The prevalence of a second root canal in mandibular anterior teeth using Cone Beam Computed Tomography.
DOI:
https://doi.org/10.59334/ROV.v1i38.531Keywords:
mandibular incisor , Root canal, endodontics, cone beam, Vertucci classificationAbstract
Introduction: It was believed that the mandibular anterior teeth usually have a single root canal with a single root. However, a study by Vertucci et. al., (1974), showed a high prevalence (13%) of two root canals in the lower anterior teeth, which stimulated further investigations. Objective: The purpose of this study was to determine the prevalence of the second root canal in the mandibular anterior teeth in a Nicaraguan population, these were detected by means of computed tomography (Cone Beam). Materials and methods: In the study, 293 teeth were analyzed, from canine to canine of the mandibular teeth. To perform the analysis, the free software Radiant DICOM Viewer 2021.2.2 was used, sagittal, axial and coronal views were made to see the prevalence of the second root canal. Results: Of the 293 teeth analyzed, it was found that 259 had a single root canal corresponding to 88.4%, and 34 teeth had two root canals corresponding to 11.6%. According to the tomographic analysis, it was found that the presence of the second root canal was observed only in the axial and sagittal views. Regarding the presence of the second canal according to the third of the root canal, it was identified that the majority presented in the middle third (52.94%), followed by coronal (29.41%) and finally the apical third (17.65%). According to the Vertucci classification, it was found that there is a higher percentage of type I with 88.40%, followed by type III with 4.44%, then type V with 3.41%, and type II with 2.39%. The one with the lowest percentage was type VI with 1.37%, while in the pieces analyzed, types IV, VII and VIII were not found. Conclusion: Based on the results obtained in this study, the prevalence of a second root canal in lower anterior teeth was 11.6%.
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Al-Qudah, A. A., & Awawdeh, L. A. (2006). Root canal morphology of mandibular incisors in a Jordanian population. International Endodontic Journal, 39(11), 873-877. https://doi.org/10.1111/j.1365-2591.2006.01159.x
Bansal, Hegde, & Astekar. (n.d.). Classification of Root Canal Configurations: A Review and a New Proposal of Nomenclature System for Root Canal Configuration. Journal of Clinical & Academic Ophthalmology.
Ayala, José, (2009). Anatomía dental y de la oclusión. Editorial Ciencias Médicas.
Calderón, S., & Fernanda, M. (2019). Prevalencia de incisivos inferiores unirradiculares con dos conductos mediante Cone Beam. Estudio in vitro [Quito: UCE]. http://www.dspace.uce.edu.ec/handle/25000/18769
Cardona-Castro, J. A., & Fernández-Grisaies, R. (2015). Anatomía radicular, una mirada desde la micro-cirugía endodóntica: Revisión. CES Odontologia / Instituto de Ciencias de La Salud. http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S0120-971X2015000200007
Cohen, S., & Gerald, N. (2011). Preparación para el tratamiento. Vías de la pulpa. Décima edición. Barcelona-España: ed. de Oliveira, S. H. G., de Moraes, L. C., Faig-Leite, H., Camargo, S. E. A., & Camargo, C. H. R. (2009). In vitro incidence of root canal bifurcation in mandibular incisors by radiovisiography. Journal of Applied Oral Science: Revista FOB, 17(3), 234-239. https://doi.org/10.1590/S1678-77572009000300020
Figún, M. E., & Garino, R. R. (2008). Anatomía odontológica: Funcional y Aplicada. El Ateneo.
Gómez Outomuro, M. (2019). Estudio anatómico de los conductos radiculares de incisivos y caninos mandibulares por medio de tomografía axial computarizada de haz cónico. https://addi.ehu.es/handle/10810/30988
Guardiola, M. de L. Á., & Szwom, R. J. (2018). Endodoncia en Incisivos Centrales Inferiores: Omisión del Conducto Lingual. Revista Expressão Católica Saúde, 3(2), 46. https://doi.org/10.25191/recs.v3i2.2436
Hess, W., & Zürcher, E. (1925). The anatomy of the root-canals of the teeth of the permanent dentition. J. Bale, sons & Danielsson, Limited.
