Hussam Alfawaz1, Abdullah Alqedairi2, Abdulrahman K Alkhayyal3, Abdulaziz A Almobarak3, Mohannad F Alhusain3, Jorge N R Martins4. 1. Endodontic Division, Department of Restorative Dental Sciences, College of Dentistry, King Saud University, P.O. Box 60169, Riyadh, 11545, Saudi Arabia. halfawaz1@ksu.edu.sa. 2. Endodontic Division, Department of Restorative Dental Sciences, College of Dentistry, King Saud University, P.O. Box 60169, Riyadh, 11545, Saudi Arabia. 3. Private Dental Practice, Riyadh, Saudi Arabia. 4. Department of Endodontics, Faculdade de Medicina Dentária, Universidade de Lisboa, Lisbon, Portugal.
Abstract
OBJECTIVES: The purpose of this study was to determine the prevalence of the C-shaped root canal configuration, location of the longitudinal groove, sex differences, and unilateral/bilateral presence in mandibular first and second molars in a Saudi population using cone beam computed tomography (CBCT). MATERIALS AND METHODS: CBCT images for the mandibular first and second molars of 487 patients (a total of 529 first molars and 681 s molars) were evaluated. The teeth were assessed for the presence of C-shaped root canals according to Fan criteria. Subdivisions were also made according to sex, direction of the longitudinal groove, and unilateral/bilateral presence. RESULTS: Only one C-shaped mandibular first molar was observed (0.19%), whereas 62 second molars (9.1%) exhibited C-shaped anatomy. Unilateral presence of the C-shaped root canal system was more common (53.85%). Female patients had a higher prevalence than males. Longitudinal grooves were most commonly found on the root lingual surface (58.1%). CONCLUSIONS: The prevalence of the C-shaped canal configuration in a Saudi Arabian population was 0.19% in the mandibular first molar and 9.1% in the mandibular second molar. Longitudinal groove prevalence was highest on the lingual surface. Women had a significantly higher prevalence of the C-shaped canal configuration than men. Patients with unilateral presence of the C-shaped canal configuration were more common than those with bilateral presence. CLINICAL RELEVANCE: Tooth type, patient sex, and ethnicity can help clinicians predict the prevalence of the C-shaped canal system in mandibular molars.
OBJECTIVES: The purpose of this study was to determine the prevalence of the C-shaped root canal configuration, location of the longitudinal groove, sex differences, and unilateral/bilateral presence in mandibular first and second molars in a Saudi population using cone beam computed tomography (CBCT). MATERIALS AND METHODS: CBCT images for the mandibular first and second molars of 487 patients (a total of 529 first molars and 681 s molars) were evaluated. The teeth were assessed for the presence of C-shaped root canals according to Fan criteria. Subdivisions were also made according to sex, direction of the longitudinal groove, and unilateral/bilateral presence. RESULTS: Only one C-shaped mandibular first molar was observed (0.19%), whereas 62 second molars (9.1%) exhibited C-shaped anatomy. Unilateral presence of the C-shaped root canal system was more common (53.85%). Female patients had a higher prevalence than males. Longitudinal grooves were most commonly found on the root lingual surface (58.1%). CONCLUSIONS: The prevalence of the C-shaped canal configuration in a Saudi Arabian population was 0.19% in the mandibular first molar and 9.1% in the mandibular second molar. Longitudinal groove prevalence was highest on the lingual surface. Women had a significantly higher prevalence of the C-shaped canal configuration than men. Patients with unilateral presence of the C-shaped canal configuration were more common than those with bilateral presence. CLINICAL RELEVANCE: Tooth type, patient sex, and ethnicity can help clinicians predict the prevalence of the C-shaped canal system in mandibular molars.
Authors: Youssef A Algarni; Muna J Almufarrij; Ibrahim A Almoshafi; Haneen H Alhayaza; Nuha Alghamdi; Suheel Manzoor Baba Journal: Saudi Dent J Date: 2019-12-16