Relationship between the presence of radicular grooves and the anatomical variations according to Vertucci of mandibular first premolars of a Colombian subpopulation
DOI:
https://doi.org/10.15332/us.v20i0.2529Keywords:
Mandibular first premolar, computed tomography, radicular groove, root canal configuration, dental anatomyAbstract
The purpose of this research was to identify the presence of radicular grooves (SR) in the external root anatomy and its relationship with the Vertucci classification in mandibular first premolar of a Colombian subpopulation.
Images were analyzed using cone beam computed tomography (CBCT) in three planes (coronal, sagittal and axial), of 140 human mandibular first premolar, and the anatomical configuration of the root canals was determined according to the classification of Vertucci. Subsequently, the SRs of these pieces were recognized in the axial sections of the CBCT images.
It was established that typology I according to the Vertucci classification was the one with the highest frequency 72.14% (101/140), followed by type V in 19.28% (27/140). Similarly, the presence of root grooves (SR) corresponded to 30% (42/140).
With this study, a large percentage of anatomical variations in mandibular first premolar of a Colombian population was evidenced, this reinforces the need to know in detail the dental anatomy to establish more effective strategies and protocols and thus achieve a successful endodontic treatment at long term.
Downloads
References
Siqueira JF Jr, Rôças IN, Ricucci D, Hülsmann M. Causes and management of post-treatment apical periodontitis. Br Dent J. 2014;216(6):305-312. doi:10.1038/sj.bdj.2014.200.
Ricucci D, Siqueira, JF Jr. Anatomic and Microbiologic Challenges to Achieving Success with Endodontic Treatment: A Case Report. J Endod. 2008;34(10):1249-1254. doi:10.1016/j.joen.2008.07.002.
Lopes HP, Siqueira JF Jr. Endodoncia: Biología y Técnica. 4a. Ed. São Paulo: Quintessence Editora, 2020. ISBN 978-85-7889-172-5.
Ordinola-Zapata R, Bramante CM, Villas-Boas MH, Cavenago BC, Duarte MH, Versiani MA. Morphologic micro-computed tomography analysis of mandibular premolars with three root canals. J Endod. 2013;39(9):1130-1135. doi:10.1016/j.joen.2013.02.007.
Lu TY, Yang SF, Pai SF. Complicated root canal morphology of mandibular first premolar in a Chinese population using the cross section method. J Endod. 2006;32(10):932-936. doi:10.1016/j.joen.2006.04.008.
Cleghorn BM, Christie WH, Dong CC. The root and root canal morphology of the human mandibular first premolar: a literature review. J Endod. 2007;33(5):509-516. doi:10.1016/j.joen.2006.12.004.
Boschetti E, Silva-Sousa YTC, Mazzi-Chaves JF, Leoni GB, Versiani MA, Pécora JD, et al. Micro-CT Evaluation of Root and Canal Morphology of Mandibular First Premolars with Radicular Grooves. Brazilian dental journal. 2017 28(5):597-603. doi:10.1590/0103-6440201601784.
Liu N, Li X, Liu N, et al. A micro-computed tomography study of the root canal morphology of the mandibular first premolar in a population from southwestern China. Clin Oral Investig. 2013;17(3):999-1007. doi:10.1007/s00784-012-0778-1.
Robinson S, Czerny C, Gahleitner A, Bernhart T, Kainberger FM. Dental CT evaluation of mandibular first premolar root configurations and canal variations. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2002;93(3):328-332. doi:10.1067/moe.2002.120055.
Simon JH, Dogan H, Ceresa LM, Silver GK. The radicular groove: its potential clinical significance. J Endod. 2000;26(5):295-298. doi:10.1097/00004770-200005000-00012.
Chen J, Li X, Su Y, et al. A micro-computed tomography study of the relationship between radicular grooves and root canal morphology in mandibular first premolars. Clin Oral Investig. 2015;19(2):329-334. doi:10.1007/s00784-014-1242-1.
Patel S, Dawood A, Ford TP, Whaites E. The potential applications of cone beam computed tomography in the management of endodontic problems. Int Endod J. 2007;40(10):818-830. doi:10.1111/j.1365-2591.2007.01299.
Awawdeh LA, Al-Qudah AA. Root form and canal morphology of mandibular premolars in a Jordanian population. Int Endod J. 2008;41(3):240-248. doi:10.1111/j.1365-2591.2007.01348.
Fan B, Yang J, Gutmann JL, Fan M. Root canal systems in mandibular first premolars with C-shaped root configurations. Part I: Microcomputed tomography mapping of the radicular groove and associated root canal cross-sections. J Endod. 2008;34(11):1337-1341. doi:10.1016/j.joen.2008.08.006.
Gu Y, Zhang Y, Liao Z. Root and canal morphology of mandibular first premolars with radicular grooves. Arch Oral Biol. 2013;58(11):1609-1617. doi:10.1016/j.archoralbio.2013.07.014.
Shemesh A, Lalum E, Ben Itzhak J, Levy DH, Lvovsky A, Levinson O, Solomonov M. Radicular Grooves and Complex Root Morphologies of Mandibular Premolars Among Israeli Population. J Endod. 2020;46(9):1241-1247. doi: 10.1016/j.joen.2020.05.013. Epub 2020 Jun 10. PMID: 32531312.