Morphology Of Premolars Research Articles

Seçilen bir Türk popülasyonunda koni-ışınlı bilgisayarlı tomografi kullanılarak mandibular birinci ve ikinci premolarların kök kanal morfolojisi ve literatür taraması

Objectives: To investigate the root canal morphology of permanent mandibular premolars using cone-beam computed tomography (CBCT) in the selected population and to review previous studies regarding other selected Turkish subpopulations. Materials and Methods: The sample for this retrospective study included 1048 CBCT images of 672 females and 376 males representing 1613 mandibular first and 1461 second premolars. Pubmed and Google Scholar were used to search previous literature with selected keywords. Results: The incidence of single root in mandibular first and second premolars was 99.75% and 99.38%, respectively. Complex root canal anatomy was evident in the first premolars compared to second premolars and in males than females (p<0.05). Eight studies have previously evaluated the root canal anatomy of mandibular premolars of other Turkish subpopulations by clearing or CBCT images. The prevalence of 2 or more root canals was found between 5.80% - 39.50% in mandibular first premolars and 1.1% -29% in mandibular second premolars in these studies. Conclusions: More attention should be paid to the detection of additional canals during root canal treatment of mandibular premolars, especially in male patients. The symmetrical morphology of the premolars may guide the practitioners during the root canal treatment. Evaluation methods could affect the results regarding root canal anatomy.

Cone-Beam computed tomography study of root and canal morphology of mandibular premolars in Kashmiri population

Aim: The current study’s goal was to employ CBCT to determine the accurate root anatomy, as well as root canal configuration, of mandibular first and second premolars in Kashmiri Population.Materials and Methods: CBCT scans data of the patients who were scanned for some diagnostic purposes were collected. The collected data were subjected to a retrospective examination. All of the data related to patients who were scanned at the Bright X-rays CBCT centre between Jan 2018 and December 2021 were evaluated.Results: Table 1 shows the number of roots on the right and left sides in relation to gender and tooth location. Of the 250 teeth assessed, 243 mandibular premolars had one root (97.2%), whereas 7 (2.8%) were two-rooted. There was no statistically significant difference (p > 0.05) between gender and the number of roots or tooth position and the number of roots.Conclusion: The prevalence of multiple canals in mandibular first premolars was mainly of Type V, and mandibular second premolars had a low rate of canal variation. Root canal bifurcation occurred at the middle or apical third in most bicanal mandibular premolars. CBCT scanning can be used in the management of mandibular premolars with complex canal morphology.

Cone-Beam Computed Tomographic analysis of Root and Root Canal Morphology of Mandibular Premolars in Egyptian Population

Cone-Beam Computed Tomographic analysis of Root and Root Canal Morphology of Mandibular Premolars in Egyptian Population

Maxillary first premolar shape (and not size) as an indicator of sexual dimorphism: A 2D geomorphometric study

Introduction The primary aim of the study is to evaluate the morphological form of the maxillary first premolar using 2D geomorphometry and evaluate the sexually dimorphic characteristics. Methods The present study was carried out on standardized photographs of right Maxillary first premolar from 55 dental casts (33 male and 22 females). Nineteen landmarks (based on geometric and anatomic evidence) were marked on the tooth using TPSdig software and analysed using Morpho J applying procrustes analysis and discriminant function analysis Results The results showed similar centroid sizes between gender (p = 0.606). Procrustes ANOVA for shape analysis showed a greater dimorphism between sexs (f value of 1.4 ; p value=0.0624). Discriminant function analysis based on the procrustes coordinates showed an overall accuracy of 90.91 % in classifying sex based on the landmark coordinates with correct classification of 20/22 (90.99%) females and 30/33 (90.91) males. Conclusion Shape of the tooth can be measured objectively using geometric morphometric methods which can be utilized to identify the sex of an individual. Enamel covering the crown of the teeth is biologically stable resisting climatic, physical and chemical insults. The enamel is derived from ectoderm and once formed does not change during the life. The tooth's structure and shape are determined by the sex chromosomes, which is well represented as sexual dimorphism. The study evaluates the occlusal and contact area morphology of premolars. These are important parameters considered during restorative treatment, functional rehabilitation and forensic investigations.

