Skip to main content
Erschienen in: Surgical and Radiologic Anatomy 9/2014

01.11.2014 | Original Article

Use of CBCT to investigate the root canal morphology of mandibular incisors

verfasst von: Zitong Lin, Qingang Hu, Tiemei Wang, Jiuyu Ge, Shu Liu, Min Zhu, Shanhui Wen

Erschienen in: Surgical and Radiologic Anatomy | Ausgabe 9/2014

Einloggen, um Zugang zu erhalten

Abstract

Purpose

To investigate the root canal morphology of mandibular incisors using cone-beam computed tomography (CBCT).

Materials and methods

A total of 353 patients with 1,412 healthy, well-developed mandibular incisors were enrolled. Radiographic examination by CBCT was conducted as part of their routine examination, diagnosis and treatment planning. The following observations were made using CBCT: (1) the number of roots; (2) the number of canals; (3) canal configuration according to Vertucci’s classification; (4) the position of root canal bifurcations.

Results

Two canals were found in 10.9 % of mandibular central incisors, 25.5 % of lateral incisors and in 18.2 % of all the 1,412 mandibular incisors. Significantly, more lateral incisors possessed two canals than central incisors (p < 0.05). Of the teeth with two canals, type III incisors were the most prevalent, followed by types II, IV and V. Furthermore, 37.7 % of teeth were found to have root canal bifurcations that were at or near to the cortical-middle third junction regions of the roots.

