Andrea Borghesi1, Silvia Michelini2, Angelo Zigliani3, Ingrid Tonni4, Roberto Maroldi3. 1. Department of Radiology, Medical School, University of Brescia, Piazzale Spedali Civili, 1, 25123, Brescia, Italy. andrea.borghesi@unibs.it. 2. Department of Radiology, Fondazione Poliambulanza Istituto Ospedaliero, Brescia, Italy. 3. Department of Radiology, Medical School, University of Brescia, Piazzale Spedali Civili, 1, 25123, Brescia, Italy. 4. Dental School, Dental Clinic, University of Brescia, Brescia, Italy.
Abstract
PURPOSE: To explore the incidence and analyze the morphology of three-rooted maxillary first premolars (MFPs) incidentally detected on cone beam computed tomography (CBCT) scans. METHODS: Of 1328 patients who underwent CBCT scans of the maxilla, only patients with three-rooted MFPs were selected. Morphological features, including the lengths and diameters of palatal, mesiobuccal (MB) and distobuccal (DB) roots, the positions of bucco-palatal (B-P) bifurcations, the distances between root canal bifurcations and cementoenamel junctions (CEJs) and the distances between the apical thirds of the roots, were measured. The canal configuration and the visibility of root canals were also evaluated. RESULTS: A total of 16/1328 (1.2%) patients had one or two three-rooted MFPs, and a total of 22/2656 (0.8%) three-rooted MFPs were enrolled. The lengths and diameters of palatal roots were significantly greater than those of other roots. The positions of B-P bifurcations were located mainly at the middle third of the root. The median distances between root canal bifurcations and CEJs were 3 mm for B-P bifurcations and 5.2 mm for MB-DB bifurcations. The distance between MB and DB roots was significantly shorter than the distances between other root pairs. All teeth had a type VIII canal configuration. Palatal roots exhibited the best visibility of root canals, whereas the worst visibility was observed within DB roots. A gender-related relationship was observed only for the lengths of the roots. CONCLUSIONS: The occurrence of three-rooted MFPs is not unusual; therefore, preoperative CBCT evaluation could be suggested whenever endodontic procedures are planned on an MFP.
PURPOSE: To explore the incidence and analyze the morphology of three-rooted maxillary first premolars (MFPs) incidentally detected on cone beam computed tomography (CBCT) scans. METHODS: Of 1328 patients who underwent CBCT scans of the maxilla, only patients with three-rooted MFPs were selected. Morphological features, including the lengths and diameters of palatal, mesiobuccal (MB) and distobuccal (DB) roots, the positions of bucco-palatal (B-P) bifurcations, the distances between root canal bifurcations and cementoenamel junctions (CEJs) and the distances between the apical thirds of the roots, were measured. The canal configuration and the visibility of root canals were also evaluated. RESULTS: A total of 16/1328 (1.2%) patients had one or two three-rooted MFPs, and a total of 22/2656 (0.8%) three-rooted MFPs were enrolled. The lengths and diameters of palatal roots were significantly greater than those of other roots. The positions of B-P bifurcations were located mainly at the middle third of the root. The median distances between root canal bifurcations and CEJs were 3 mm for B-P bifurcations and 5.2 mm for MB-DB bifurcations. The distance between MB and DB roots was significantly shorter than the distances between other root pairs. All teeth had a type VIII canal configuration. Palatal roots exhibited the best visibility of root canals, whereas the worst visibility was observed within DB roots. A gender-related relationship was observed only for the lengths of the roots. CONCLUSIONS: The occurrence of three-rooted MFPs is not unusual; therefore, preoperative CBCT evaluation could be suggested whenever endodontic procedures are planned on an MFP.
Authors: Rafael Chies Hartmann; Flávia E R Baldasso; Carolina P Stürmer; Monique Dossena Acauan; Roberta Kochenborger Scarparo; Renata Dornelles Morgental; Susan Bryant; Paul M Dummer; José Antonio Poli de Figueiredo; Fabiana Vieira Vier-Pelisser Journal: J Endod Date: 2013-09-12 Impact factor: 4.171
Authors: Caroline Marca; Paul M H Dummer; Susan Bryant; Fabiana Vieira Vier-Pelisser; Marcus Vinicius Reis Só; Vania Fontanella; Vinicius D'avila Dutra; José Antonio Poli de Figueiredo Journal: Clin Oral Investig Date: 2012-09-20 Impact factor: 3.573