Hüseyin GÜNDÜZ, Muhammed Reşit ARVAS, Caner ÜNEL

Van Popülasyonunda Mandibular ve Maksiller Kanin Dişlerin Kök Kanal Morfolojileri: Konik Işınlı Bilgisayarlı Tomografi Çalışması

Bu çalışmada Van popülasyonunda mandibular ve maksiller kanin dişlerin kök kanal morfolojilerinin konik ışınlı bilgisayarlı tomografi (KIBT) ile değerlendirilmesi amaçlandı. Mandibular ve maksiller kaninlerin morfolojik değerlendirmesi için 501 hastadan alınan KIBT görüntüsü kullanıldı. Toplamda 2004 kanin diş (1002 mandibular ve 1002 maksiller) değerlendirildi. Görüntüler koronal, sagittal ve aksiyal yönde incelendi. Dişlerin kök sayıları, kanal sayıları ve Vertucci sınıflamasına göre kanal konfigürasyonları tespit edildi. Cinsiyet ve dişin konumunun her bir değişken üzerindeki etkisi değerlendirildi. Veriler Ki-kare ve Bonferroni testleri kullanılarak analiz edildi (p=0,008) ve tip Ⅰ, tip Ⅲ kanal yapıları (p=0,021) istatistiksel olarak daha yüksek gözlendi. Tek kök, tek kanal ve Vertucci tip I, mandibular ve maksiller kaninlerin başlıca ve tipik özellikleri olarak tespit edildi. Ancak özellikle mandibular kaninlerde ikinci kök, ikinci kanal ve farklı kanal konfigürasyonunun varlığı dikkat çekti.

Anahtar Kelimeler:

Kanin, konik ışınlı bilgisayarlı tomografi, kök kanal morfolojisi

Root Canal Morphology of Mandibular and Maxillar Canine Teeth in the Van Population: A Cone Beam Computed Tomography Study

In this study, it was aimed to evaluate the root canal morphology of mandibular and maxillary canine teeth by cone beam computed tomography (CBCT) in the Van population. CBCT images taken from 501 patients were used for the morphological evaluation of mandibular and maxillary canines. In total, 2004 canine teeth (1002 mandibular and 1002 maxillary) were evaluated. Images were analyzed in coronal, sagittal and axial directions. Root numbers, canal numbers and canal configurations of the teeth were determined according to the Vertucci classification. The effect of gender and tooth position on each variable was evaluated. Data were analyzed using Chi-square and Bonferroni tests (p<0.05). There was no statistically significant effect of the position of the tooth on the root number, canal number and canal configuration in the maxillary and mandibular canines. According to gender, the ratio of one canal and two canals (p=0.008) and type Ⅰ, type Ⅲ canal structures (p=0.021) were statistically higher in women in the madibular canines. Single root, single canal and Vertucci type I were identified as the main and typical features of mandibular and maxillary canines. However, the presence of second root, second canal and different canal configurations, especially in the mandibular canines, was remarkable.

Keywords:

