; 25: 487-91.
  39. 0kE.Altunsoy M,Nur BG,Aglarci OS,Colak M, GungorE.A cone-beam computed tomography study ofroot canal morphol-ogyofmaxillary and mandibular premolars in a Turkish popula-tion.Acta Odontol Scand 2014; 72: 701-6.
  40. Burklein S, HeckR,Schafer E. Evaluation ofthe root canal anat-omy of maxillary and mandibular premolars in a selected Ger-man population using cone-beam computed tomographic data. JEndod 2017;43: 1448-52.
  41. Erkan E,Olcay K, Eyuboglu TF, SenerE, Guidogar M. Assess-ment of the canal anatomy of the premolar teeth in a selected Turkish population: a cone-beam computed tomography study. BMC Oral Health 2023; 23: 403.