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ORTA ANADOLU TOPLUMUNDA ALT ÇENE KÜÇÜK AZI DİŞLERİNİN KÖK KANAL MORFOLOJİSİNİN VE KRON-KÖK ORANININ KONİK IŞINLI BİLGİSAYARLI TOMOGRAFİ İLE DEĞERLENDİRİLMESİ

Year 2022, Volume: 24 Issue: 1, 55 - 62, 30.04.2022

Ali Türkyılmaz Merve Aydoğdu Mehmet Zahit Adışen Ali Altındağ

https://doi.org/10.24938/kutfd.1006183

Abstract

Amaç: Bu retrospektif çalışmanın amacı, alt çene küçük azı dişlerinin kök kanal anatomisinin yapısal konfigürasyonlarını ve kron-kök oranını cinsiyete, yaş aralıklarına ve bilateral uyum varlığına göre konik ışınlı bilgisayarlı tomografi kullanarak incelemektir.
Gereç ve Yöntemler: Toplam 300 hastanın alt çene birinci ve ikinci küçük azı dişlerinden 1200 adet konik ışınlı bilgisayarlı tomografik görüntüsü elde edildi. Görüntüler; i) kök kanal konfigürasyonlarının morfolojisi, ii) kron uzunluğu, iii) kök uzunluğu, iv) toplam diş uzunluğu, v) kron-kök oranı; cinsiyet, yaş ve bilateral uyuma göre değerlendirildi. Veriler bağımsız örneklem t-testi ve tek yönlü varyans analizi (ANOVA) ile analiz edildi. p<0.05 değeri anlamlı kabul edildi.
Bulgular: Hem alt çene birinci küçük azı dişleri hem de ikinci küçük azı dişlerinde cinsiyet, yaş ve simetrik karşılaştırmalarda anlamlı farklılıklar gözlendi (p<0.05). İncelenen dişler Vertucci sınıflandırmasına göre Tip I’den Tip VI’ya kadar altı farklı kök kanal konfigürasyonu gösterdi. Kron uzunluğu, kök uzunluğu, toplam diş uzunluğu ve kron-kök oranı bakımından yaş aralıklarının karşılaştırılmasında anlamlı farklılık bulundu (p<0.05).
Sonuç: Alt çene birinci küçük azı dişlerinde, iki kanal bulunma sıklığı ikinci küçük azı dişlerinden yaklaşık iki kat daha fazlaydı. Yaşla birlikte kron uzunluğu ve kron-kök oranı azalırken, kök uzunluğunun arttığı belirlendi.

Keywords

Konik-ışınlı bilgisayarlı tomografi Kron-kök oranı kök kanal morfolojisi Alt çene küçük azı dişleri