Conclusion

Routine mode CBCT imaging was clinically useful for detection of two canals and determines the position of root canal bifurcations in mandibular incisors.
Literatur
1.
Zurück zum Zitat Al-Qudah AA, Awawdeh LA (2006) Root canal morphology of mandibular incisors in a Jordanian population. Int Endod J 39:873–877PubMedCrossRef Al-Qudah AA, Awawdeh LA (2006) Root canal morphology of mandibular incisors in a Jordanian population. Int Endod J 39:873–877PubMedCrossRef
2.
Zurück zum Zitat Blattner TC, George N, Lee CC, Kumar V, Yelton CD (2010) Efficacy of cone-beam computed tomography as a modality to accurately identify the presence of second mesiobuccal canals in maxillary first and second molars: a pilot study. J Endod 36:867–870PubMedCrossRef Blattner TC, George N, Lee CC, Kumar V, Yelton CD (2010) Efficacy of cone-beam computed tomography as a modality to accurately identify the presence of second mesiobuccal canals in maxillary first and second molars: a pilot study. J Endod 36:867–870PubMedCrossRef
3.
Zurück zum Zitat De Oliveira SH, de Moraes LC, Faig-Leite H, Camargo SE, Camargo CH (2009) In vitro incidence of root canal bifurcation in mandibular incisors by radiovisiography. J Appl Oral Sci 17:234–239PubMedCrossRef De Oliveira SH, de Moraes LC, Faig-Leite H, Camargo SE, Camargo CH (2009) In vitro incidence of root canal bifurcation in mandibular incisors by radiovisiography. J Appl Oral Sci 17:234–239PubMedCrossRef
4.
Zurück zum Zitat De Souza Tolentino E, Silva PA, Pagin O, Centurion BS, Molin SK, de Souza Tolentino L (2013) Uncommon trajectory variations of the mandibular canal and of the mandibular incisive canal: case report. Surg Radiol Anat 35:857–861CrossRef De Souza Tolentino E, Silva PA, Pagin O, Centurion BS, Molin SK, de Souza Tolentino L (2013) Uncommon trajectory variations of the mandibular canal and of the mandibular incisive canal: case report. Surg Radiol Anat 35:857–861CrossRef
5.
Zurück zum Zitat Funato A, Funato H, Matsumoto K (1998) Mandibular central incisor with two root canals. Endod Dent Traumatol 14:285–286PubMedCrossRef Funato A, Funato H, Matsumoto K (1998) Mandibular central incisor with two root canals. Endod Dent Traumatol 14:285–286PubMedCrossRef
6.
Zurück zum Zitat Georgescu CE, Rusu MC, Sandulescu M, Enache AM, Didilescu AC (2012) Quantitative and qualitative bone analysis in the maxillary lateral region. Surg Radiol Anat 34:551–558PubMedCrossRef Georgescu CE, Rusu MC, Sandulescu M, Enache AM, Didilescu AC (2012) Quantitative and qualitative bone analysis in the maxillary lateral region. Surg Radiol Anat 34:551–558PubMedCrossRef
7.
Zurück zum Zitat Grignon B, Mainard L, Delion M, Hodez C, Oldrini G (2012) Recent advances in medical imaging: anatomical and clinical applications. Surg Radiol Anat 34:675–686PubMedCrossRef Grignon B, Mainard L, Delion M, Hodez C, Oldrini G (2012) Recent advances in medical imaging: anatomical and clinical applications. Surg Radiol Anat 34:675–686PubMedCrossRef
8.
Zurück zum Zitat Kabak YS, Abbott PV (2007) Endodontic treatment of mandibular incisors with two root canals: report of two cases. Aust Endod J 33:27–31PubMedCrossRef Kabak YS, Abbott PV (2007) Endodontic treatment of mandibular incisors with two root canals: report of two cases. Aust Endod J 33:27–31PubMedCrossRef
9.
Zurück zum Zitat Kaffe I, Kaufman A, Littner MM, Lazarson A (1985) Radiographic study of root canal system of mandibular anterior teeth. Int Endod J 18:253–259PubMedCrossRef Kaffe I, Kaufman A, Littner MM, Lazarson A (1985) Radiographic study of root canal system of mandibular anterior teeth. Int Endod J 18:253–259PubMedCrossRef
10.
Zurück zum Zitat Kaya S, Adiguzel O, Yavuz I, Tumen EC, Akkus Z (2011) Cone-beam dental computerized tomography for evaluating changes of aging in the dimensions central superior incisor root canals. Med Oral Patol Oral Cir Bucal 16:e463–e466PubMedCrossRef Kaya S, Adiguzel O, Yavuz I, Tumen EC, Akkus Z (2011) Cone-beam dental computerized tomography for evaluating changes of aging in the dimensions central superior incisor root canals. Med Oral Patol Oral Cir Bucal 16:e463–e466PubMedCrossRef
11.
Zurück zum Zitat Landis JR, Koch GG (1977) The measurement of observer agreement for categorical data. Biometrics 33:159–174PubMedCrossRef Landis JR, Koch GG (1977) The measurement of observer agreement for categorical data. Biometrics 33:159–174PubMedCrossRef
12.
Zurück zum Zitat Lund H, Grondahl K, Grondahl HG (2010) Cone beam computed tomography for assessment of root length and marginal bone level during orthodontic treatment. Angle Orthod 80:466–473PubMedCrossRef Lund H, Grondahl K, Grondahl HG (2010) Cone beam computed tomography for assessment of root length and marginal bone level during orthodontic treatment. Angle Orthod 80:466–473PubMedCrossRef
13.
