Assessment of the presence of radix in lower first and second molars using cone-beam computed tomography and panoramic radiography

Authors

DOI:

https://doi.org/10.33448/rsd-v11i11.33956

Keywords:

Additional root; Anatomical changes; Tooth morphology; Distolingual root.

Abstract

Objective: To compare the prevalence of radix in the mandibular first and second molars using cone beam computed tomography and panoramic radiography. Methods: 850 exams were analyzed, dated from January 2017 to February 2021, in a radiology clinic in the city of Brumado-Ba. Images were acquired using a Cranex 3D CT scanner. Thus, a total of 280 lower first and second molars were selected by tomographic images and then the images of the relative panoramic radiographs were separated. Radix prevalence was analyzed using On Demand software for the scans from CT and Scanora software for the panoramic radiographs. The data obtained were analyzed using descriptive and inferential statistics, using methods to compare between variables and methods of interest. A significance level of 5% was assumed for all analyzes. Results: No case of radix was identified in the analysis of panoramic radiograph images, corresponding to a percentage of 0%. In tomographic sections, this study showed that the prevalence of radix was 0.7%, 100% of which was radix entomolres. There was no statistically significant difference in the prevalence of these canals with respect to age group, sex, and group of teeth examined (first or lower second molars). Conclusion: It was concluded that CBCT is an important auxiliary method in the analysis of the presence of radix canals.

References

Abarca, J., Duran, M., Parra, D., Steinfort, K., Zaror, C., & Monardes, H. (2020). Root morphology of mandibular molars: a cone-beam computed tomography study. Folia Morphologica, 79(2), 327-332.

Ahmed, H. A., Abu‐Bakr, N. H., Yahia, N. A., & Ibrahim, Y. E. (2007). Root and canal morphology of permanent mandibular molars in a Sudanese population. International endodontic journal, 40(10), 766-771.

Bharti, R., Arya, D., Saumyendra, V. S., Kulwinder, K. W., Tikku, A. P., & Chandra, A. (2011). Prevalence of radix entomolaris in an Indian population. Indian Journal of Stomatology, 2(3), 165.

Calberson, F. L., De Moor, R. J., & Deroose, C. A. (2007). The radix entomolaris and paramolaris: clinical approach in endodontics. Journal of endodontics, 33(1), 58-63.

Cantatore, G., Berutti, E., & Castellucci, A. (2006). Missed anatomy: frequency and clinical impact. Endodontic Topics, 15(1), 3-31.

Caputo, B. V., Noro Filho, G. A., de Andrade Salgado, D. M. R., Moura-Netto, C., Giovani, E. M., & Costa, C. (2016). Evaluation of the root canal morphology of molars by using cone-beam computed tomography in a Brazilian population: part I. Journal of endodontics, 42(11), 1604-1607.

Carabelli, G. (1844). Systematic handbook of dentistry. Braumuller and Seidel Publication, Vienna.

Chandra, S. S., Chandra, S., Shankar, P., & Indira, R. (2011). Prevalence of radix entomolaris in mandibular permanent first molars: a study in a South Indian population. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology, 112(3), e77-e82.

Çolak, H., Özcan, E., & Hamidi, M. M. (2012). Prevalence of three-rooted mandibular permanent first molars among the Turkish population. Nigerian Journal of Clinical Practice, 15(3), 306-310.

Duman, S. B., Duman, S., Bayrakdar, I. S., Yasa, Y., & Gumussoy, I. (2020). Evaluation of radix entomolaris in mandibular first and second molars using cone-beam computed tomography and review of the literature. Oral radiology, 36(4), 320-326.

Grauer, D., Cevidanes, L. S., & Proffit, W. R. (2009). Working with DICOM craniofacial images. American Journal of Orthodontics and Dentofacial Orthopedics, 136(3), 460-470.

Hiraiwa, T., Ariji, Y., Fukuda, M., Kise, Y., Nakata, K., Katsumata, A., & Ariji, E. (2019). A deep-learning artificial intelligence system for assessment of root morphology of the mandibular first molar on panoramic radiography. Dentomaxillofacial Radiology, 48(3), 20180218.

Martins, J. N., Marques, D., Mata, A., & Caramês, J. (2017). Root and root canal morphology of the permanent dentition in a Caucasian population: a cone‐beam computed tomography study. International Endodontic Journal, 50(11), 1013-1026.

