Three-rooted maxillary first premolars incidentally detected on cone beam CT: an in vivo study
- 12 Downloads
To explore the incidence and analyze the morphology of three-rooted maxillary first premolars (MFPs) incidentally detected on cone beam computed tomography (CBCT) scans.
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.
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.
The occurrence of three-rooted MFPs is not unusual; therefore, preoperative CBCT evaluation could be suggested whenever endodontic procedures are planned on an MFP.
KeywordsBicuspid Tooth root Anatomic variation Cone-beam computed tomography
AB: Project development, Data collection and data analysis, Manuscript writing and editing; SM: Data analysis, Literature research, Manuscript editing; AZ: Data collection, Manuscript editing; IT: Literature research, Manuscript editing; RM: Manuscript editing.
Compliance with ethical standards
Conflict of interest
The authors declare that they have no conflict of interest.
All procedures performed in this study were in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
This study was retrospective, and it did not alter the management of the patients; thus, no specific consent was required.
- 5.Dashrath K, Nisha A, Subodh S (2015) Root morphology and tooth length of maxillary first premolar in Nepalese population. Dentistry 5:324Google Scholar
- 7.Hartmann RC, Baldasso FE, Stürmer CP, Acauan MD, Scarparo RK, Morgental RD, Bryant S, Dummer PM, de Figueiredo JA, Vier-Pelisser FV (2013) Clinically relevant dimensions of 3-rooted maxillary premolars obtained via high-resolution computed tomography. J Endod 39:1639–1645. https://doi.org/10.1016/j.joen.2013.07.029 CrossRefGoogle Scholar
- 11.Lipski M, Wozniak K, Lagocka R, Tomasik M (2005) Root and canal morphology of the first human maxillary premolar. Durh Anthropol J 12:2–3Google Scholar