Zurück zum Zitat Mauger MJ, Schindler WG, Walker WA (1998) An evaluation of canal morphology at different levels of root resection in mandibular incisors. J Endod 24:607–609PubMedCrossRef Mauger MJ, Schindler WG, Walker WA (1998) An evaluation of canal morphology at different levels of root resection in mandibular incisors. J Endod 24:607–609PubMedCrossRef
14.
Zurück zum Zitat Michetti J, Maret D, Mallet JP, Diemer F (2010) Validation of cone beam computed tomography as a tool to explore root canal anatomy. J Endod 36:1187–1190PubMedCrossRef Michetti J, Maret D, Mallet JP, Diemer F (2010) Validation of cone beam computed tomography as a tool to explore root canal anatomy. J Endod 36:1187–1190PubMedCrossRef
15.
Zurück zum Zitat Miyashita M, Kasahara E, Yasuda E, Yamamoto A, Sekizawa T (1997) Root canal system of the mandibular incisor. J Endod 23:479–484PubMedCrossRef Miyashita M, Kasahara E, Yasuda E, Yamamoto A, Sekizawa T (1997) Root canal system of the mandibular incisor. J Endod 23:479–484PubMedCrossRef
16.
Zurück zum Zitat Patel S (2009) New dimensions in endodontic imaging: part 2. Cone beam computed tomography. Int Endod J 42:463–475PubMedCrossRef Patel S (2009) New dimensions in endodontic imaging: part 2. Cone beam computed tomography. Int Endod J 42:463–475PubMedCrossRef
17.
Zurück zum Zitat Rusu MC, Didilescu AC, Jianu AM, Păduraru D (2013) 3D CBCT anatomy of the pterygopalatine fossa. Surg Radiol Anat 35:143–159PubMed Rusu MC, Didilescu AC, Jianu AM, Păduraru D (2013) 3D CBCT anatomy of the pterygopalatine fossa. Surg Radiol Anat 35:143–159PubMed
18.
Zurück zum Zitat Sert S, Bayirli GS (2004) Evaluation of the root canal configurations of the mandibular and maxillary permanent teeth by gender in the Turkish population. J Endod 30:391–398PubMedCrossRef Sert S, Bayirli GS (2004) Evaluation of the root canal configurations of the mandibular and maxillary permanent teeth by gender in the Turkish population. J Endod 30:391–398PubMedCrossRef
19.
Zurück zum Zitat Tsiklakis K, Donta C, Gavala S, Karayianni K, Kamenopoulou V, Hourdakis CJ (2005) Dose reduction in maxillofacial imaging using low-dose cone beam CT. Eur J Radiol 56:413–417PubMedCrossRef Tsiklakis K, Donta C, Gavala S, Karayianni K, Kamenopoulou V, Hourdakis CJ (2005) Dose reduction in maxillofacial imaging using low-dose cone beam CT. Eur J Radiol 56:413–417PubMedCrossRef
20.
Zurück zum Zitat Vertucci FJ (2005) Root canal morphology and its relationship to endodontic procedure. Endod Top 10:3–29CrossRef Vertucci FJ (2005) Root canal morphology and its relationship to endodontic procedure. Endod Top 10:3–29CrossRef
21.
Zurück zum Zitat Vertucci FJ (1974) Root canal anatomy of the mandibular anterior teeth. J Am Dent Assoc 89:369–371PubMed Vertucci FJ (1974) Root canal anatomy of the mandibular anterior teeth. J Am Dent Assoc 89:369–371PubMed
22.
Zurück zum Zitat Wu MK, Roris A, Barkis D, Wesselink PR (2000) Prevalence and extent of long oval canals in the apical third. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 89:739–743PubMedCrossRef Wu MK, Roris A, Barkis D, Wesselink PR (2000) Prevalence and extent of long oval canals in the apical third. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 89:739–743PubMedCrossRef
23.
Zurück zum Zitat Zhang R, Yang H, Yu X, Wang H, Hu T, Dummer PM (2011) Use of CBCT to identify the morphology of maxillary permanent molar teeth in a Chinese subpopulation. Int Endod J 44:162–169PubMedCrossRef Zhang R, Yang H, Yu X, Wang H, Hu T, Dummer PM (2011) Use of CBCT to identify the morphology of maxillary permanent molar teeth in a Chinese subpopulation. Int Endod J 44:162–169PubMedCrossRef
24.
Zurück zum Zitat Zheng Q, Zhang L, Zhou X, Wang Q, Wang Y, Tang L, Song F, Huang D (2011) C-shaped root canal system in mandibular second molars in a Chinese population evaluated by cone-beam computed tomography. Int Endod J 44:857–862PubMedCrossRef Zheng Q, Zhang L, Zhou X, Wang Q, Wang Y, Tang L, Song F, Huang D (2011) C-shaped root canal system in mandibular second molars in a Chinese population evaluated by cone-beam computed tomography. Int Endod J 44:857–862PubMedCrossRef
Metadaten
Titel
Use of CBCT to investigate the root canal morphology of mandibular incisors
verfasst von
Zitong Lin
Qingang Hu
Tiemei Wang
Jiuyu Ge
Shu Liu
Min Zhu
Shanhui Wen
Publikationsdatum
01.11.2014
Verlag
Springer Paris
Erschienen in
Surgical and Radiologic Anatomy / Ausgabe 9/2014
Print ISSN: 0930-1038
Elektronische ISSN: 1279-8517
DOI
https://doi.org/10.1007/s00276-014-1267-9

Weitere Artikel der Ausgabe 9/2014

Surgical and Radiologic Anatomy 9/2014 Zur Ausgabe

Anatomic Bases of Medical, Radiological and Surgical Techniques

Biometry of the temporomandibular joint using computerized tomography

Update Radiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.