Root and Canal Morphology of Mandibular Premolars in a Saudi Subpopulation: A Cone-Beam Computed Tomography Study.

Objectives The efficacy of root canal therapy is dependent on a thorough understanding of both normal and aberrant root canal morphology. As a result, the purpose of this study was to use CBCT to characterize the exact root and canal morphology of mandibular premolars in a Saudi subpopulation. Methods The current study included 1000 mandibular premolars (507 first premolars and 493 second premolars) with completely developed roots. CBCT was performed to assess the shape of the roots and to classify the canal anatomy according to Vertucci's classification. The incidence and similarity of the left and right sides, as well as men and women, were investigated. The data were examined using the chi-square test. Results Of the 507 mandibular first premolars analyzed, 484 (95.5%) had one root, whereas 23 (4.5%) had two roots. Of the 493 mandibular second premolars analyzed, 489 (99.2%) had one root, whereas four teeth had two roots (0.8%). There were no statistically significant variations in the number of roots identified across groups (p > 0.05). The most prevalent in mandibular first premolars was type I, accounting for 70.0% (n = 355) of the studied sample, followed by type II (14.2%, n = 72) and type IV (10.1%, n = 51). For mandibular second premolar, type I had the highest incidence (449 (91.1%)), followed by type II (5.7%, n = 28). Conclusion In a Saudi subpopulation, the majority of mandibular first and second premolar teeth had a single root with a type I canal system. On the other hand, numerous roots with various canal classifications were found.

Anatomical Evaluation of Mandibular Premolars in Saudi Population: An In Vivo Cone-beam Computed Tomography Study

Background: Cone-beam computed tomography (CBCT) offers a three-dimensional (3D) image of the anatomical structures in the maxillofacial region. CBCT can provide images with sufficient spatial resolution and low radiation dose in endodontic diagnosis and treatment planning. Objective: This study aimed to evaluate the root canal morphology of mandibular premolars in a Saudi sub-population by showing the importance of cone-beam computed tomography radiographic analysis in detecting varieties of the root canal system. Methods: A total of 776 mandibular first and second premolars were analyzed. Teeth that have completed root development and apical closure were included. To accurately evaluate the external and internal morphologies of the teeth, three sections (i.e., the serial axial, coronal, and sagittal sections) were acquired for each tooth. Data are presented in terms of frequencies and percentages. The chi-squared test was used to determine the differences between two sides (right and left). A p-value of less than 0.05 was considered statistically significant. Results: Among the 397 mandibular first premolars, 99.5% had one root, 69.5% had one canal, and 29.5% had two canals. In terms of root canal configuration, 69.5%, 6.3%, 22.2%, and 0.3% of the teeth had Vertucci type I, type III, type V, and type VII canal configurations, respectively. Similarly, among the mandibular second premolars, 100% had one root, 96.8% had one canal, and 2.1% of teeth had two canals. Most of the samples (96.8%) had Vertucci type I canal configuration, and 1.6% and 0.8% of the teeth had Vertucci type III and type V canal configurations, respectively. In both groups of teeth, no statistically significant differences were observed between the right and left sides (P> 0.05). Conclusion: Mandibular premolars could have challenged internal morphology, and CBCT small field of view is advised in case periapical x-ray is inconclusive.

Root canal morphologies of mandibular premolars in Southeast Anatolian population: Evaluation of CBCT

Background/Aim: This study aimed to evaluate the root canal morphology of mandibular first and second premolars with the aid of cone-beam computed tomography (CBCT) in the Southeast Anatolian population. Material and Methods: The study examined a total of 1258 mandibular first and second premolars using cone-beam computed tomography images of 370 randomly selected patients who applied to the Department of OralDental and Maxillofacial Radiology of Faculty of Dentistry, Dicle University due to various indications. The total number of roots and root canals, canal symmetry and correlations between the right and left side of the mandible, and the prevalence in men and women were recorded. Data was analzyed using the Chi-Square and Fisher's Exact tests. Canal configurations were evaluated based on the Vertucci classification. Results: The evaluation of CT images of a total of 370 individuals showed that 88.89% of the first premolars and 98.45% of the second premolars were symmetrical. The canal anatomy of the first premolars suggested that 85.98% of the premolars were of Type I, 12.02% were of Type V, and 2% were of Type III based on the Vertucci classification. On the other hand, the canal anatomy of the second premolars revealed that 98.83% were of Type I, 0.67% were of Type V, and 0.5% were of Type III. Conclusions: The prevalent morphology of the multiple canals was Type V, except for the Vertucci classification Type I in the mandibular first premolars. Limited number of canal variations were observed in the mandibular second premolars.

