Imaging Sci Dent.  2023 Mar;53(1):77-82. 10.5624/isd.20220204.

Cone-beam computed tomographic evaluation of the root canal anatomy of the lower premolars and molars in a Brazilian sub-population

• Almeida JC
• Candemil AP
• Bertolini GR
• Souza-Gabriel AE
• Cruz-Filho AM
• Sousa-Neto MD
• Silva RG

• KMID: 2541267
• DOI: http://doi.org/10.5624/isd.20220204

Abstract

Purpose
This study evaluated anatomical variations in the root canals of the lower premolars and molars in a Brazilian sub-population using cone-beam computed tomography (CBCT).
Materials and Methods
In total, 121 CBCT images of patients were selected from a database. All images contained lower first and second premolars and molars on both sides of the arch, fully developed roots, and no treatment, resorption, or calcifications. In each image, the root canals of the lower premolars and molars were evaluated according to the Vertucci classification in On-Demand 3D software in the multiplanar reconstruction with dynamic navigation. Twenty-five percent of the images were re-assessed to analyze intraobserver confidence with the kappa test. Data were statistically evaluated with linear regression to evaluate the correlations of anatomic variations with age and sex, and the Wilcoxon test to analyze the laterality of variations, with a significance level of 5%.
Results
The intraobserver agreement (0.94) was excellent. In general, the root canals of lower premolars and molars showed a higher prevalence of type I than other Vertucci classification types, followed by type V in premolars and type II in molars. When the molar roots were evaluated separately, type II was more frequent in mesial roots and type I in distal roots. Although age showed no correlations with the results, sex and laterality showed correlations with tooth 45 and the lower second premolars, respectively.
Conclusion
The lower premolars and molars of a Brazilian sub-population showed a wide range of root canal anatomic variations.

Keyword

Anatomy; Bicuspid; Cone-Beam Computed Tomography; Dental Pulp Cavity; Molar