Supporting Institution

yok

Project Number

yok

Thanks

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References

  • 1. Vertucci FJ. Root canal morphology and its relationship to endodontic procedures. Endod Topics. 2005;10(1):3-29.
  • 2. Hess W, Zürcher E. The Anatomy of Root Canals of the Teeth of the Permanent and Deciduous Dentitions. NewYork. William Wood & Co, 1925.
  • 3. Siqueira JF Jr. Aetiology of root canal treatment failure: why well-treated teeth can fail. Int Endod J. 2001;34(1):1-10.
  • 4. Liu N, Li X, Liu N, Ye L, An J, Nie X 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.
  • 5. Brescia NJ. Applied Dental Anatomy. St. Louis: CV Mosby Co. 1961:46-8.
  • 6. Cleghorn BM, Christie WH, Dong CC. The root and root canal morphology of the human mandibular second premolar: a literature review. J Endod. 2007;33(9):1031-7.
  • 7. Macri E, Zmener O. Five canals in a mandibular second premolar. J Endod. 2000;26(5):304-5.
  • 8. Holtta P, Nyström M, Evalahti M, Alaluusua S. Root-crown ratios of permanent teeth in a healthy Finnish population assessed from panoramic radiographs. Eur J Orthod. 2004;26(5):491-7. 9. Sert S, Bayirli GS. Evaluation of the root canal configurations of the mandibular and maxillary permanent teeth by gender in the Turkish population. J Endod. 2004;30(6):391-8.
  • 10. Barbizam JV, Ribeiro RG, Tanomaru Filho M. Unusual anatomy of permanent maxillary molars. J Endod. 2004;30(9):668-71.
  • 11. Slowey RR. Root canal anatomy. Road map to successful endodontics. Dent Clin North Am. 1979;23(4):555-73.
  • 12. Awawdeh LA, Al-Qudah AA. Root form and canal morphology of mandibular premolars in a Jordanian population. Int Endod J. 2008;41(3):240-8.
  • 13. Walker RT. Root canal anatomy of mandibular first premolars in a southern Chinese population. Endod Dent Traumatol. 1988;4(5):226-8.
  • 14. Zillich R, Dowson J. Root canal morphology of mandibular first and second premolars. Oral Surg Oral Med Oral Pathol. 1973;36(5):738-44.
  • 15. Holtzman L. Root canal treatment of mandibular second premolar with four root canals: a case report. Int Endod J. 1998;31(5):364-6.
  • 16. Al-Abdulwahhab B, Al-Nazhan S. Root canal treatment of mandibular second premolar with four root canals. Saudi Endod J. 2015;5(3):196.
  • 17. Rödig T, Hülsmann M. Diagnosis and root canal treatment of a mandibular second premolar with three root canals. Int Endod J. 2003;36(12):912-9.
  • 18. Trope M, Elfenbein L, Tronstad L. Mandibular premolars with more than one root canal in different race groups. J Endod. 1986;12(8):343-5.
  • 19. Velmurugan N, Sandhya R. Root canal morphology of mandibular first premolars in an Indian population: a laboratory study. Int Endod J. 2009;42(1):54-8.
  • 20. Zhang D, Chen J, Lan G, Li M, An J, Wen X et al. The root canal morphology in mandibular first premolars: a comparative evaluation of cone-beam computed tomography and micro-computed tomography. Clin Oral Invest. 2017;21(4):1007-12.
  • 21. Fernandes LM, Rice D, Ordinola-Zapata R, Capelozza AL, Bramante CM, Jaramillo D et al. Detection of various anatomic patterns of root canals in mandibular incisors using digital periapical radiography, 3 cone-beam computed tomographic scanners, and micro-computed tomographic imaging. J Endod. 2014;40(1):42-5.
  • 22. Kottoor J, Velmurugan N, Surendran S. Endodontic management of a maxillary first molar with eight root canal systems evaluated using cone-beam computed tomography scanning: a case report. J Endod. 2011;37(5):715-9.
  • 23. Marca C, Dummer PM, Bryant S, Vier-Pelisser FV, Só MV, Fontanella V et al. Three-rooted premolar analyzed by high-resolution and cone beam CT. Clin Oral Investig. 2013;17(6):1535-40.
  • 24. Akay G, Atak N, Güngör K. Adli diş hekimliğinde dişler kullanılarak yapılan yaş tayini yöntemleri. EÜ Dişhekimliği Fak Derg. 2018;39(2):73-82.
  • 25. Bozdemir E, Amasya H. Yaşlanmayla birlikte ağız ve çevresindeki dokularda gözlenen yapısal ve fonksiyonel değişiklikler. Selcuk Dental Journal. 2019;6(2):239-46.
  • 26. Volumen SY, de Dientes Premolares, UEP. Crown-to-root ratios in terms of length, surface area and volume: A pilot study of premolars. Int J Morphol. 2016;34(2):465-70.
  • 27. Greenstein G, Cavallaro JS. Importance of crown to root and crown to implant ratios. Dent Today. 2011;30(3):61-2.
  • 28. Dykema RW. Fixed partial prosthodontics. J Tenn Dent Assoc. 1968;43:309-21.
  • 29. Treatment planning for the replacement of missing teeth. In: Shillingburg HT, Hobo S, Whitsett LD, Jacobi R, Brackett SE. Fundamentals of Fixed prosthodontics. Quintessence Publishing Company. 1997:85-103.

