BİR GRUP TÜRK POPÜLASYONUNDA ANTERİOR VE PREMOLAR DİŞLERİN KÖK KANAL MORFOLOJİLERİNİN VE SİMETRİLERİNİN CBCT İLE İNCELENMESİ
Abstract
ÖZET
AMAÇ: Çalışmanın amacı bir grup Türk toplumunda anterior ve premolar dişlerin kök kanal
morfoloji ve simetrisinin konik ışınlı bilgisayarlı tomografi kullanılarak incelenmesidir.
YÖNTEM
Cumhuriyet Üniveristesi Diş Hekimliği Fakültesine 2015-2017 yılları arasında gelen ve çeşitli
sebeplerle KIBT çektiren bireylerin görüntüleri retrospektif olarak taranmıştır. Toplam 3702 adet diş,
kök sayıları, kök kanal morfolojileri ve simetrisi incelendi. Kök kanal morfolojilerinin belirlenmesinde
Vertucci sınıflaması kullanıldı.
BULGULAR
Çalışmada 16-79 yaş aralığında (ort.35.2) 185’ i erkek 215’ i kadın hastanın toplam 3702 adet alt ve
üst çene diş değerlendirildi. Alt çenede incelenen tüm dişlerde Vertucci Tip I(%62.0-89.3) kanal şekli
en yüksek tipdi. Alt çenede keser dişlerde yüksek oranda Tip III(% 32.2-32.4) kanal şekli görüldü.
Üst anterior dişlerde en yüksek oranda (%93.5-95.9) Tip I kanal şekli bulunurken, iki köklü üst birinci
küçük azı dişlerin tamamında her bir kök tip I kanal şekline sahipti ve tek köklü üst birinci küçük
azılarda en yüksek oranda Tip IV (%79.4) kanal şekli bulundu. Üst ikinci küçük azılar da ise yüksek
oranda Tip I (% 41.6) ve sonrasında Tip IV (% 23.3) kanal şekli görüldü.
En düşük simetri oranı % 85.0 ile 31-41 numaralı dişlerde, en yüksek simetri oranı % 96.2 ile 12-22 ve
14-24 numaralı dişlerde görüldü. Genel olarak simetri oranı tüm alt çene dişlerinde, üst çene dişlerine
göre düşüktü.
Üst birinci küçük azı dişlerinin büyük çoğunluğu (% 62) iki köklüyken incelenen diğer dişlerin
çoğunluğu (%82.1-%100) tek köke sahipti. Üst ve alt çene kanin dişlerinde sırasıyla % 1.8 ve % 4.9
oranında iki kök ve üst ve alt çene santral keser dişlerinde % 100.0 oranında tek köke rastlandı.
SONUÇ
Literatür bilgilerine göre diş grupları kendi içlerinde belirli ortak özelliklere sahip olmakla beraber,
yapılan çalışmalarda morfolojik farklılıkların bulunabileceği ortaya konmuştur. Bu çalışmada bu
farklılıklara katkı sağlaması amaçlanmıştır.
Keywords
Project Number
Bu çalışma 2017 yılında 480940 nolu tez numarasıyla https://tez.yok.gov.tr de bulunmaktadır.
References
- Matherne RP, Angelopoulos C, Kulild JC, Tira D. Use of cone-beam computed tomography to identify root canal systems in vitro. J Endod. 2008;34(1):87-9.
- Pan JYY, Parolia A, Chuah SR, Bhatia S, Mutalik S, Pau A. Root canal morphology of permanent teeth in a Malaysian subpopulation using cone-beam computed tomography. BMC Oral Health. 2019;19(1):14.
- Al-Qudah AA, Awawdeh LA. Root canal morphology of mandibular incisors in a Jordanian population. Int Endod J. 2006;39(11):873-7.
- Vertucci F, Seelig A, Gillis R. Root canal morphology of the human maxillary second premolar. Oral Surg Oral Med Oral Pathol. 1974;38(3):456-64.