Jaimes Del Castillo, J. E., Rueda Manjarrés, M. P., & Velásquez Osma, V. A. (2018). Variaciones anatómicas del sistema de conductos radiculares en incisivos inferiores permanentes mediante tomografía computarizada de haz cónico (TCHC). https://repository.usta.edu.co/handle/11634/12940
Leoni, G. B., Versiani, M. A., Pécora, J. D., & Damião de Sousa-Neto, M. (2014). Micro-Computed Tomographic Analysis of the Root Canal Morphology of Mandibular Incisors. Journal of Endodontics, 40(5), 710-716. https://doi.org/10.1016/j.joen.2013.09.003
Liu, J., Luo, J., Dou, L., & Yang, D. (2014). CBCT study of root and canal morphology of permanent mandibular incisors in a Chinese population. Acta Odontologica Scandinavica, 72(1), 26-30. https://doi.org/10.3109/00016357.2013.775337
Milanezi de Almeida, M., Bernardineli, N., Ordinola-Zapata, R., Villas-Bôas, M. H., Amoroso-Silva, P. A., Brandão, C. G., Guimarães, B. M., Gomes de Moraes, I., & Húngaro-Duarte, M. A. (2013). Micro-computed tomography analysis of the root canal anatomy and prevalence of oval canals in mandibular incisors. Journal of Endodontia, 39(12), 1529-1533. https://doi.org/10.1016/j.joen.2013.08.033
Miyashita, M., Kasahara, E., Yasuda, E., Yamamoto, A., & Sekizawa, T. (1997). Root canal system of the mandibular incisor. Journal of Endodontia, 23(8), 479-484. https://doi.org/10.1016/S0099-2399(97)80305-6
Muñoz, P. O., & Añaños, J. F. H. (2012). Tomografía computarizada Cone Beam en endodoncia. Revista Estomatológica Herediana, 22(1), 59-59. https://doi.org/10.20453/reh.v22i1.161
Neelakantan, P., Subbarao, C., & Subbarao, C. V. (2010). 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. Journal of Endodontia, 36(9), 1547-1551. https://doi.org/10.1016/j.joen.2010.05.008
Rahimi, S., Milani, A. S., Shahi, S., Sergiz, Y., Nezafati, S., & Lotfi, M. (2013). Prevalence of two root canals in human mandibular anterior teeth in an Iranian population. Indian Journal of Dental Research: Official Publication of Indian Society for Dental Research, 24(2), 234-236. https://doi.org/10.4103/0970-9290.116694
Robayo, Aroca, & Granja. (n.d.). Prevalencia de dos conductos en incisivos inferiores permanentes mediante el uso de radiovisiografía. Dominio de Las Ciencias. https://dialnet.unirioja.es/servlet/articulo?codigo=5802910
Sahli, C. C., & Aguadé, E. B. (2019). Endodoncia: Técnicas clínicas y bases científicas. Elsevier Health Sciences.
Scarfe WC, Farman AG, Sukovic P. Clinical applications of cone-beam computed tomography in dental practice. J Can Dent Assoc. 2006 Feb;72(1):75-80.
Shah, N., Bansal, N., & Logani, A. (2014). Recent advances in imaging technologies in dentistry. World Journal of Radiology, 6(10), 794-807. https://doi.org/10.4329/wjr.v6.i10.794
Soares, I. J., & Goldberg, F. (2002). Endodoncia. Técnica y fundamentos. Ed. Médica Panamericana.
Venkatesh, E., & Elluru, S. V. (2017). Cone beam computed tomography: basics and applications in dentistry. Istanbul Universitesi Dishekimligi Fakultesi Dergisi = The Journal of the Dental Faculty of Istanbul, 51(3 Suppl 1), S102-S121. https://doi.org/10.17096/jiufd.00289
Vertucci, F. J. (1974). Root canal anatomy of the mandibular anterior teeth. Journal of the American Dental Association , 89(2), 369-371. https://doi.org/10.14219/jada.archive.1974.0391
Zhengyan, Y., Keke, L., Fei, W., Yueheng, L., & Zhi, Z. (2016). Cone-beam computed tomography study of the root and canal morphology of mandibular permanent anterior teeth in a Chongqing population. Therapeutics and Clinical Risk Management, 12, 19-25. https://doi.org/10.2147/TCRM.S95657
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