ROOT CANAL CONFIGURATION OF MAXILLARY FIRST PREMOLAR TEETH IN A SUBPOPULATION OF PESHAWAR USING TOOTH CROSS-SECTIONING METHOD; AN INVITRO STUDY

Authors

  • Munawar Aziz Khattak Peshawar Dental College
  • Faiza Ijaz Abbottabad International Medical Institute, Abbottabad
  • Nofil Ahmad Frontier Medical and Dental College, Abbottabad.
  • Sana Arbab Peshawar Dental College
  • Imran Khattak Peshawar Dental College
  • Yusra Jamil Khattak Rashid Latif Dental College

DOI:

https://doi.org/10.55519/JAMC-03-S1-10132

Keywords:

Root canal configuration, Weine's classification, Maxillary first premolars, Tooth sectioning

Abstract

Background: Knowledge of tooth morphology is obligatory for achieving success in dental treatment. The root canal configuration of maxillary first premolar (MFP) has been shown to be highly varying. The study was conducted to assess the canal configurations in the roots of upper first premolars within a sample population of Peshawar with the help of tooth cross-sectioning method. Methods: The extracted 250 maxillary first premolars had undergone access cavity preparation after cleaning and pulp was removed from each individual tooth. The root canals were located in the pulp chamber floor and then India ink was injected in to their orifices. When the canals get stained the roots were cross-sectioned at three levels to assess the configurations of root canals using a categorization method devised by Weine. SPSS version 19 was used to analyze the data. A p-value of less than 0.05 was considered statistically significant. Results: Among 250 maxillary first premolars, the common root canal configuration was Weine's type-IV in 30.4% and type-III in 30.0% teeth. Weine's type-I and type-II were observed in 24.8% and 8.8% premolars, respectively. Variable root canal configurations were seen in 6.0% teeth. Apical delta was found in 1 (0.4%) tooth. A highly statistically significant difference was observed when root canal configuration was compared with external root morphology. Conclusion: Weine's type-IV and type-III root canal configurations were frequently observed in maxillary first bicuspids.

Author Biographies

Munawar Aziz Khattak, Peshawar Dental College

Assistant Proffessor Dept. of Oral Biology

Faiza Ijaz, Abbottabad International Medical Institute, Abbottabad

Assistant Proffessor Dept. of Oral Biology

Nofil Ahmad, Frontier Medical and Dental College, Abbottabad.

Assistant Proffessor Dept. of Orthodomtics

Sana Arbab, Peshawar Dental College

Assistant Proffessor Dept. of Oral Biology

Imran Khattak, Peshawar Dental College

Lecturer Dept of Oral Biology

Yusra Jamil Khattak, Rashid Latif Dental College

Assistant Proffesor Dept. of Oral Biology

References

Tabassum S, Khan FR. Failure of endodontic treatment: The usual suspects. Eur J Dent 2016;10(1):144–7.

Patnana AK, Chugh A. Endodontic management of curved canals with protaper next: A case series. Contemp Clin Dent 2018;9(Suppl 1):S168–72.

Baroudi K, Kazkaz M, Sakka S, Tarakji B. Morphology of root canals in lower human premolars. Niger Med J 2012;53(4):206–9.

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(1):e20190103.

Sulaiman AO, Dosumu OO, Amedari M. Maxillary first premolar with three root canals: a case report. Ann Ib Postgrad Med 2013;11(2):105–8.

Mashyakhy M, Gambarini G. Root and root canal morphology differences between genders: a comprehensive in-vivo CBCT study in a Saudi population. Acta Stomatol Croat 2019;53(3):231–46.

Gupta S, Sinha DJ, Gowhar O, Tyagi SP, Singh NN, Gupta S. Root and canal morphology of maxillary first premolar teeth in north Indian population using clearing technique: an in vitro study. J Conserv Dent 2015;18(3):232–6.

Atieh MA. Root and canal morphology of maxillary first premolars in a Saudi population. J Contemp Dent Pract 2008;9(1):46–53.

Maghfuri S, Keylani H, Chohan H, Dakkam S, Atiah A, Mashyakhy M. Evaluation of root canal morphology of maxillary first premolars by cone beam computed tomography in Saudi Arabian southern region subpopulation: An in vitro study. Int J Dent 2019;2019:2063943.

Assadian H, Dabbaghi A, Gooran M, Eftekhar B, Sharifi S, Shams N, Najvani AD, Tabesh H. Accuracy of CBCT, digital radiography and cross-sectioning for the evaluation of mandibular incisor root canals. Iranian Endod J 2016;11(2):106.

Khedmat S, Assadian H, Saravani AA. Root canal morphology of the mandibular first premolars in an Iranian population using cross-sections and radiography. J Endod 2010;36(2):214–7.

Weine FS, Healey HJ, Gerstein H, Evanson L. Canal configuration in the mesiobuccal root of the maxillary first molar and its endodontic significance. Oral Surg Oral Med Oral Pathol 1969;28(3):419–25.

Özcan E, Çolak H, Hamidi MM. Root and canal morphology of maxillary first premolars in a Turkish population. J Dent Sci 2012;7(4):390–4.

Chaparro AJ, Segura JJ, Guerrero E, Jimenez‐Rubio A, Murillo C, Feito JJ. Number of roots and canals in maxillary first premolars: study of an Andalusian population. Dent Traumatol 1999;15(2):65–7.

Lipski M, Wozniak K, Lagocka R, Tomasik M. Root and canal morphology of the first human maxillary premolar. Durham Anthropol J 2005;12:2–3.

Vertucci FJ. Root canal anatomy of the human permanent teeth. Oral Surg Oral Med Oral Pathol 1984;58(5):589–99.

Pineda F, Kuttler Y. Mesiodistal and buccolingual roentgenographic investigation of 7,275 root canals. Oral Surg Oral Med Oral Pathol 1972;33(1):101–10.

Weng XL, Yu SB, Zhao SL, Wang HG, Mu T, Tang RY, et al. Root canal morphology of permanent maxillary teeth in the Han nationality in Chinese Guanzhong area: a new modified root canal staining technique. J Endod 2009;35(5):651–6.

Abella F, Teixidó LM, Patel S, Sosa F, Duran-Sindreu F, Roig M. Cone-beam computed tomography analysis of the root canal morphology of maxillary first and second premolars in a Spanish population. J Endod 2015;41(8):1241–7.

Cantatore G, Berutti E, Castellucci A. Missed anatomy: frequency and clinical impact. Endod Topics 2006;15(1):3–31.

Vertucci FJ. Root canal morphology and its relationship to endodontic procedures. Endod Topics 2005;10(1):3–29.

Published

2022-06-24