- Kaffe I, Kaufman A, Littner MM, Lazarson A. Radiographic study of the root canal system of mandibular anterior teeth. Int Endod J. 1985;18(4):253-9.
- Vertucci FJ. Root canal anatomy of the human permanent teeth. Oral Surg Oral Med Oral Pathol. 1984;58(5):589-99.
- Zaatar EI, al-Busairi MA, Behbahani MJ. Maxillary first premolars with three root canals: case report. Quintessence Int. 1990;21(12):1007-11.
- McCann JT, Keller DL, LaBounty GL. A modification of the muffle model system to study root canal morphology. J Endod. 1990;16(3):114-5.
- Gu L, Wei X, Ling J, Huang X. A microcomputed tomographic study of canal isthmuses in the mesial root of mandibular first molars in a Chinese population. J Endod. 2009;35(3):353-6.
- Erdoğan AŞ, Köseoğlu M. Kök kanal morfolojisinin belirlenmesi için kullanılan metodlar. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi.1998(1).
- Pohlenz P, Blessmann M, Blake F, Heinrich S, Schmelzle R, Heiland M. Clinical indications and perspectives for intraoperative cone-beam computed tomography in oral and maxillofacial surgery. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007;103(3):412-7.
- Gulabivala K, Aung TH, Alavi A, Ng YL. Root and canal morphology of Burmese mandibular molars. Int Endod J. 2001;34(5):359-70.
- Weine FS. Endodontic Therapy: C.V. Mosby Company; 1982.
- Helvacoğlu-Yigit D, Cora S, Sinanoglu A, Gür C. Analysis of root canal morphology and symmetry of mandibular anterior teeth using cone-beam computed tomography: a retrospective study: R2. International Endodontic Journal. 2016;49(1).
- Neelakantan P, Subbarao C, Subbarao CV, Ravindranath M. Root and canal morphology of mandibular second molars in an Indian population. J Endod. 2010 Aug;36(8):1319-22
- Cotton TP, Geisler TM, Holden DT, Schwartz SA, Schindler WG. Endodontic applications of cone-beam volumetric tomography. J Endod. 2007;33(9):1121-32.
- Caliskan MK, Pehlivan Y, Sepetcioglu F, Turkun M, Tuncer SS. Root canal morphology of human permanent teeth in a Turkish population. J Endod. 1995;21(4):200-4.
- Küçükay İ, Küçükay S, Yıldırım S. Türk toplumunda üst çene ikinci küçük azı dîşlerindeki kök kanalı sayısının sıklığı: radyografik bir inceleme-ıncıdence of root canal numbers ın maxıllary second premolars ın a turkısh populatıon: a radıographıc study. Journal of Istanbul University Faculty of Dentistry.26(4):185-90.
- Alaçam T. Endodonti, 2. Baskı, Türkiye, Özyurt Matbaacılık, 2012:326-30.
- Sieraski SM, Taylor GN, Kohn RA. Identification and endodontic management of three-canalled maxillary premolars. J Endod. 1989;15(1):29-32.
- Slowey RR. Radiographic aids in the detection of extra root canals. Oral Surg Oral Med Oral Pathol. 1974;37(5):762-72.
- Green D. Double canals in single roots. Oral Surg Oral Med Oral Pathol. 1973;35(5):689-96.
- Kartal N, Yanikoğlu FC. Root canal morphology of mandibular incisors. J Endod. 1992 Nov;18(11):562-4
- Han T, Ma Y, Yang L, Chen X, Zhang X, Wang Y. A study of the root canal morphology of mandibular anterior teeth using cone-beam computed tomography in a Chinese subpopulation. J Endod. 2014;40(9):1309-14.
- Aminsobhani M, Sadegh M, Meraji N, Razmi H, Kharazifard MJ. Evaluation of the root and canal morphology of mandibular permanent anterior teeth in an Iranian population by cone-beam computed tomography. J Dent (Tehran). 2013;10(4):358-66.
- Shapira Y, Delivanis P. Multiple-rooted mandibular second premolars. J Endod. 1982;8(5):231-2.