Root and root canal morphology of maxillary premolars in the Saudi population: A review of literature

Root and root canal morphology of maxillary premolars in the Saudi population: A review of literature

A comparative study on mandibular premolar root canal morphology employing cone-beam computed tomography and microcomputed tomography imaging

Aim:The present study was to investigate the root canal morphology of mandibular premolars in Malaysian population using cone-beam computed tomography (CBCT) and microcomputed tomography (micro-CT) scanned images.Materials and Methods:Sixty selected mandibular premolars were evaluated in vitro and the root canal morphologies of the samples were categorized based on Vertucci's classification. The position of apical foramen, presence, and location of lateral canal, as well as prevalence of apical delta, were also determined.Results:Invariably, Type I variety (Vertucci's classification) was the most frequent root canal morphology followed by Type V and Type III after micro-CT imaging. CBCT investigation also revealed Type I as the most numerous; however, the second most common configuration was Type III followed closely by others. There was a moderate agreement in Vertucci's classification of root canal configuration and also prevalence of apical delta (kappa: 0.516 and 0.550, respectively). However, only a fair agreement (kappa: 0.289) was observed between CBCT and micro-CT on the prevalence of lateral canal.Conclusion:CBCT should be cautiously used in determining root canal configuration as deficiencies were evident and revealed during micro-CT imaging.

Root and canal morphology of maxillary premolars and their relationship with the crown morphology

ObjectivesTo investigate the relationship between crown/root size and root/canal morphology of maxillary premolars. MethodsOne hundred and thirty-three first (P1) and 110 second (P2) maxillary premolars were used. Mesiodistal and buccolingual diameters and root heights of P1 and P2 were recorded to the nearest 0.01 mm. The number of single and multi-rooted premolars was recorded based on the Turner's classification. Root canal morphology was studied using a clearing technique with Vertucci's classification. Pearson's correlation coefficient was used to analyze the relationship between tooth size and root/canal morphology. ResultsTwo-rooted P1 was found in 33.9% of male and 22.5% of female. P2 showed a single root in 85.4% of male and 82.6% of female. In case of P1, the number of root canals (P<0.05) and apical foramina (P<0.01) was significantly different between male and female. P1 crown dimensions were larger in double-rooted teeth than in single-rooted ones. Significant differences were observed in buccolingual (P<0.05) and crown area (P<0.05) in females. Root height was smaller in double-rooted than in single-rooted P1. A similar trend was observed for P2 with a larger crown size in teeth with two apical foramina compared with those with a single foramen. ConclusionsTwo-rooted P1 with two or more apical foramina are more commonly seen in males than in females. For P1, the correlation of number of roots and apical foramina was stronger with buccolingual diameter than with mesiodistal diameter in both genders. P1 and P2 with large crown dimensions tend to have multiple roots and apical foramina.

Canal configuration and root morphology of mandibular premolars using cone-beam computed tomography in a Korean population.

This study aimed to investigate the anatomy of mandibular premolars from two perspectives-the canal configuration and radicular grooves-using cone-beam computed tomography (CBCT) in a large Korean population. CBCT images of mandibles acquired from March 2018 to December 2019 for dental treatment were randomly selected. In each image, the root canal of premolars was classified into 8 types according to the canal merging or diverging pattern and the number of apical foramens. The presence and the location of radicular grooves were also assessed. Statistical analysis was performed. A total of 1463 first and 1448s premolars from 732 patients (390 males, 342 females, mean age of 36.1years) were evaluated. A single canal with one foramen predominated in both first (85.7%) and second (99.5%) premolars, while complete or partial multi-canals accounted for 14.3% and 0.5% of first and second premolars, respectively. The prevalence of radicular grooves was significantly higher in first premolars (13.2%) than in second premolars (0.5%) and in males (4.3%, n = 119) than in females (2.5%, n = 73). Although most premolars were complete single canals, the first premolars showed a relatively higher number of complex canals compared to the second premolar. In addition, radicular grooves in mandibular premolars were significantly more common in male patients. When planning the endodontic treatment of mandibular premolars, clinicians should be aware of their morphologic complexity, especially in the first premolar of male patients.

