20. Morphological characteristics of the first premolars' root canal on cone beam CT images

Ha Ngoc Chieu, Dinh Thi Bich Lien, Nguyen Dinh Phuc

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Abstract

The first premolars have a diverse anatomical structure of the root canal system, making their root canal treatment challenging. Therefore, before the treatment, the dentist needs to fully understand the morphology and variation of the root canal. The aim of this study is to describe the morphological characteristics of the root canal of the first premolars on Cone Beam CT (CBCT) images. Method: An experimental study was conducted on 51 maxillary and 39 mandibular first premolars from June 2021 to June 2022 at the Department of Oral and Maxillofacial Surgery, Hanoi Medical University Hospital and the Institute of Dental and Maxillofacial Education, Hanoi Medical University. Result: The majority of the maxillary first premolars had one root canal (86.3%), while the mandibular first premolars had an equal distribution of one and two root canals (46.2%). The majority of the two roots of the maxillary first premolars had Type I root canal system (96%), while almost half of the single roots of the mandibular first premolars had Type I (47.4%) or Type V (34.2%) root canal systems. The majority of the maxillary and mandibular first premolars had moderate curvature, 86.9% and 83.6% respectively. Conclusion: The first premolars exhibit complexity in terms of the number of root canals, curvature, and shape of the root canal.

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References

1. Gulabivala K, Aung TH, Alavi A, Ng YL. Root and canal morphology of Burmese mandibular molars: Morphology of Burmese mandibular molars. Int Endod J. 2001; 34(5): 359-370.
2. Vertucci FJ. Root canal morphology of mandibular premolars. J Am Dent Assoc. 1978; 97(1): 47-50.
3. Bhattacherjee A. Social Science Research: Principles, Methods, and Practice”s. University of South Florida, 2012; 3: 1-149.
4. Sam W. Schneider (1971). A Comparison of Canal Preparations in Straight and Curved Root Canals. Oral Sugery, Oral Medincine, Oral Pathology. 32, 271-275.
5. Ok E, Altunsoy M, Nur BG, et al. A cone-beam computed tomography study of root canal morphology of maxillary and mandibular premolars in a Turkish population. Acta Odontol Scand. 2014; 72(8): 701-706
6. Ahmad IA, Alenezi MA. Root and Root Canal Morphology of Maxillary First Premolars: A Literature Review and Clinical Considerations. J Endod. 2016; 42(6): 861-872.
7. Llena C, Fernandez J, Ortolani PS, et al. Cone-beam computed tomography analysis of root and canal morphology of mandibular premolars in a Spanish population. Imaging Sci Dent. 2014; 44(3): 221-227.
8. Tian YY, Guo B, Zhang R, et al. Root and canal morphology of maxillary first premolars in a Chinese subpopulation evaluated using cone-beam computed tomography: Root canal morphology. Int Endod J. 2012; 45(11): 996-1003.
9. Qiao X, Xu T, Chen L, Yang D. Analysis of Root Canal Curvature and Root Canal Morphology of Maxillary Posterior Teeth in Guizhou, China. Med Sci Monit Int Med J Exp Clin Res. 2021; 27: e928758-1-e928758-12.
10. Alenezi DJ, Nazhan SAA, Maflehi NA, et al. Root and Canal Morphology of Mandibular Premolar Teeth in a Kuwaiti Subpopulation: A CBCT Clinical Study. Eur Endod J. 2020; 5(3): 248-256.