- Ok E, Altunsoy M, Nur BG, Aglarci OS, Colak M, Gungor E. A cone-beam computed tomography study of root canal morphology of maxillary and mandibular premolars in a Turkish population. Acta Odontol Scand. 2014;72(8):701-6.
- Plotino G, Tocci L, Grande NM, Testarelli L, Messineo D, Ciotti M, et al. Symmetry of root and root canal morphology of maxillary and mandibular molars in a white population: a cone-beam computed tomography study in vivo. J Endod. 2013;39(12):1545-8.
INVESTIGATION OF ROOT CANAL MORPHOLOGIES AND SYMMETRY OF ANTERIOR AND PREMOLAR TEETH WITH CBCT IN A GROUP OF TURKISH POPULATIONS
Abstract
Objective
The aim of the study was to examine the root canal morphology and symmetry of anterior and premolar teeth in a group of Turkish population using cone beam computed tomography.
Methods
The images of individuals who came to XXX University Faculty of Dentistry between 2015-2017 and had CBCT for various reasons were scanned retrospectively. A total of 3702 teeth, root numbers, root canal morphology and symmetry were examined. Vertucci classification was used to determine root canal morphologies.
Results
In the study, a total of 3702 upper and lower teeth of 185 male and 215 female patients between the ages of 16-79 (mean 35.2) were evaluated. Vertucci Type I (62.0-89.3%) canal shape was the highest in all teeth examined in the mandible. A high rate of Type III (32.2-32.4%) canal shape was observed in the incisors of the mandible. Type I canal shape was highest (93.5% 95.9%) in upper anterior teeth, each root had type I canal shape in all two-rooted maxillary first premolars, and Type IV canal (79.4%) was highest in single-rooted maxillary first premolars. A high rate of Type I (41.6%) and then Type IV (23.3%) canal shapes were seen in the upper second premolars. The lowest symmetry rate was 85.0% in teeth 31-41, the highest symmetry rate was seen in teeth 12-22 and 14-24 with 96.2%. In general, the symmetry ratio was lower in all lower teeth compared to upper teeth.
Conclusion
According to the literature, although the tooth groups have certain common features among themselves, it has been revealed that morphological differences can be found in the studies. In this study, it is aimed to contribute to these differences.
Keywords
Project Number
Bu çalışma 2017 yılında 480940 nolu tez numarasıyla https://tez.yok.gov.tr de bulunmaktadır.
References
- Matherne RP, Angelopoulos C, Kulild JC, Tira D. Use of cone-beam computed tomography to identify root canal systems in vitro. J Endod. 2008;34(1):87-9.
- Pan JYY, Parolia A, Chuah SR, Bhatia S, Mutalik S, Pau A. Root canal morphology of permanent teeth in a Malaysian subpopulation using cone-beam computed tomography. BMC Oral Health. 2019;19(1):14.
- Al-Qudah AA, Awawdeh LA. Root canal morphology of mandibular incisors in a Jordanian population. Int Endod J. 2006;39(11):873-7.
- Vertucci F, Seelig A, Gillis R. Root canal morphology of the human maxillary second premolar. Oral Surg Oral Med Oral Pathol. 1974;38(3):456-64.
- Kaffe I, Kaufman A, Littner MM, Lazarson A. Radiographic study of the root canal system of mandibular anterior teeth. Int Endod J. 1985;18(4):253-9.
- Vertucci FJ. Root canal anatomy of the human permanent teeth. Oral Surg Oral Med Oral Pathol. 1984;58(5):589-99.
- Zaatar EI, al-Busairi MA, Behbahani MJ. Maxillary first premolars with three root canals: case report. Quintessence Int. 1990;21(12):1007-11.
- McCann JT, Keller DL, LaBounty GL. A modification of the muffle model system to study root canal morphology. J Endod. 1990;16(3):114-5.
- Gu L, Wei X, Ling J, Huang X. A microcomputed tomographic study of canal isthmuses in the mesial root of mandibular first molars in a Chinese population. J Endod. 2009;35(3):353-6.
