Morphological variations of mandibular first premolar on cone-beam computed tomography in a Saudi Arabian sub-population
In-depth knowledge of common and aberrant pulp morphology is essential for appropriate diagnosis and treatment planning prior to commencing root canal treatment. Radicular morphology of mandibular premolars has been extensively studied. Considerable variation in the number of canals and roots found...
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doaj-cd86c96c698346d4818249b63a4d9d1b2021-02-27T04:37:03ZengElsevierSaudi Dental Journal1013-90522021-03-01333150155Morphological variations of mandibular first premolar on cone-beam computed tomography in a Saudi Arabian sub-populationYoussef A. Algarni0Muna J. Almufarrij1Ibrahim A. Almoshafi2Haneen H. Alhayaza3Nuha Alghamdi4Suheel Manzoor Baba5Department of Restorative Dental Science, King Khalid University, Abha, Aseer, Saudi Arabia; Corresponding author at: Department of Restorative Dental Science, Faculty of Dentistry, King khalid University, Abha, Aseer, Saudi Arabia.Dental Intern, King Khalid University, Saudi ArabiaGeneral Dentist Ministry of Health KMMCH, Saudi ArabiaDental Intern, King Khalid University, Saudi ArabiaDepartment of Restorative Dental Science, King Khalid University, Abha, Aseer, Saudi ArabiaDepartment of Restorative Dental Science, King Khalid University, Abha, Aseer, Saudi ArabiaIn-depth knowledge of common and aberrant pulp morphology is essential for appropriate diagnosis and treatment planning prior to commencing root canal treatment. Radicular morphology of mandibular premolars has been extensively studied. Considerable variation in the number of canals and roots found in these teeth has been reported. Aim: The purpose of this study is to investigate the root and root canal morphology of mandibular first premolar among Saudi Arabian subpopulation in Aseer using CBCT. Methods: Cone-beam computed tomography images of Mandibular first premolar were taken from 166 patients which were referred to Armed Forces Hospitals Southern Region (AFHSR), Khamis Mushayt, Asir region Saudi Arabia. All the images were assessed by two Evaluators (An Endodontist and a Radiologist). Inter-examiner reliability was determined and was assessed by KAPPA value. Results: The mandibular first premolar (n = 216) distributed as 120 teeth in female and 96 teeth in male. Out of the 120 teeth examined in female groups one canal was seen in 95 (79.2%) teeth, two canals in 19 (15.8%) teeth and three canals in 6 (5%) teeth where as in the Male group out of 96 teeth, 52 (54.1%) teeth showed one canal, 32 (33.3%) teeth with two canals whereas 12 (12.5%) teeth showed presence of three canals.Chi-Square test for mandibular first premolars demonstrated the chance of second canal in the mandibular first premolar more in male than female and these differences was statistically significant (P ≤ 0.05). Conclusion: Endodontic therapy of mandibular premolars is a challenge for clinician because of their frequent morphological and anatomical abnormalities. Proper knowledge about number of root canals and canal configuration is a key to success in Endodontic. There is a great variability in different population regarding the root canal configuration in mandibular pre-molars. However, most studies state the mandibular first premolar has one root canal. Also, the most prevalent type of root canal found was Type I vertucci.http://www.sciencedirect.com/science/article/pii/S1013905219305796EndodonticPremolarsRCTAFHSRMandibular:firstpremolarCBCT |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Youssef A. Algarni Muna J. Almufarrij Ibrahim A. Almoshafi Haneen H. Alhayaza Nuha Alghamdi Suheel Manzoor Baba |
spellingShingle |
Youssef A. Algarni Muna J. Almufarrij Ibrahim A. Almoshafi Haneen H. Alhayaza Nuha Alghamdi Suheel Manzoor Baba Morphological variations of mandibular first premolar on cone-beam computed tomography in a Saudi Arabian sub-population Saudi Dental Journal Endodontic Premolars RCT AFHSR Mandibular:firstpremolar CBCT |
author_facet |
Youssef A. Algarni Muna J. Almufarrij Ibrahim A. Almoshafi Haneen H. Alhayaza Nuha Alghamdi Suheel Manzoor Baba |
author_sort |
Youssef A. Algarni |
title |
Morphological variations of mandibular first premolar on cone-beam computed tomography in a Saudi Arabian sub-population |
title_short |
Morphological variations of mandibular first premolar on cone-beam computed tomography in a Saudi Arabian sub-population |
title_full |
Morphological variations of mandibular first premolar on cone-beam computed tomography in a Saudi Arabian sub-population |
title_fullStr |
Morphological variations of mandibular first premolar on cone-beam computed tomography in a Saudi Arabian sub-population |
title_full_unstemmed |
Morphological variations of mandibular first premolar on cone-beam computed tomography in a Saudi Arabian sub-population |
title_sort |
morphological variations of mandibular first premolar on cone-beam computed tomography in a saudi arabian sub-population |
publisher |
Elsevier |
series |
Saudi Dental Journal |
issn |
1013-9052 |
publishDate |
2021-03-01 |
description |
In-depth knowledge of common and aberrant pulp morphology is essential for appropriate diagnosis and treatment planning prior to commencing root canal treatment. Radicular morphology of mandibular premolars has been extensively studied. Considerable variation in the number of canals and roots found in these teeth has been reported. Aim: The purpose of this study is to investigate the root and root canal morphology of mandibular first premolar among Saudi Arabian subpopulation in Aseer using CBCT. Methods: Cone-beam computed tomography images of Mandibular first premolar were taken from 166 patients which were referred to Armed Forces Hospitals Southern Region (AFHSR), Khamis Mushayt, Asir region Saudi Arabia. All the images were assessed by two Evaluators (An Endodontist and a Radiologist). Inter-examiner reliability was determined and was assessed by KAPPA value. Results: The mandibular first premolar (n = 216) distributed as 120 teeth in female and 96 teeth in male. Out of the 120 teeth examined in female groups one canal was seen in 95 (79.2%) teeth, two canals in 19 (15.8%) teeth and three canals in 6 (5%) teeth where as in the Male group out of 96 teeth, 52 (54.1%) teeth showed one canal, 32 (33.3%) teeth with two canals whereas 12 (12.5%) teeth showed presence of three canals.Chi-Square test for mandibular first premolars demonstrated the chance of second canal in the mandibular first premolar more in male than female and these differences was statistically significant (P ≤ 0.05). Conclusion: Endodontic therapy of mandibular premolars is a challenge for clinician because of their frequent morphological and anatomical abnormalities. Proper knowledge about number of root canals and canal configuration is a key to success in Endodontic. There is a great variability in different population regarding the root canal configuration in mandibular pre-molars. However, most studies state the mandibular first premolar has one root canal. Also, the most prevalent type of root canal found was Type I vertucci. |
topic |
Endodontic Premolars RCT AFHSR Mandibular:firstpremolar CBCT |
url |
http://www.sciencedirect.com/science/article/pii/S1013905219305796 |
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