Three-rooted maxillary first premolars incidentally detected on cone beam CT: an in vivo study View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2019-04

AUTHORS

Andrea Borghesi, Silvia Michelini, Angelo Zigliani, Ingrid Tonni, Roberto Maroldi

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. More... »

PAGES

461-468

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00276-019-02198-8

DOI

http://dx.doi.org/10.1007/s00276-019-02198-8

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1111931689

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/30721338


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