Evaluación de la morfología radicular de primeros premolares mandibulares mediante tomografía computarizada de haz cónico en una población peruana
Resumen
Introducción: La morfología del canal radicular de los primeros premolares no siempre es la misma y por ello es fundamental un buen conocimiento de su anatomía dental.
Objetivo: Evaluar la morfología de las raíces y conductos radiculares de primeros premolares mandibulares en una población peruana mediante tomografía computarizada de haz cónico.
Materiales y Métodos: Este fue un estudio transversal des-criptivo. Se evaluaron mediante tomografías un total de 370 primeros premolares mandibulares que cumplían con los criterios de inclusión, y se registró el número de raíces y conductos radiculares, la clasificación de Vertucci de la configuración radicular, la edad, el sexo y el lado del diente. Se realizaron las pruebas de chi-cuadrado y una regresión logística binaria (p<0,05).
Resultado: Se presentó una y dos raíces en el 96,2% (n=356) y 3,8% (n=14), respectivamente, de los primeros premolares mandibulares analizados, y un canal estuvo presente en el 67,6% (n=250) y dos canales en el 32,2% (n=119). Se encontró una configuración del conducto radicular tipo I en el 67,6% (n=250) de los casos seguido del tipo V con un 26,2% (n=97). Se encontró una asociación estadísticamente significativa entre el número de raíces y conductos (p<0.001) y la edad también influyó significativamente en esta variable (p=0.0043).
Conclusión: La presencia de 1 canal en primeros premolares mandibulares es la más frecuente, aunque existe una prevalencia considerable de 2 en la población estudiada. El número de raíces está asociado al número de canales, teniendo la edad una influencia significativa en estas variables.
Palabras Clave: Tomografía Computarizada Cone-Beam; Primer premolar mandibular; Configuración de Vertucci; Anatomía, Radiología.
Citas
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2. Park JB, Kim N, Park S, Kim Y, Ko Y. Evaluation of root anatomy of permanent mandibular premolars and molars in a Korean population with cone-beam computed tomography. Eur J Dent. 2013;7(1):94-101. PMID: 23407684; PMCID: PMC3571516.
3. Pedemonte E, Cabrera C, Torres A, Jacobs R, Harnisch A, Ramírez V, Concha G, Briner A, Brizuela C. Root and canal morphology of mandibular premolars using cone-beam computed tomography in a Chilean and Belgian subpopulation: a cross-sectional study. Oral Radiol. 2018;34(2):143-150. https://doi.org/10.1007/s11282-017-0297-5. Epub 2017 Jul 3. PMID: 30484131.
4. Liao Q, Han JL, Xu X. [Analysis of canal morphology of mandibular first premolar]. Shanghai Kou Qiang Yi Xue. 2011;20(5):517-21. Chinese. PMID: 22109371.
5. Zhang D, Chen J, Lan G, Li M, An J, Wen X, Liu L, Deng M. The root canal morphology in mandibular first premolars: a comparative evaluation of cone-beam computed tomography and micro-computed tomography. Clin Oral Investig. 2017;21(4):1007-1012. https://doi.org/10.1007/s00784-016-1852-x. Epub 2016 May 13. PMID: 27178313.
6. Huang YD, Wu J, Sheu RJ, Chen MH, Chien DL, Huang YT, Huang CC, Chen YJ. Evaluation of the root and root canal systems of mandibular first premolars in northern Taiwanese patients using cone-beam computed tomography. J Formos Med Assoc. 2015;114(11):1129-34. https://doi.org/10.1016/j.jfma.2014.05.008. Epub 2014 Aug 28. PMID: 25174647.
7. Robinson S, Czerny C, Gahleitner A, Bernhart T, Kainberger FM. Dental CT evaluation of mandibular first premolar root configurations and canal variations. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2002;93(3):328-32. https://doi.org/10.1067/moe.2002.120055. PMID: 11925543.