Mohammadi, Z., Asgary, S., Shalavi, S., & Abbott, P. V. (2016). A clinical update on the different methods to decrease the occurrence of missed root canals. Iranian endodontic journal, 11(3), 208.

Ordinola‐Zapata, R., Bramante, C. M., Versiani, M. A., Moldauer, B. I., Topham, G., Gutmann, J. L., & Abella, F. (2017). Comparative accuracy of the Clearing Technique, CBCT and Micro‐CT methods in studying the mesial root canal configuration of mandibular first molars. International endodontic journal, 50(1), 90-96.

Patel, S., Brown, J., Semper, M., Abella, F., & Mannocci, F. (2019). European Society of Endodontology position statement: Use of cone beam computed tomography in Endodontics: European Society of Endodontology (ESE) developed by. International endodontic journal, 52(12), 1675-1678.

Rech, A. S., Toé, K. P. D., Claus, J., Pasternak, B., Freitas, M. P. M., & Thiesen, G. (2015). Utilização da tomografia computadorizada de feixe cônico no diagnóstico odontológico. Rev. FullDent. Sci, 6(22), 261-275.

Rodrigues, C. T., Oliveira-Santos, C. D., Bernardineli, N., Duarte, M. A. H., Bramante, C. M., Minotti-Bonfante, P. G., & Ordinola-Zapata, R. (2016). Prevalence and morphometric analysis of three-rooted mandibular first molars in a Brazilian subpopulation. Journal of Applied Oral Science, 24, 535-542.

Scarfe, W. C., Farman, A. G., & Sukovic, P. (2006). Clinical applications of cone-beam computed tomography in dental practice. Journal-Canadian Dental Association, 72(1), 75.

Setzer, F. C., Hinckley, N., Kohli, M. R., & Karabucak, B. (2017). A survey of cone-beam computed tomographic use among endodontic practitioners in the United States. Journal of endodontics, 43(5), 699-704.

Silva, E. J. N. L., Nejaim, Y., Silva, A. V., Haiter-Neto, F., & Cohenca, N. (2013). Evaluation of root canal configuration of mandibular molars in a Brazilian population by using cone-beam computed tomography: an in vivo study. Journal of endodontics, 39(7), 849-852.

Song, J. S., Choi, H. J., Jung, I. Y., Jung, H. S., & Kim, S. O. (2010). The prevalence and morphologic classification of distolingual roots in the mandibular molars in a Korean population. Journal of endodontics, 36(4), 653-657.

de Souza-Freitas, J., Lopes, E. S., & Casati-Alvares, L. (1971). Anatomic variations of lower first permanent molar roots in two ethnic groups. Oral Surgery, Oral Medicine, Oral Pathology, 31(2), 274-278.

TU, Ming-Gene., et al. (2009). Detection of permanent three-rooted mandibular first molars by cone-beam computed tomography imaging in Taiwanese individuals. Journal of endodontics, 35(4), 503-507.

Venskutonis, T., Plotino, G., Juodzbalys, G., & Mickevičienė, L. (2014). The importance of cone-beam computed tomography in the management of endodontic problems: a review of the literature. Journal of endodontics, 40(12), 1895-1901.

Vertucci, F. J. (1984). Root canal anatomy of the human permanent teeth. Oral surgery, oral medicine, oral pathology, 58(5), 589-599.

Zhang, R., Wang, H., Tian, Y. Y., Yu, X., Hu, T., & Dummer, P. M. H. (2011). Use of cone‐beam computed tomography to evaluate root and canal morphology of mandibular molars in Chinese individuals. International endodontic journal, 44(11), 990-999.

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Published

28/08/2022

How to Cite

VILAS BÔAS , J. .; MARTIN, A. S. D. .; FONTANA, C. E.; LIMOEIRO, A. G. da S. .; PELEGRINE, R. A.; BUENO, C. E. da S.; ROCHA, D. G. P. Assessment of the presence of radix in lower first and second molars using cone-beam computed tomography and panoramic radiography. Research, Society and Development, [S. l.], v. 11, n. 11, p. e443111133956, 2022. DOI: 10.33448/rsd-v11i11.33956. Disponível em: https://www.rsdjournal.org/index.php/rsd/article/view/33956. Acesso em: 25 apr. 2024.

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Section

Health Sciences