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Comparing the crown and root metric properties of double-rooted and single-rooted mandibular canine teeth

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Abstract

Objectives

To compare the crown and root metric properties of two- and single-rooted/multi-canal mandibular canines (MnCn) with single-rooted/single-canal MnCn.

Methods

Cone-beam computed tomography images of 1000 patients (500 women and 500 men) with both right and left MnCn were analyzed. First, the root and canal morphologies of all teeth were examined. Then, the teeth were divided into three groups; (a) 2-rooted, (b) 1-rooted and multi-canals, (c) 1-rooted and single-canal. Crown lengths/sizes and tooth lengths were compared between the three groups. Statistical analyses were performed using Chi-square, one-way ANOVA, Welch, post hoc pairwise comparison, and independent sample t-tests. The significance level was set at 5%.

Results

Of all the teeth, 2.35% were 2-rooted, and 6.3% were 1-rooted/multi-canal. The frequency of double roots was higher in women (p < 0.05). Double-rooted teeth had longer crown lengths but shorter tooth lengths than single-rooted teeth (p < 0.05). In 2-rooted teeth, buccal and lingual root lengths were similar, root bifurcation levels were mostly at the mid-root, and the mean distance of the bifurcation points of the canals to the cemento-enamel junction was 4.09 mm. Double-rooted teeth were mostly observed unilaterally.

Conclusions

Since 2-rooted MnCn do not differ significantly from other teeth in terms of crown sizes, it is not possible to differentiate between single- vs. double-rooted MnCn based on clinical examination.

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References

  1. Ahmed HMA, Cheung GSP. Accessory roots and root canals in maxillary premolar teeth: a review of a critical endodontic challenge. ENDO (Lond Engl). 2012;6:7–18.

    Google Scholar 

  2. Ahmed HM, Hashem AA. Accessory roots and root canals in human anterior teeth: a review and clinical considerations. Int Endod J. 2016;49:724–36. https://doi.org/10.1111/iej.12508.

    Article  PubMed  Google Scholar 

  3. Aydin H. Analysis of root and canal morphology of fused and separate rooted maxillary molar teeth in Turkish population. Niger J Clin Pract. 2021;24:435–42. https://doi.org/10.4103/njcp.njcp_316_20.

    Article  PubMed  Google Scholar 

  4. Aydın H. Relationship between crown and root canal anatomy of four-rooted maxillary molar teeth. Aust Endod J. 2021;47:298–306. https://doi.org/10.1111/aej.12478.

    Article  PubMed  Google Scholar 

  5. Aydın H. Correlations between additional roots in maxillary second molars, maxillary first premolars, mandibular first molars and mandibular first premolars: A retrospective cone-beam computed tomography analysis. Odontology. 2022. https://doi.org/10.1007/s10266-022-00687-8.

    Article  PubMed  Google Scholar 

  6. Aydın H, Mobaraki S. Comparison of root and canal anatomy of taurodont and normal molar teeth: a retrospective cone-beam computed tomography study. Arch Oral Biol. 2021. https://doi.org/10.1016/j.archoralbio.2021.105242.

    Article  PubMed  Google Scholar 

  7. Beltes P, Kantilieraki E, Kalaitzoglou ME, Beltes C, Angelopoulos C. Mandibular canines with additional roots: an ex vivo study of the external and internal morphology. Aust Endod J. 2019;45:184–8. https://doi.org/10.1111/aej.12305.

    Article  PubMed  Google Scholar 

  8. Calişkan MK, Pehlivan Y, Sepetçioğlu F, Türkün M, Tuncer SS. Root canal morphology of human permanent teeth in a Turkish population. J Endod. 1995;21:200–4. https://doi.org/10.1016/S0099-2399(06)80566-2.

    Article  PubMed  Google Scholar 

  9. 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;40:1309–14. https://doi.org/10.1016/j.joen.2014.05.008.

    Article  PubMed  Google Scholar 

  10. Karobari MI, Noorani TY, Halim MS, Ahmed HMA. Root and canal morphology of the anterior permanent dentition in Malaysian population using two classification systems: a CBCT clinical study. Aust Endod J. 2021;4:202–6. https://doi.org/10.1111/aej.12454.

    Article  Google Scholar 

  11. Kayaoglu G, Peker I, Gumusok M, Sarikir C, Kayadugun A, Ucok O. Root and canal symmetry in the mandibular anterior teeth of patients attending a dental clinic: CBCT study. Braz Oral Res. 2015;29:S1806-83242015000100290. https://doi.org/10.1590/1807-3107BOR-2015.vol29.0090.

    Article  PubMed  Google Scholar 

  12. Kim SY, Lim SH, Gang SN, Kim HJ. Crown and root lengths of incisors, canines, and premolars measured by cone-beam computed tomography in patients with malocclusions. Korean J Orthod. 2013;43:271–8. https://doi.org/10.4041/kjod.2013.43.6.271.

    Article  PubMed  PubMed Central  Google Scholar 

  13. Kim KR, Song JS, Kim SO, Kim SH, Park W, Son HK. Morphological changes in the crown of mandibular molars with an additional distolingual root. Arch Oral Biol. 2013;58:248–53. https://doi.org/10.1016/j.archoralbio.2012.07.015.