8. Rahimi S, Shahi S, Yavari HR, Manafi H, Eskandarzadeh N. Root canal configuration of mandibular first and second premolars in an Iranian population. J Dent Res Dent Clin Dent Prospects. 2007 Summer;1(2):59-64. https://doi.org/10.5681/joddd.2007.010. Epub 2007 Sep 10. PMID: 23277835; PMCID: PMC3525926.
9. Walker RT. Root canal anatomy of mandibular first premolars in a southern Chinese population. Endod Dent Traumatol. 1988;4(5):226-8. https://doi.org/10.1111/j.1600-9657.1988.tb00326.x. PMID: 3248581.
10. Bürklein S, Heck R, Schäfer E. Evaluation of the Root Canal Anatomy of Maxillary and Mandibular Premolars in a Selected German Population Using Cone-beam Computed Tomographic Data. J Endod. 2017 ;43(9):1448-1452. https://doi.org/10.1016/j.joen.2017.03.044. Epub 2017 Jul 22. PMID: 28743430.
11. Awawdeh LA, Al-Qudah AA. Root form and canal morphology of mandibular premolars in a Jordanian population. Int Endod J. 2008;41(3):240-8. https://doi.org/10.1111/j.1365-2591.2007.01348.x. Epub 2007 Dec 12. PMID: 18081806.
12. Bulut DG, Kose E, Ozcan G, Sekerci AE, Canger EM, Sisman Y. Evaluation of root morphology and root canal con-figuration of premolars in the Turkish individuals using cone beam computed tomography. Eur J Dent. 2015;9(4):551-7.
13. Cleghorn BM, Christie WH, Dong CC. The root and root canal morphology of the human mandibular first premolar: a literature review. J Endod. 2007 ;33(5):509-16. https://doi.org/10.1016/j.joen.2006.12.004.
14. Alhadainy HA. Canal configuration of mandibular first premolars in an Egyptian population. J Adv Res. 2013;4(2):123-8. https://doi.org/10.1016/j.jare.2012.03.002. Epub 2012 Apr 12. PMID: 25685409; PMCID: PMC4195450.
15. Ahmad IA, Alenezi MA. Root and Root Canal Morphology of Maxillary First Premolars: A Literature Review and Clinical Considerations. J Endod. 2016;42 (6):861-72. https://doi.org/10.1016/j.joen.2016.02.017. Epub 2016 Apr 20. PMID: 27106718.
16. Martins JNR, Marques D, Silva EJNL, Caramês J, Versiani MA. Prevalence Studies on Root Canal Anatomy Using Cone-beam Computed Tomographic Imaging: A Systematic Review. J Endod. 2019;45(4):372-386.e4. https://doi.org/ 10.1016/j.joen.2018.12.016. Epub 2019 Mar 2. PMID: 30833097.
17. Singh S, Pawar M. Root canal morphology of South asian Indian mandibular premolar teeth. J Endod. 2014;40(9):1338-41. https://doi.org/10.1016/j.joen.2014.03.021. Epub 2014 Jul 16. PMID: 25043328.
18. Velmurugan N, Sandhya R. Root canal morphology of mandibular first premolars in an Indian population: a laboratory study. Int Endod J. 2009;42(1):54-8.
19. Hajihassani N, Roohi N, Madadi K, Bakhshi M, Tofangchiha M. Evaluation of Root Canal Morphology of Mandibular First and Second Premolars Using Cone Beam Computed Tomography in a Defined Group of Dental Patients in Iran. Scientifica (Cairo). 2017;2017:1504341. https://doi.org/10.1155/2017/1504341. Epub 2017 Nov
16. PMID: 29348968; PMCID: PMC5734008.
20. Shetty A, Hegde MN, Tahiliani D, Shetty H, Bhat GT, Shetty S. A three-dimensional study of variations in root canal morphology using cone-beam computed tomography of mandibular premolars in a South Indian population. J Clin Diagn Res. 2014;8(8):ZC22-4.https://doi.org/10.7860/JCDR/2014/8674.4707. Epub 2014 Aug 20. PMID: 25302261; PMCID: PMC4190787.
