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

Okumuş, Özlem; Coban Kanyilmaz, Ata Nisa; SUNAY, HAKKI

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

Ata Nisa Çoban Kanyılmaz, (Altınbaş Üniversitesi, Diş Hekimliği Fakültesi, Endodonti Anabilim Dalı, İstanbul, Türkiye)

Özlem Okumuş, (Altınbaş Üniversitesi, Diş Hekimliği Fakültesi, Dentomaksillofasiyal Radyoloji Anabilim Dalı, İstanbul, Türkiye)

Hakkı Sunay (Altınbaş Üniversitesi, Diş Hekimliği Fakültesi, Endodonti Anabilim Dalı, İstanbul, Türkiye)

International Dental Research

1 0

Yıl: 2021 Cilt: 11 Sayı: 1 Sayfa Aralığı: 46 - 53 Metin Dili: İngilizce İndeks Tarihi: 17-01-2022

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

Öz:

Aim: The success of a 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 in cases with two root canals. Methodology: Retrospective cone-beam computed tomography (CBCT) data from 500 patients seen between 2016 and 2018 was evaluated. A total of 300 patients—134 male and 166 female—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 the root canal morphology, based on Vertucci’s classification, were analyzed. The effect of gender on the prevalence of root canal anatomy was also evaluated. Results: The occurrences of more than one root canal in the mandibular lateral and mandibular central were 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. Root canal separation in the two root canals of the central and lateral mandibular incisors was found in the middle third of the root in 65.4% and 74.6% of cases, respectively. The incidence of Type III in males (39%) was higher than in females (25.4%), while the incidence of Type I in females (67.7%) was significantly higher than in males (48.3%). Second canals in the mandibular incisors were detected more frequently in men than in women. Conclusion: The overall prevalence of second canals in the mandibular incisors was 40.8%; Type III was observed most frequently. CBCT is an appropriate method for identifying the canal morphologies of mandibular incisors.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Diğer Erişim Türü: Erişime Açık