Assessment of root morphology and canal configuration of maxillary premolars in a Saudi subpopulation: a cone-beam computed tomographic study

BackgroundThe objective of this study was to use CBCT to look into the root canal morphology of maxillary premolars in a Saudi Arabian subpopulation and associate the results to existing canal morphology classifications.MethodsThe sample size for this analysis was 500 right and left untreated maxillary first and second premolars with fully formed roots from 250 Saudi residents (125 male and 125 female). The following observations were made using CBCT on the teeth related: (1) The number and morphology of roots; (2) The canal morphology for each root according to Vertucci's classification. The frequency and similarities between the right and left sides, as well as between females and males, were studied. The Chi-square test was used to assess the results.ResultsOf the 500 maxillary first premolars studied, 199 teeth had one root (39.8%), whilst 293 (58.6%) were two-rooted. Three-rooted maxillary first premolars were found in 8 (1.6%). For maxillary second premolars, 416 premolars had one root (83.2%), whilst 79 (15.8%) had two roots and the rest 5 (1.0%) were three roots. There were significant differences of number of root were found between groups (p > 0.05). For maxillary first premolar, Type IV was the most frequent, accounting for 57.8% of the sample (n = 289), followed by type II (32.8%, n = 164). For maxillary second premolar, Type I was mainly occurrence 302 (60.4%), followed by Type II (16.4%, n = 82).ConclusionsThe majority of maxillary first premolars had two roots and two root canals, while one root and one root canal was the most common anatomical configuration for maxillary second premolars. Additional canal forms do occur on occasion, and clinicians should pay close attention to them.

Root canal morphology and symmetry of mandibular second premolars using cone-beam computed tomography.

The current study aims to investigate the morphology and symmetry of root canals of mandibular second premolar teeth via Cone-Beam Computed Tomography (CBCT) among a sample of the Saudi population. A total of 1200 CBCT images were examined in the study. The number of roots in the mandibular second premolars was identified, and canal configurations were classified according to Vertucci classification. Bilateral symmetry and association between gender and number of roots and root canal configuration were investigated using a chi-square test was utilized for data analysis and p value was set at 0.05 for significance. Of the total 2400 Mandibular second premolars, 98.33% were single rooted and 1.67% were double rooted. The prevalence of double roots in females on the right side was significantly higher than that on the left side (p = 0.017), but the opposite was found among males. Only Type I and II canal configurations showed significant differences regarding gender and sides. 98.0% of teeth showed the symmetrical number of roots in both genders. The symmetry in canal configuration was 96.7% in males and 97.3% in females and 99.1% was Type I in both sides, 0.5% Type III, and 0.3% Type IV in both sides. The root morphology of mandibular second premolars in the Saudi population demonstrated a high degree of variability. The vast majority of mandibular premolars have a single root with one canal and a low prevalence of two rooted teeth. Contralateral mandibular second premolars exhibited great symmetry of roots and root canal configuration.

Cone\u2010beam computed tomography evaluation of C-shaped root and canal morphology of mandibular premolars

