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Cone beam CT evaluation of mandibular molar root canal morphology in a Turkish Cypriot population

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Abstract

Objectives

Microorganisms in untreated or overlooked root canals can cause endodontic failure or infection and inflammation. Therefore, clinicians should familiarize themselves with patient’s root canal anatomy and morphology. The objective of this retrospective study was to analyze and characterize mandibular root canal morphology using cone beam computed tomography (CBCT) in a Turkish Cypriot population.

Materials and methods

This cross-sectional study consisted of retrospective evaluation of CBCT scans from 272 adult patients (aged 16–80 years). The number of roots and canals and the canal configuration in each root were evaluated using Vertucci’s classification. The incidence of additional roots and of C-shaped canals in the mandibular first and second molars was also noted. Pearson chi-square tests were performed to analyze canal configurations, laterality, and gender (p ≤ 0.05).

Results

For the female and male patients, 94.5 and 94.4 % of the mandibular first and 96.7 and 97.2 % of the mandibular second molars had two roots, respectively. In females, 4.4 % of mandibular first molars had three roots versus 2.7 % of mandibular first molars in male patients. Type IV was the most prevalent canal configuration regardless of the gender (female 61.3 % and male 64.2 %) in the mesial roots. No statistically significant differences according to gender or laterality were found in the incidence of additional canals for either maxillary first or second molars.

Conclusions

Type IV was the most prevalent canal configuration of both the mandibular first and second molar teeth. There was a low prevalence of three-rooted mandibular molars in this particular population.

Clinical relevance

The current study is the first of its kind to include a Turkish Cypriot population and, thus, provides baseline data for these patients regarding appropriate root canal treatments.

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Conflict of interest

The authors declare that they have no competing interests.

Funding source

No funding was secured for this study.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. This study was funded by YDU/2015/28-183.

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Informed consent was obtained from all individual participants included in the study.

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Correspondence to Berkan Celikten.

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Celikten, B., Tufenkci, P., Aksoy, U. et al. Cone beam CT evaluation of mandibular molar root canal morphology in a Turkish Cypriot population. Clin Oral Invest 20, 2221–2226 (2016). https://doi.org/10.1007/s00784-016-1742-2

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  • DOI: https://doi.org/10.1007/s00784-016-1742-2

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