Canine, cone-beam computed tomography, root canals morphology,

PDF

___

1. Vertucci FJ. Root canal morphology and its relationship to endodontic procedures. Endod Topics. 2005;10(1):3 29.
2. Neelakantan P, Subbarao C, Subbarao CV. Comparative evaluation of modified canal staining and clearing technique, cone beam computed tomography, peripheral quantitative computed tomography, spiral computed tomography, and plain and contrast medium enhanced digital radiography in studying root canal morphology. J Endod. 2010;36(9):1547 51.
3. 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.
4. Neelakantan P, Subbarao C, Ahuja R, Subbarao CV, Gutmann JL. Cone-beam computed tomography study of root and canal morphology of maxillary first and second molars in an Indian population. J Endod. 2010;36(10):1622-1627.
5. Abduo J, Tennant M, McGeachie J. Lateral occlusion schemes in natural and minimally restored permanent dentition: A systematic review. J Oral Rehabil. 2013;40(10):788–802.
6. Ertaş E, Arslan H, Çapar İ, Gök T, Ertaş H. Endodontide Konik Işınlı Bilgisayarlı Tomografi. Atatürk Univ Diş Hekim Fak Derg. 2014;24(1):113-8.
7. 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(1):78-82.
8. Mashyakhy M. Prevalence of a Second Root and Canal in Mandibular and Maxillary Canines in a Saudi Arabian Population: A Cone-beam Computed Tomography Study. J Contemp Dent Pract. 2019;20(7):773-777.
9. Orhan K, Özemre MÖ, Seçgin CK, Gülşahı A. Alt anterior dişlerin kök kanal morfolojisinin konik ışınlı bilgisayarlı tomografi kullanılarak değerlendirilmesi. Turkiye Klinikleri J Dental Sci. 2018;24(3):190-196.
10. 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(1):1-7.
11. Vertucci FJ. Root canal anatomy of the human permanent teeth. Oral Surg Oral Med Oral Pathol. 1984;58(5):589 99.
12. Çalişkan MK, Pehlivan Y, Sepetçioğlu F, Türkün M, Tuncer SŞ. Root canal morphology of human permanent teeth in a Turkish population. J Endod. 1995;21(4):200 4.
13. Kim Y, Lee S-J, Woo J. Morphology of maxillary first and second molars analyzed by cone-beam computed tomography in a Korean population: variations in the number of roots and canals and the incidence of fusion. J Endod. 2012;38(8):1063-8.
14. Brooks SL. Effective dose of two conebeam CT scanners: i-CAT and NewTom 3G. Quarterly Publication of the American Association of Dental Maxillofacial Radiographic Technicians. 2005.
15. Patel S, Dawood A, Whaites E, Pitt Ford T. New dimensions in endodontic imaging: Part 1. Conventional and alternative radiographic systems. Int Endod J. 2009;42(6):447 62.
16. von Zuben M, Martins JNR, et al. Worldwide Prevalence of Mandibular Second Molar C-Shaped Morphologies Evaluated by Cone-Beam Computed Tomography. J Endod. 2017;43(9):1442–1447.
17. Patel S, Horner K. The use of cone beam computed tomography in endodontics. Int Endod. J. 2009;42(9):755-6.
18. da Silva EJ, de Castro RW, Nejaim Y, Silva AI, Haiter-Neto F, Silberman A et al. Evaluation of root canal configuration of maxillary and mandibular anterior teeth using cone beam computed tomography: An in-vivo study. Quintessence Int 2016;47(1):19-24.
19. Razumova S, Brago A, Khaskhanova L, Howijieh A, Barakat H, Manvelyan A. A Cone-Beam Computed Tomography Scanning of the Root Canal System of Permanent Teeth among the Moscow Population. Int J Dent. 2018;2018:2615746.
20. Büyükbayram IK, Elçin MA, Aydemir S, Özkale C. Türk Popülasyonunda Üst ve Alt Kanin Dişlerinin Kök Kanal Morfolojilerinin Konik Işınlı Bilgisayarlı Tomografi ile İncelenmesi. Turkiye Klinikleri J EndodSpecial Topics. 2015;1(3):40-46.
21. Mağat G. Bir Türk popülasyonunda kanin dişlerin kök morfolojisinin konik ışınlı bilgisayarlı tomografi çalışması. Selcuk Dent J. 2019; 6(4): 65-70.
22. Pan JYY, Parolia A, et al. Root canal morphology of permanent teeth in a Malaysian subpopulation using cone-beam computed tomography. BMC Oral Health. 2019;19(1):14.
23. 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- 398.
24. Pécora JD, Sousa Neto M, Saquy PC. Internal anatomy, direction and number of roots and size of human mandibular canines. Braz Dent J. 1993;4(1):53-7.
25. Aminsobhani M, Sadegh M, Meraji N, Razmi H, Kharazifard MJ. Evaluation of the root and canal morphology of mandibular permanent anterior teeth in an Iranian population by cone-beam computed tomography. J Dent (Tehran). 2013;10(4):358- 66.
26. Bellizzi R, Hartwell G. Clinical investigation of in vivo endodontically treated mandibular anterior teeth. J Endod. 1986;9(6):246-8.
27. Ingle JI, Backland LK, Brveridge EE, Glick DH, AE H. Modern endodontic therapy. In: Ingle JI, Backland LK, FJ T, editors. 5th ed. Philadelphia: Lea & Febiger; 2002:1-23.
28. Vaziri PB, Kasraee S, Abdolsamadi HR, Abdollahzadeh S, Esmaeili F, Nazari S, et al. Root canal configuration of one-rooted mandibular canine in an Iranian population: An in vitro study. J Dent Res Dent Clin Dent Prospects. 2008;2(1):28.
29. Rahimi S, Milani AS, Shahi S, Sergiz Y, Nezafati S, Lotfi M. Prevalence of two root canals in human mandibular anterior teeth in an Iranian population. Indian J Dent Res. 2013;24(2):234.
30. Martins JNR, Marques D, et al. Gender influence on the number of roots and root canal system configuration in human permanent teeth of a Portuguese subpopulation. Quintessence Int. 2018;49(2):103–111.
31. Altunsoy M, Ok E, Nur BG, Aglarci OS, Gungor E, Colak M. A cone-beam computed tomography study of the root canal morphology of anterior teeth in a Turkish population. Eur J Dent. 2014;8(3):302.
32. Lambrianidis T, Lyroudia K, Pandelidou O, Nicolaou A. Evaluation of periapical radiographs in the recognition of Cshaped mandibular second molars. Int Endod J. 2001;34(6):458- 62.