- Erdoğan AŞ, Köseoğlu M. Kök kanal morfolojisinin belirlenmesi için kullanılan metodlar. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi.1998(1).
- Pohlenz P, Blessmann M, Blake F, Heinrich S, Schmelzle R, Heiland M. Clinical indications and perspectives for intraoperative cone-beam computed tomography in oral and maxillofacial surgery. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007;103(3):412-7.
- Gulabivala K, Aung TH, Alavi A, Ng YL. Root and canal morphology of Burmese mandibular molars. Int Endod J. 2001;34(5):359-70.
- Weine FS. Endodontic Therapy: C.V. Mosby Company; 1982.
- Helvacoğlu-Yigit D, Cora S, Sinanoglu A, Gür C. Analysis of root canal morphology and symmetry of mandibular anterior teeth using cone-beam computed tomography: a retrospective study: R2. International Endodontic Journal. 2016;49(1).
- Neelakantan P, Subbarao C, Subbarao CV, Ravindranath M. Root and canal morphology of mandibular second molars in an Indian population. J Endod. 2010 Aug;36(8):1319-22
- Cotton TP, Geisler TM, Holden DT, Schwartz SA, Schindler WG. Endodontic applications of cone-beam volumetric tomography. J Endod. 2007;33(9):1121-32.
- Caliskan MK, Pehlivan Y, Sepetcioglu F, Turkun M, Tuncer SS. Root canal morphology of human permanent teeth in a Turkish population. J Endod. 1995;21(4):200-4.
- Küçükay İ, Küçükay S, Yıldırım S. Türk toplumunda üst çene ikinci küçük azı dîşlerindeki kök kanalı sayısının sıklığı: radyografik bir inceleme-ıncıdence of root canal numbers ın maxıllary second premolars ın a turkısh populatıon: a radıographıc study. Journal of Istanbul University Faculty of Dentistry.26(4):185-90.
- Alaçam T. Endodonti, 2. Baskı, Türkiye, Özyurt Matbaacılık, 2012:326-30.
- Sieraski SM, Taylor GN, Kohn RA. Identification and endodontic management of three-canalled maxillary premolars. J Endod. 1989;15(1):29-32.
- Slowey RR. Radiographic aids in the detection of extra root canals. Oral Surg Oral Med Oral Pathol. 1974;37(5):762-72.
- Green D. Double canals in single roots. Oral Surg Oral Med Oral Pathol. 1973;35(5):689-96.
- Kartal N, Yanikoğlu FC. Root canal morphology of mandibular incisors. J Endod. 1992 Nov;18(11):562-4
- Han T, Ma Y, Yang L, Chen X, Zhang X, Wang Y. A study of the root canal morphology of mandibular anterior teeth using cone-beam computed tomography in a Chinese subpopulation. J Endod. 2014;40(9):1309-14.
- Aminsobhani M, Sadegh M, Meraji N, Razmi H, Kharazifard MJ. Evaluation of the root and canal morphology of mandibular permanent anterior teeth in an Iranian population by cone-beam computed tomography. J Dent (Tehran). 2013;10(4):358-66.
- Shapira Y, Delivanis P. Multiple-rooted mandibular second premolars. J Endod. 1982;8(5):231-2.
- Ok E, Altunsoy M, Nur BG, Aglarci OS, Colak M, Gungor E. A cone-beam computed tomography study of root canal morphology of maxillary and mandibular premolars in a Turkish population. Acta Odontol Scand. 2014;72(8):701-6.
- Plotino G, Tocci L, Grande NM, Testarelli L, Messineo D, Ciotti M, et al. Symmetry of root and root canal morphology of maxillary and mandibular molars in a white population: a cone-beam computed tomography study in vivo. J Endod. 2013;39(12):1545-8.
Details
| Primary Language | English |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Research Articles |
| Authors | |
| Project Number | Bu çalışma 2017 yılında 480940 nolu tez numarasıyla https://tez.yok.gov.tr de bulunmaktadır. |
| Publication Date | June 10, 2024 |
| Submission Date | March 23, 2023 |
| Published in Issue | Year 2024 |