BackgroundMandibular premolars are complicated teeth to endodontically treat due to the anatomical variations that can present. The purpose of this study was to determine the presence of C-shaped configurations in mandibular premolars by cone-beam computed tomography (CBCT).Methods380 mandibular first premolars and 308 mandibular second premolars cone-beam computed tomographic images were obtained from 292 patients (175 female and 117 male). Tooth position, number of roots, root canals, C-shaped root canal system configuration, level of canal bifurcation and radicular grooves were evaluated by two endodontists trained in CBCT evaluation; previously calibrated between them, and a radiologist with endodontic experience. Data were statistically compared by The Chi-square test (α = 0.05) to examine any significant difference between gender and C-shaped root canal system and any significant difference between C-shaped configuration according to Fan criteria and gender.ResultsOverall 100% (n = 688) teeth examined, 19.2% (n = 132) had a C-shaped root canals system. 9.16% (n = 63) in male patients and 10.03% (n = 69) in female patients. The prevalence of C-shaped root canal system in mandibular first premolar was 83.33 and 16.66% in mandibular second premolars. According to Fan classification, the mandibular first premolars showed 3.63% as C1, 9.09% C2, 59.09% C3, 21.81% C4a, 1.8% C4b. Mandibular second premolars showed 13.63% as C1, 18.18% C2, 13.63% C3, 27.27% C4a, 9.09% C4b. Male patients showed 4.54% as C1, 3.78% C2, 22.72% C3, 11.36% C4a, 0.75% C4b, and 4.54% out of classification. Female patients showed 0.75% as C1, 6.81% C2, 30.03% C3, 9.84 C4a, 2.27% C4b, and 2.27% out of classification. The 53.36% canal bifurcation in mandibular first premolars and 50.09% in mandibular second premolars were in the middle third. No statistical differences were found between C-shaped root canal system and gender or C-shaped configuration according to Fan criteria and gender. P was < 0.05.ConclusionsWithin the limitation of this study, the presence of C-shaped anatomical system is relatively low in mandibular second premolars than in mandibular first premolars.

Anatomical Evaluation of Maxillary Premolars in a Saudi Population: An In Vivo Cone-beam Computed Tomography Study

Evaluation of the root canal morphology of maxillary premolars was the primary objective of this study, on the criteria of the roots present, canals detected in the roots, and anatomical canal patterns according to Vertucci's classification observed in the Saudi population using cone-beam computed tomography (CBCT) radiographic analysis comparing them to previous reports in the same population. A total of 710 maxillary 1st and 2nd premolars were considered in this research; of which 351 were 1st premolars and 359 were 2nd premolars. These premolars were investigated for their external and internal anatomy using CBCT. Teeth with apical closure and complete root development were included in the study. Endodontically treated teeth, teeth with calcified canals or resorbed roots, as well as unclear teeth on CBCT images were excluded. Among the 351 maxillary 1st premolars, 40.7% of teeth had 1 root, 57.5% had 2 roots, and 1.7% had 3 roots. Around 93.2% of teeth had 2 canals, 3.7% had 1 canal, 2.6% had 3 canals, and 0.4% had 4 canals. According to Vertucci's classification, 63.8% of teeth had class IV configuration, 14.8% had class V configuration, 7.7% had class III configuration, and 6.8% had class II configuration. Likewise, among the maxillary second premolars, 88% of teeth had 1 root and 12% of teeth had 2 roots. Around 38.2% of teeth had a single canal while 61.0% of teeth had 2 canals, and 3 teeth were found with the extra canal (had 3 canals). More than one-third (38.2%) of teeth had Vertucci type I, 19.2% had Vertucci type IV, 15.3% had Vertucci type III, and 12.3% had Vertucci type V. Maxillary first premolars had a higher prevalence of 2 roots, whereas one root was predominant in second premolars. Most of the maxillary premolars had 2 canals with the majority having Vertucci type IV in the first premolars and type I in the second premolars. Maxillary premolars present with external and internal anatomical variations, so clinician should be aware about these varieties by taking small field of view CBCT when needed which will be of great value.

A Retrospective Study of Roots and Root Canal Morphology in Mandibular Premolars using Cone Beam Computed Tomography in Delhi-NCR