Cone-Beam Computed Tomography Evaluation of Root Canal Morphology and Crown-to-Root Ratio of Mandibular Premolars in Middle Anatolian Population

Year 2022, Volume: 24 Issue: 1, 55 - 62, 30.04.2022

Ali Türkyılmaz Merve Aydoğdu Mehmet Zahit Adışen Ali Altındağ

https://doi.org/10.24938/kutfd.1006183

Abstract

Objective: The purpose of this retrospective study was to investigate morphological configurations of root canal anatomy and crown-to-root ratio of mandibular premolar teeth by gender, age intervals and occurrence of bilateral harmony using cone beam computed tomography scanning.
Material and Methods: A total of 1200 cone-beam computed tomographic images of mandibular first and second premolar teeth were obtained from 300 patients. The images were evaluated considering i) morphology of the root canal configurations, ii) crown length, iii) root length, iv) total tooth length, v) crown-to-root ratio; according to gender, age, and unilateral harmony. The data were analyzed with independent sample t-test and one-way analysis of variance (ANOVA). The p value was established as <0.05.
Results: Significant differences were present in gender, age and symmetrical comparisons both mandibular first and second premolar teeth (p<0.05). According to Vertucci's classification, the examined teeth exhibited six different root canal configurations as type I trough out type VI. Significant differences were found between age intervals in determination of crown length, root length, total teeth length and crown-to-root ratio (p<0.05).
Conclusion: In mandibular first premolar teeth, the frequency of two canals was approximately two times higher than second premolar teeth. The crown length and crown-to-root ratio decreased; otherwise, the root length increased by age.

Keywords

Cone-beam computed tomography crown-to-root ratio root canal morphology Mandibular premolar teeth