1. Patel S, Horner K. The use of cone beam computed tomography in endodontics. Int Endod J 2009;42:755–6. (Crossref)
2. Shemesh A, Kavalerchik E, Levin A, et al. Root canal morphology evaluation of central and lateral mandibular incisors using cone-beam computed tomography in an Israeli population. J Endod 2018;44:51-5. (Crossref)
3. Haghanifar S, Moudi E, Bijani A, Ghanbarabadi MK. Morphologic assessment of mandibular anterior teeth root canal using CBCT. Acta Med Acad 2017;46:85-93.
4. Weng XL, Yu SB, Zhao SL, et al. Root canal morphology of permanent maxillary teeth in the Han nationality in Chinese Guanzhong area: A new modified root canal staining technique. J Endod 2009;35:651-6. (Crossref)
5. Neelakantan P, Subbarao C, Ahuja R, Subbarao CV, Gutmann JL. Cone‑beam computed tomography study of root and canal morphology of maxillary first and second molars in an Indian population. J Endod 2010;36:1622-7. (Crossref)
6. Benjamin KA, Dowson J. Incidence of two root canals in human mandibular incisor teeth. Oral Surg Oral Med Oral Pathol Oral Radiol 1974;38:122-6. (Crossref)
7. Sharma R, Pécora JD, Lumley PJ, Walmsley AD. The external and internal anatomy of human mandibular canine teeth with two roots. Endod Dent Traumatol 1998;14:88-92. (Crossref)
8. Schwarze T, Baethge C, Stecher T, Geurtsen W. Identification of second canals in the mesiobuccal root of maxillary first and second molars using magnifying loupes or an operating microscope. Aust Endod J 2002;28:57-60. (Crossref)
9. Omer OE, Al Shalabi RM, Jennings M, Glennon J, Claffey NM. A comparison between clearing and radiographic techniques in the study of the root-canal anatomy of maxillary first and second molars. Int Endod J 2004;37:291-6. (Crossref)
10. Yoshioka T, Kikuchi I, Fukumoto Y, Kobayashi C, Suda H. Detection of the second mesiobuccal canal in mesiobuccal roots of maxillary molar teeth ex vivo. Int Endod J 2005;38:124-8. (Crossref)
11. Rahimi S, Milani AS, Shahi S, Sergiz Y, Nezafati S, Lotfi M. Prevalence of two root canals in human mandibular anterior teeth in an Iranian population. Indian J Dent Res 2013;24:234- 6. (Crossref)
12. Lin Z, Hu Q, Wang T, et al. Use of CBCT to investigate the root canal morphology of mandibular incisors. Surg Radiol Anat 2014;36:877-82. (Crossref)
13. Liu J, Luo J, Dou L, Yang D. CBCT study of root and canal morphology of permanent mandibular incisors in a Chinese population. Acta Odontol Scand 2014;72:26-30. (Crossref)
14. Üner DD, İzol BS. Analysis of whether or not the alveloar palatine bone thickness of the central incisors is sufficient for implants of 3 mm and 3.5 mm thickness using cone-beam computed tomography. Int Dent Res 2019;9(2):51-7. (Crossref)
15. Aktuna Belgin C, Adiguzel O, Bud M, Colak M, Akkus Z. Mandibular Buccal Bone Thickness In Southeastern Anatolian People: A Cone-Beam Computed Tomography Study. Int Dent Res 2017;7:6-12. (Crossref)
16. Laçin N, Tatar B, Veli İ, Adıgüzel A. Evaluation of medial lingual foramen with cone-beam computed tomography in a Turkish adult population. Int Dent Res 2018;8(3):139-43. (Crossref)
17. Vertucci FJ. Root canal anatomy of the human permanent teeth. Oral Surg Oral Med Oral Pathol Oral Radiol 1984;58:589- 99. (Crossref)
18. Madeira MC, Hetem S. Incidence of bifurcations in mandibular incisors. Oral Surg Oral Med Oral Pathol Oral Radiol 1973;36:589-91. (Crossref)
19. Vertucci FJ. Root canal anatomy of the mandibular anterior teeth. J Am Dent Assoc 1974;89:369-71. (Crossref)
20. Calişkan MK, Pehlivan Y, Sepetçioğlu F, Türkün M, Tuncer SS. Root canal morphology of human permanent teeth in a Turkish population. J Endod 1995;21:200-4. (Crossref)
21. Miyashita M, Kasahara E, Yasuda E, Yamamoto A, Sekizawa T. Root canal system of the mandibular incisor. J Endod 1997;23:479-84. (Crossref)
22. Sert S, Aslanalp V, Tanalp J. Investigation of the root canal configurations of mandibular permanent teeth in the Turkish population. Int Endod J 2004;37:494-9. (Crossref)
23. Al-Qudah AA, Awawdeh LA. Root canal morphology of mandibular incisors in a Jordanian population. Int Endod J 2006;39:873-7. (Crossref)
24. Plotino G, Grande NM, Pecci R, Bedini R, Pameijer CH, Somma F. Three-dimensional imaging using microcomputed tomography for studying tooth macromorphology. J Am Dent Assoc 2006;137:1555-61. (Crossref)
25. Falakaloglu S, Veis A. Determining the size of the mental foramen: A cone-beam computed tomography study. Int Dent Res 2017;7:20-25. (Crossref)
26. Cangul S, Adiguzel O. Cone-Beam Three-Dimensional Dental Volumetric Tomography in Dental Practice. Int Dent Res 2017;7:62-70. (Crossref)
27. Han T, Ma Y, Yang L, Chen X, Zhang X, Wang Y. A study of the root canal morphology of mandibular anterior teeth using conebeam computed tomography in a Chinese subpopulation. J Endod 2014;40:1309-14. (Crossref)
28. Verma GR, Bhadage C, Bhoosreddy AR, Vedpathak PR, Mehrotra GP, Nerkar AC, et al. Cone beam computed tomography study of root canal morphology of permanent mandibular incisors in Indian subpopulation. Pol J Radiol 2017;82:371-5. (Crossref)
29. Kartal N, Yanikoglu FC. Root canal morphology of mandibular incisors. J Endod 1992;18:562-4. (Crossref)
30. Karabucak B, Bunes A, Chehoud C, Kohli MR, Setzer F. Prevalence of apical periodontitis in endodontically treated premolars and molars with untreated canal: a cone-beam computed tomography study. J Endod 2016;42:538-41. (Crossref)
31. Altunsoy M, Ok E, Nur BG, Akkemik O, Ok E, Evcil MS. A conebeam computed tomography study of the root canal morphology of anterior teeth in a Turkish population. Eur J Dent 2014;8:302-6. (Crossref)
32. Kayaoglu G, Peker I, Gumusok M, Sarikir C, Kayadugun A, Ucok O. Root and canal symmetry in the mandibular anterior teeth of patients attending a dental clinic: CBCT study. Braz Oral Res 2015;29:1-7. (Crossref)