Introduction: The anatomical heterogeneity of mandibular premolars has always been considered an enigma and it makes them potentially prone to high rates of endodontic failure. Only few studies have discussed the potential role of Cone Beam Computed Tomography (CBCT) in the assessment of root morphology, canal configuration and their complex variations. Aim: To investigate the number of roots and root canals along with the canal configuration in mandibular premolars in the Delhi- National Capital Region (NCR) population using CBCT imaging. Materials and Methods: The retrospective observational study was conducted where 432 CBCT images of 108 patients were acquired from different CBCT centres in Delhi-NCR region to determine the anatomy and morphology of mandibular premolars. The number of roots, root canals and their configuration and its association with symmetry and gender was evaluated. Pearson Chi-square test and Fisher’s-exact test were used for statistical analysis. Results: The mandibular first and second premolars reported with single root in 94.9% and 98.1% cases, respectively. Majority of 1st premolars displayed 2 canals (59.7%) whereas 2nd premolars exhibited single canal (58.3%) more frequently. Type I configuration was most prevalent in both 1st premolar (39.8%) and 2nd premolars (60.2%). Type V configuration was significantly reported on the left in both mandibular 1st and 2nd premolars (13.9% and 4.6%), respectively. There was no significant gender predilection observed for the morphology of roots, root canal and canal configuration. Conclusion: In Delhi-NCR, there was a high prevalence of multiple canals and variable configurations in 1st premolars whereas single root canal and Type I canal configuration were more frequent in 2nd premolars with a significant bilateral distribution. However, in both mandibular premolars there was a slight inclination reported for multiple canals and variable configurations towards left with no gender predilection.

Evaluation of root canal morphology of mandibular premolars using cone-beam computed tomography in Rajasthan subpopulation - A retrospective study

Aim: The purpose of this study was to evaluate root canal morphology in mandibular first and second premolars among Rajasthan subpopulation in Jaipur city using cone-beam computed tomography (CBCT). Materials and Methods: CBCT scans of 740 fully erupted mandibular first and second premolars were taken and assessed by two endodontists. Inter-examiner reliability was determined. Results: The root canal morphology of 380 permanent mandibular first premolars was assessed which showed canal configurations of Type I in 73.5%, Type V in 11.57%, Type IV in 8.42%, Type III in 2.63%, Type II in 2.1%, Type VII in 2.1% and Type VI and VIII 0% of the scans. The root canal morphology of 360 permanent mandibular second premolars was assessed which showed canal configurations of Type I in 88.88%, Type II in 7.77%, Type IV in 2.2%, Type III and Type V in 0.55%, Type VI, VII, VIII in 0% respectively of the scans. Conclusion: The majority of the population in Rajasthan have Vertucci's Type I configuration in both mandibular first and second premolars. However, other canal configurations can also be found in these teeth.

First report of the Broad-toothed Tailless Bat, Anoura latidens Handley, 1984 (Chiroptera, Phyllostomidae), in Bolivia

Anoura latidens Handley, 1984 is a nectarivorous bat with a wide elevational and latitudinal distribution, from Venezuela and Guyana to southeastern Peru. We reviewed mammal collections of the genus Anoura Gray, 1838 and identified two individuals previously attributed to A. caudifer (&amp;Eacute;. Geoffroy Saint-Hilaire, 1818) as A. latidens based on their premolar morphology and morphological measurements. In this note we report the first record of A. latidens in the Yungas forests of Bolivia, which extends its geographic range by 1,006 km southeast of its previous southernmost record in Peru.

A Gliriform Tooth from the Eocene of the Erlian Basin (Nei Mongol, China) and the Premolar Morphology of Anagalidan Mammals at a Crossroads

The middle Eocene in Nei Mongol (China) was an interval of profound faunal changes as regards the basal Glires and gliriform mammals in general. A major diversification of rodent lineages (ctenodactyloids) and more modern small-sized lagomorphs was accompanied by a decline of mimotonids (Gomphos and Mimolagus) and anagalids. The latter was an enigmatic group of basal Euarchontoglires endemic to China and Mongolia. Here, we describe the first anagalid tooth (a P4) from the Huheboerhe classic site in the Erlian Basin. The tooth, characterized by its unique morphology intermediate between mimotonids and anagalids is semihypsodont, has a single buccal root typical of mimotonids, a large paracone located anteriorly, and a nascent hypocone, characteristic of advanced anagalids. The new finding of neither an abundant nor speciose group suggests a greater diversity of anagalids in the Eocene of China. This discovery is important because it demonstrates the convergent adaptations in anagalids, possibly of ecological significance.

Evaluation of root-canal morphology and anatomy of maxillary second premolars using cone-beam computed tomography

Evaluation of root-canal morphology and anatomy of maxillary second premolars using cone-beam computed tomography