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CC BY-NC-ND 4.0 · European Journal of General Dentistry 2020; 9(01): 40-44
DOI: 10.4103/ejgd.ejgd_141_19
Original Article

Assessment of root canal morphology of mandibular incisors using cone-beam computed tomography among residents of Al-Madinah Al-Munawara Region, Saudi Arabia

Hani M. Ghabbani
Department of Restorative Dentistry, College of Dentistry, Taibah University, Madinah, Saudi Arabia
,
Asma A. Marghalani
Department of Restorative Dentistry, College of Dentistry, Taibah University, Madinah, Saudi Arabia
,
Hala R. Alabiri
1   Department of Endodontics, Faculty of Dentistry, King AbdulAziz University, Jeddah, Saudi Arabia
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Abstract

Objectives: This study investigates the root configuration and prevalence of multiple canals in mandibular incisors among a Saudi subpopulation in the Al-Madinah Al-Munawara region using cone-beam computed tomography (CBCT). Materials and Methods: The study included imaging data from 929 CBCT scans. All scans were obtained using a CBCT device (Carestream SM 749, Rochester, NY, USA). Each scan was analyzed in two orthogonal planes (axial and sagittal) to explore information regarding tooth identification, the number of roots, and the internal morphology of the mandibular incisors. Vertucci’s classification was used to categorize the canal configuration of the mandibular incisors. Statistical Analysis: Data interpretation was performed using SPSS software. Chi-square and one-way analysis of variance tests were applied for data analysis (P < 0.05). Results: Five hundred and twenty-three CBCT scans were excluded according to the set criteria. A total of 1624 mandibular incisors were inspected from 406 CBCT scans. In females, 275 (64.8%) teeth showed Type I configurations, and 125 (29.4%) showed Type III configurations. In males, 563 (46.9%) teeth showed Type III configurations, and 543 (45.2%) showed Type I configurations. In terms of the number of roots, all samples showed single-rooted mandibular incisors. Conclusion: All participants’ mandibular incisors had single roots with a high incidence of single-canal configurations. The root canal configuration of the majority of lower incisors showed bilateral symmetry.

Keywords

Anatomical variation - mandibular incisors - Vertucci’s classification

Financial support and sponsorship

Nil.




Publication History

Article published online:
01 November 2021

© 2020. European Journal of General Dentistry. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • References

  • 1 Benjamin KA, Dowson J. Incidence of two root canals in human mandibular incisor teeth. Oral Surg Oral Med Oral Pathol 1974;38:122-6.
  • 2 Zhengyan Y, Keke L, Fei W, Yueheng L, Zhi Z. Cone-beam computed tomography study of the root and canal morphology of mandibular permanent anterior teeth in a chongqing population. Ther Clin Risk Manag 2016;12:19-25.
  • 3 Aminsobhani M, Sadegh M, Meraji N, Razmi H, Kharazifard MJ. Evaluation of the root and canal morphology of mandibular permanent anterior teeth in an Iranian population by cone-beam computed tomography. J Dent (Tehran) 2013;10:358-66.
  • 4 Akhtar S, Siddiqui F, Sheikh A, Rashid S, Khurshid Z, Najeeb S, et al. Frequency of procedural errors during root canal treatment performed by interns. British Biotechnol J 2016;12:1-8.
  • 5 Leoni GB, Versiani MA, Pécora JD, Damião de Sousa-Neto M. Micro-computed tomographic analysis of the root canal morphology of mandibular incisors. J Endod 2014;40:710-6.
  • 6 Vertucci FJ. Root canal anatomy of the human permanent teeth. Oral Surg Oral Med Oral Pathol 1984;58:589-99.
  • 7 Vertucci FJ. Root canal morphology and its relationship to endodontic procedures. Endodontic Topics 2005;10:3-29.
  • 8 Kartal N, Yanikoğlu FC. Root canal morphology of mandibular incisors. J Endod 1992;18:562-4.
  • 9 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.
  • 10 Miyashita M, Kasahara E, Yasuda E, Yamamoto A, Sekizawa T. Root canal system of the mandibular incisor. J Endod 1997;23:479-84.
  • 11 Al-Qudah AA, Awawdeh LA. Root canal morphology of mandibular incisors in a Jordanian population. Int Endod J 2006;39:873-7.
  • 12 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.
  • 13 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.
  • 14 Fan B, Yang J, Gutmann JL, Fan M. Root canal systems in mandibular first premolars with C-shaped root configurations. Part I: Microcomputed tomography mapping of the radicular groove and associated root canal cross-sections. J Endod 2008;34:1337-41.
  • 15 Sberna MT, Rizzo G, Zacchi E, Capparè P, Rubinacci A. A preliminary study of the use of peripheral quantitative computed tomography for investigating root canal anatomy. Int Endod J 2009;42:66-75.
  • 16 Neelakantan P, Subbarao C, Subbarao CV. Comparative evaluation of modified canal staining and clearing technique, cone-beam computed tomography, peripheral quantitative computed tomography, spiral computed tomography, and plain and contrast medium-enhanced digital radiography in studying root canal morphology. J Endod 2010;36:1547-51.
  • 17 Paes da Silva Ramos Fernandes LM, Rice D, Ordinola-Zapata R, Alvares Capelozza AL, Bramante CM, Jaramillo D, et al. Detection of various anatomic patterns of root canals in mandibular incisors using digital periapical radiography, 3 cone-beam computed tomographic scanners, and micro-computed tomographic imaging. J Endod 2014;40:42-5.
  • 18 Patel S, Durack C, Abella F, Shemesh H, Roig M, Lemberg K. Cone beam computed tomography in endodontics – A review. Int Endod J 2015;48:3-15.
  • 19 Green D. Double canals in single roots. Oral Surg Oral Med Oral Pathol 1973;35:689-96.
  • 20 Al-Fouzan K, Al-Rejaie M, AlManee A, Jan J, Al-Rejaie M. Incidence of two canals in extracted mandibular incisors teeth of Saudi Arabian samples. Saudi Endod J 2012;2:65-9.
  • 21 Alrahabi M, Zafar M. Evaluation of root canal morphology of maxillary molars using cone beam computed tomography. Pak J Med Sci 2015;31:426-30.
  • 22 Zafar M, Alrahabi M. Cone beam computed tomography for exploring morphology of mandibular first molar. Br J Med Med Res 2015;6:514-21.
  • 23 Han T, Ma Y, Yang L, Chen X, Zhang X, Wang Y. A study of the root canal morphology of mandibular anterior teeth using cone-beam computed tomography in a Chinese subpopulation. J Endod 2014;40:1309-14.
  • 24 Shemesh A, Kavalerchik E, Levin A, Ben Itzhak J, Levinson O, Lvovsky 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.
  • 25 Thota LB, Gunaranjan T, Krishna VN, Sridhar M, Reddy AE, Madhusudhana K. Root canal morphology of mandibular central incisors in Nellore population. Int J Oral Care Res 2016;4:8-10.
  • 26 Singh S, Pawar M. Root and canal morphology of mandibular incisors and canines in South Asian Indian population by canal staining and tooth clearing technique. Endodontology 2016;28:148-53.
  • 27 Kamtane S, Ghodke M. Morphology of mandibular incisors: A study on CBCT. Pol J Radiol 2016;81:15-6.