APA	Coban Kanyilmaz A, Okumuş Ö, SUNAY H (2021). Assessment of root canal anatomy of mandibular incisors using cone-beam computed tomography in a Turkish subpopulation. , 46 - 53.
Chicago	Coban Kanyilmaz Ata Nisa,Okumuş Özlem,SUNAY HAKKI Assessment of root canal anatomy of mandibular incisors using cone-beam computed tomography in a Turkish subpopulation. (2021): 46 - 53.
MLA	Coban Kanyilmaz Ata Nisa,Okumuş Özlem,SUNAY HAKKI Assessment of root canal anatomy of mandibular incisors using cone-beam computed tomography in a Turkish subpopulation. , 2021, ss.46 - 53.
AMA	Coban Kanyilmaz A,Okumuş Ö,SUNAY H Assessment of root canal anatomy of mandibular incisors using cone-beam computed tomography in a Turkish subpopulation. . 2021; 46 - 53.
Vancouver	Coban Kanyilmaz A,Okumuş Ö,SUNAY H Assessment of root canal anatomy of mandibular incisors using cone-beam computed tomography in a Turkish subpopulation. . 2021; 46 - 53.
IEEE	Coban Kanyilmaz A,Okumuş Ö,SUNAY H "Assessment of root canal anatomy of mandibular incisors using cone-beam computed tomography in a Turkish subpopulation." , ss.46 - 53, 2021.
ISNAD	Coban Kanyilmaz, Ata Nisa vd. "Assessment of root canal anatomy of mandibular incisors using cone-beam computed tomography in a Turkish subpopulation". (2021), 46-53.

APA	Coban Kanyilmaz A, Okumuş Ö, SUNAY H (2021). Assessment of root canal anatomy of mandibular incisors using cone-beam computed tomography in a Turkish subpopulation. International Dental Research, 11(1), 46 - 53.
Chicago	Coban Kanyilmaz Ata Nisa,Okumuş Özlem,SUNAY HAKKI Assessment of root canal anatomy of mandibular incisors using cone-beam computed tomography in a Turkish subpopulation. International Dental Research 11, no.1 (2021): 46 - 53.
MLA	Coban Kanyilmaz Ata Nisa,Okumuş Özlem,SUNAY HAKKI Assessment of root canal anatomy of mandibular incisors using cone-beam computed tomography in a Turkish subpopulation. International Dental Research, vol.11, no.1, 2021, ss.46 - 53.
AMA	Coban Kanyilmaz A,Okumuş Ö,SUNAY H Assessment of root canal anatomy of mandibular incisors using cone-beam computed tomography in a Turkish subpopulation. International Dental Research. 2021; 11(1): 46 - 53.
Vancouver	Coban Kanyilmaz A,Okumuş Ö,SUNAY H Assessment of root canal anatomy of mandibular incisors using cone-beam computed tomography in a Turkish subpopulation. International Dental Research. 2021; 11(1): 46 - 53.
IEEE	Coban Kanyilmaz A,Okumuş Ö,SUNAY H "Assessment of root canal anatomy of mandibular incisors using cone-beam computed tomography in a Turkish subpopulation." International Dental Research, 11, ss.46 - 53, 2021.
ISNAD	Coban Kanyilmaz, Ata Nisa vd. "Assessment of root canal anatomy of mandibular incisors using cone-beam computed tomography in a Turkish subpopulation". International Dental Research 11/1 (2021), 46-53.