Project Number

yok

References

  • 1. Vertucci FJ. Root canal morphology and its relationship to endodontic procedures. Endod Topics. 2005;10(1):3-29.
  • 2. Hess W, Zürcher E. The Anatomy of Root Canals of the Teeth of the Permanent and Deciduous Dentitions. NewYork. William Wood & Co, 1925.
  • 3. Siqueira JF Jr. Aetiology of root canal treatment failure: why well-treated teeth can fail. Int Endod J. 2001;34(1):1-10.
  • 4. Liu N, Li X, Liu N, Ye L, An J, Nie X 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.
  • 5. Brescia NJ. Applied Dental Anatomy. St. Louis: CV Mosby Co. 1961:46-8.
  • 6. Cleghorn BM, Christie WH, Dong CC. The root and root canal morphology of the human mandibular second premolar: a literature review. J Endod. 2007;33(9):1031-7.
  • 7. Macri E, Zmener O. Five canals in a mandibular second premolar. J Endod. 2000;26(5):304-5.
  • 8. Holtta P, Nyström M, Evalahti M, Alaluusua S. Root-crown ratios of permanent teeth in a healthy Finnish population assessed from panoramic radiographs. Eur J Orthod. 2004;26(5):491-7. 9. Sert S, Bayirli GS. Evaluation of the root canal configurations of the mandibular and maxillary permanent teeth by gender in the Turkish population. J Endod. 2004;30(6):391-8.
  • 10. Barbizam JV, Ribeiro RG, Tanomaru Filho M. Unusual anatomy of permanent maxillary molars. J Endod. 2004;30(9):668-71.
  • 11. Slowey RR. Root canal anatomy. Road map to successful endodontics. Dent Clin North Am. 1979;23(4):555-73.
  • 12. Awawdeh LA, Al-Qudah AA. Root form and canal morphology of mandibular premolars in a Jordanian population. Int Endod J. 2008;41(3):240-8.
  • 13. Walker RT. Root canal anatomy of mandibular first premolars in a southern Chinese population. Endod Dent Traumatol. 1988;4(5):226-8.
  • 14. Zillich R, Dowson J. Root canal morphology of mandibular first and second premolars. Oral Surg Oral Med Oral Pathol. 1973;36(5):738-44.
  • 15. Holtzman L. Root canal treatment of mandibular second premolar with four root canals: a case report. Int Endod J. 1998;31(5):364-6.
  • 16. Al-Abdulwahhab B, Al-Nazhan S. Root canal treatment of mandibular second premolar with four root canals. Saudi Endod J. 2015;5(3):196.
  • 17. Rödig T, Hülsmann M. Diagnosis and root canal treatment of a mandibular second premolar with three root canals. Int Endod J. 2003;36(12):912-9.
  • 18. Trope M, Elfenbein L, Tronstad L. Mandibular premolars with more than one root canal in different race groups. J Endod. 1986;12(8):343-5.
  • 19. Velmurugan N, Sandhya R. Root canal morphology of mandibular first premolars in an Indian population: a laboratory study. Int Endod J. 2009;42(1):54-8.
  • 20. Zhang D, Chen J, Lan G, Li M, An J, Wen X et al. The root canal morphology in mandibular first premolars: a comparative evaluation of cone-beam computed tomography and micro-computed tomography. Clin Oral Invest. 2017;21(4):1007-12.
  • 21. Fernandes LM, Rice D, Ordinola-Zapata R, Capelozza AL, Bramante CM, Jaramillo D et al. Detection of various anatomic patterns of root canals in mandibular incisors using digital periapical radiography, 3 cone-beam computed tomographic scanners, and micro-computed tomographic imaging. J Endod. 2014;40(1):42-5.
  • 22. Kottoor J, Velmurugan N, Surendran S. Endodontic management of a maxillary first molar with eight root canal systems evaluated using cone-beam computed tomography scanning: a case report. J Endod. 2011;37(5):715-9.
  • 23. Marca C, Dummer PM, Bryant S, Vier-Pelisser FV, Só MV, Fontanella V et al. Three-rooted premolar analyzed by high-resolution and cone beam CT. Clin Oral Investig. 2013;17(6):1535-40.
  • 24. Akay G, Atak N, Güngör K. Adli diş hekimliğinde dişler kullanılarak yapılan yaş tayini yöntemleri. EÜ Dişhekimliği Fak Derg. 2018;39(2):73-82.
  • 25. Bozdemir E, Amasya H. Yaşlanmayla birlikte ağız ve çevresindeki dokularda gözlenen yapısal ve fonksiyonel değişiklikler. Selcuk Dental Journal. 2019;6(2):239-46.
  • 26. Volumen SY, de Dientes Premolares, UEP. Crown-to-root ratios in terms of length, surface area and volume: A pilot study of premolars. Int J Morphol. 2016;34(2):465-70.
  • 27. Greenstein G, Cavallaro JS. Importance of crown to root and crown to implant ratios. Dent Today. 2011;30(3):61-2.
  • 28. Dykema RW. Fixed partial prosthodontics. J Tenn Dent Assoc. 1968;43:309-21.
  • 29. Treatment planning for the replacement of missing teeth. In: Shillingburg HT, Hobo S, Whitsett LD, Jacobi R, Brackett SE. Fundamentals of Fixed prosthodontics. Quintessence Publishing Company. 1997:85-103.
There are 28 citations in total.

Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Articles
Authors

Ali Türkyılmaz 0000-0003-0641-0062

Merve Aydoğdu 0000-0001-6795-2709

Mehmet Zahit Adışen 0000-0002-5493-8390

Ali Altındağ 0000-0001-8549-5193

Project Number yok
Publication Date April 30, 2022
Submission Date October 11, 2021
Published in Issue Year 2022 Volume: 24 Issue: 1