    Article  PubMed  Google Scholar 

  14. Kulkarni V, Duruel O, Ataman-Duruel ET, Tözüm MD, Nares S, Tözüm TF. In-depth morphological evaluation of tooth anatomic lengths with root canal configurations using cone beam computed tomography in North American population. J Appl Oral Sci. 2020;28:e20190103. https://doi.org/10.1590/1678-7757-2019-0103.

    Article  PubMed  PubMed Central  Google Scholar 

  15. Lee C, Scott GR. Brief communication: two-rooted lower canines–a European trait and sensitive indicator of admixture across Eurasia. Am J Phys Anthropol. 2011;146:481–5. https://doi.org/10.1002/ajpa.21585.

    Article  PubMed  Google Scholar 

  16. Martins JNR, Marques D, Mata A, Caramês J. Root and root canal morphology of the permanent dentition in a Caucasian population: a cone-beam computed tomography study. Int Endod J. 2017;50:1013–26. https://doi.org/10.1111/iej.12724.

    Article  PubMed  Google Scholar 

  17. Martins JNR, Gu Y, Marques D, Francisco H, Caramês J. Differences on the root and root canal morphologies between Asian and White ethnic groups analyzed by cone-beam computed tomography. J Endod. 2018;44:1096–104. https://doi.org/10.1016/j.joen.2018.04.001.

    Article  PubMed  Google Scholar 

  18. Martins JNR, Marques D, Leal Silva EJN, Caramês J, Mata A, Versiani MA. Influence of demographic factors on the prevalence of a second root canal in mandibular anterior teeth—a systematic review and meta-analysis of cross-sectional studies using cone beam computed tomography. Arch Oral Biol. 2020;116: 104749. https://doi.org/10.1016/j.archoralbio.2020.104749.

    Article  PubMed  Google Scholar 

  19. Monsarrat P, Arcaute B, Peters OA, Maury E, Telmon N, Georgelin-Gurgel M, et al. Interrelationships in the variability of root canal anatomy among the permanent teeth: a full-mouth approach by cone-beam CT. PLoS ONE. 2016;20(11): e0165329. https://doi.org/10.1371/journal.pone.0165329.

    Article  Google Scholar 

  20. Pécora JD, Sousa Neto MD, Saquy PC. Internal anatomy, direction and number of roots and size of human mandibular canines. Braz Dent J. 1993;4:53–7.

    PubMed  Google Scholar 

  21. Plascencia H, Cruz Á, Gascón G, Ramírez B, Díaz M. Mandibular canines with two roots and two root canals: case report and literature review. Case Rep Dent. 2017;2017:8459840. https://doi.org/10.1155/2017/8459840.

    Article  PubMed  PubMed Central  Google Scholar 

  22. 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;30:391–8. https://doi.org/10.1097/00004770-200406000-00004.

    Article  PubMed  Google Scholar 

  23. Sharma R, Pécora JD, Lumley PJ, Walmsley AD. The external and internal anatomy of human mandibular canine teeth with two roots. Endod Dent Traumatol. 1998;14:88–92. https://doi.org/10.1111/j.1600-9657.1998.tb00817.x.

    Article  PubMed  Google Scholar 

  24. Soleymani A, Namaryan N, Moudi E, Gholinia A. Root canal morphology of mandibular canine in an Iranian population: A CBCT assessment. Iran Endod J. 2017;12:78–82. https://doi.org/10.22037/iej.2017.

    Article  PubMed  PubMed Central  Google Scholar 

  25. Somalinga Amardeep N, Raghu S, Natanasabapathy V. Root canal morphology of permanent maxillary and mandibular canines in Indian population using cone beam computed tomography. Anat Res Int. 2014;2014:731859. https://doi.org/10.1155/2014/731859.

    Article  PubMed  PubMed Central  Google Scholar 

  26. Versiani MA, Pécora JD, Sousa-Neto MD. The anatomy of two-rooted mandibular canines determined using micro-computed tomography. Int Endod J. 2011;44:682–7. https://doi.org/10.1111/j.1365-2591.2011.01879.x.

    Article  PubMed  Google Scholar 

  27. Versiani MA, Pécora JD, Sousa-Neto MD. Microcomputed tomography analysis of the root canal morphology of single-rooted mandibular canines. Int Endod J. 2013;46:800–7. https://doi.org/10.1111/iej.12061.

    Article  PubMed  Google Scholar 

  28. Vertucci FJ. Root canal anatomy of the human permanent teeth. Oral Surg Oral Med Oral Pathol. 1984;58:589–99. https://doi.org/10.1016/0030-4220(84)90085-9.

    Article  PubMed  Google Scholar 

  29. Wu YC, Su CC, Tsai YC, Cheng WC, Chung MP, Chiang HS, et al. Complicated root canal configuration of mandibular first premolars is correlated with the presence of the distolingual root in mandibular first molars: a cone-beam computed tomographic study in Taiwanese individuals. J Endod. 2017;43:1064–71. https://doi.org/10.1016/j.joen.2017.01.027.

    Article  PubMed  Google Scholar 

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Correspondence to Hakan Aydın.

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The study protocol was submitted to the Akdeniz University Medical Ethics Committee to obtain approval before research (process number KAEK-102).

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Obtained from all patients for being included in this study.

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Aydın, H. Comparing the crown and root metric properties of double-rooted and single-rooted mandibular canine teeth. Oral Radiol 39, 301–311 (2023). https://doi.org/10.1007/s11282-022-00637-8

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  • DOI: https://doi.org/10.1007/s11282-022-00637-8

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