Cite

APA Türkyılmaz, A., Aydoğdu, M., Adışen, M. Z., Altındağ, A. (2022). ORTA ANADOLU TOPLUMUNDA ALT ÇENE KÜÇÜK AZI DİŞLERİNİN KÖK KANAL MORFOLOJİSİNİN VE KRON-KÖK ORANININ KONİK IŞINLI BİLGİSAYARLI TOMOGRAFİ İLE DEĞERLENDİRİLMESİ. Kırıkkale Üniversitesi Tıp Fakültesi Dergisi, 24(1), 55-62. https://doi.org/10.24938/kutfd.1006183
AMA Türkyılmaz A, Aydoğdu M, Adışen MZ, Altındağ A. ORTA ANADOLU TOPLUMUNDA ALT ÇENE KÜÇÜK AZI DİŞLERİNİN KÖK KANAL MORFOLOJİSİNİN VE KRON-KÖK ORANININ KONİK IŞINLI BİLGİSAYARLI TOMOGRAFİ İLE DEĞERLENDİRİLMESİ. Kırıkkale Uni Med J. April 2022;24(1):55-62. doi:10.24938/kutfd.1006183
Chicago Türkyılmaz, Ali, Merve Aydoğdu, Mehmet Zahit Adışen, and Ali Altındağ. “ORTA ANADOLU TOPLUMUNDA ALT ÇENE KÜÇÜK AZI DİŞLERİNİN KÖK KANAL MORFOLOJİSİNİN VE KRON-KÖK ORANININ KONİK IŞINLI BİLGİSAYARLI TOMOGRAFİ İLE DEĞERLENDİRİLMESİ”. Kırıkkale Üniversitesi Tıp Fakültesi Dergisi 24, no. 1 (April 2022): 55-62. https://doi.org/10.24938/kutfd.1006183.
EndNote Türkyılmaz A, Aydoğdu M, Adışen MZ, Altındağ A (April 1, 2022) ORTA ANADOLU TOPLUMUNDA ALT ÇENE KÜÇÜK AZI DİŞLERİNİN KÖK KANAL MORFOLOJİSİNİN VE KRON-KÖK ORANININ KONİK IŞINLI BİLGİSAYARLI TOMOGRAFİ İLE DEĞERLENDİRİLMESİ. Kırıkkale Üniversitesi Tıp Fakültesi Dergisi 24 1 55–62.
IEEE A. Türkyılmaz, M. Aydoğdu, M. Z. Adışen, and A. Altındağ, “ORTA ANADOLU TOPLUMUNDA ALT ÇENE KÜÇÜK AZI DİŞLERİNİN KÖK KANAL MORFOLOJİSİNİN VE KRON-KÖK ORANININ KONİK IŞINLI BİLGİSAYARLI TOMOGRAFİ İLE DEĞERLENDİRİLMESİ”, Kırıkkale Uni Med J, vol. 24, no. 1, pp. 55–62, 2022, doi: 10.24938/kutfd.1006183.
ISNAD Türkyılmaz, Ali et al. “ORTA ANADOLU TOPLUMUNDA ALT ÇENE KÜÇÜK AZI DİŞLERİNİN KÖK KANAL MORFOLOJİSİNİN VE KRON-KÖK ORANININ KONİK IŞINLI BİLGİSAYARLI TOMOGRAFİ İLE DEĞERLENDİRİLMESİ”. Kırıkkale Üniversitesi Tıp Fakültesi Dergisi 24/1 (April 2022), 55-62. https://doi.org/10.24938/kutfd.1006183.
JAMA Türkyılmaz A, Aydoğdu M, Adışen MZ, Altındağ A. ORTA ANADOLU TOPLUMUNDA ALT ÇENE KÜÇÜK AZI DİŞLERİNİN KÖK KANAL MORFOLOJİSİNİN VE KRON-KÖK ORANININ KONİK IŞINLI BİLGİSAYARLI TOMOGRAFİ İLE DEĞERLENDİRİLMESİ. Kırıkkale Uni Med J. 2022;24:55–62.
MLA Türkyılmaz, Ali et al. “ORTA ANADOLU TOPLUMUNDA ALT ÇENE KÜÇÜK AZI DİŞLERİNİN KÖK KANAL MORFOLOJİSİNİN VE KRON-KÖK ORANININ KONİK IŞINLI BİLGİSAYARLI TOMOGRAFİ İLE DEĞERLENDİRİLMESİ”. Kırıkkale Üniversitesi Tıp Fakültesi Dergisi, vol. 24, no. 1, 2022, pp. 55-62, doi:10.24938/kutfd.1006183.
Vancouver Türkyılmaz A, Aydoğdu M, Adışen MZ, Altındağ A. ORTA ANADOLU TOPLUMUNDA ALT ÇENE KÜÇÜK AZI DİŞLERİNİN KÖK KANAL MORFOLOJİSİNİN VE KRON-KÖK ORANININ KONİK IŞINLI BİLGİSAYARLI TOMOGRAFİ İLE DEĞERLENDİRİLMESİ. Kırıkkale Uni Med J. 2022;24(1):55-62.
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