21. Gu Y, Zhang Y, Liao Z. Root and canal morphology of mandibular first premolars with radicular grooves. Arch Oral Biol. 2013;58(11):1609-17. https://doi.org/10.1016/j.archoralbio.2013.07.014. Epub 2013 Aug 8. PMID: 24112726.
22. Matherne RP, Angelopoulos C, Kulild JC, Tira D. Use of cone-beam computed tomography to identify root canal systems in vitro. J Endod. 2008;34(1):87-9. https://doi.org/10.1016/j.joen.2007.10.016. PMID: 18155501.
23. Szabo BT, Pataky L, Mikusi R, Fejerdy P, Dobo-Nagy C. Comparative evaluation of cone-beam CT equipment with micro-CT in the visualization of root canal system. Ann Ist Super Sanita. 2012;48(1):49-52. https://doi.org/10.4415/ANN_12_01_08. PMID: 22456015.
24. Alfawaz H, Alqedairi A, Al-Dahman YH, Al-Jebaly AS, Alnassar FA, Alsubait S, Allahem Z. Evaluation of root canal morphology of mandibular premolars in a Saudi population using cone beam computed tomography: A retrospective study. Saudi Dent J. 2019;31(1):137-142. https://doi.org/10.1016/j.sdentj.2018.10.005. Epub 2018 Nov 3. PMID: 30723367; PMCID: PMC6349998.
25. Alfawaz H, Alqedairi A, Al-Dahman YH, Al-Jebaly AS, Alnassar FA, Alsubait S, Allahem Z. Evaluation of root canal morphology of mandibular premolars in a Saudi population using cone beam computed tomography: A retrospective study. Saudi Dent J. 2019;31(1):137-142. https://doi.org/10.1016/j.sdentj.2018.10.005. Epub 2018 Nov 3. PMID: 30723367; PMCID: PMC6349998.
26. Alkaabi W, AlShwaimi E, Farooq I, Goodis HE, Chogle SM. A Micro-Computed Tomography Study of the Root Canal Morphology of Mandibular First Premolars in an Emirati Population. Med Princ Pract. 2017;26(2):118-124. https://doi.org/10.1159/000453039. Epub 2016 Nov 3. PMID: 27816983; PMCID: PMC5588359.
27. Huang CC, Chang YC, Chuang MC, Lai TM, Lai JY, Lee BS, Lin CP. Evaluation of root and canal systems of mandibular first molars in Taiwanese individuals using cone-beam computed tomography. J Formos Med Assoc. 2010;109(4):303-8. https://doi.org/10.1016/S0929-6646(10)60056-3. PMID: 20434040.
28. Ok E, Altunsoy M, Nur BG, Aglarci OS, Çolak M, Güngör E. A cone-beam computed tomography study of root canal morphology of maxillary and mandibular premolars in a Turkish population. Acta Odontol Scand. 2014;72(8):701-6. https://doi.org/10.3109/00016357.2014.898091. Epub 2014 May 15. PMID: 24832561.
29. Kottoor J, Albuquerque D, Velmurugan N, Kuruvilla J. Root anatomy and root canal configuration of human permanent mandibular premolars: a systematic review. Anat Res Int. 2013;2013:254250. https://doi.org/10.1155/ 2013/254250. Epub 2013 Dec 22. PMID: 24455268; PMCID: PMC3881342.
30. Venskutonis T, Plotino G, Juodzbalys G, Mickevičienė L. The importance of cone-beam computed tomography in the management of endodontic problems: a review of the literature. J Endod. 2014;40(12):1895-901. https://doi.org/10.1016/j.joen.2014.05.009. Epub 2014 Oct 3. PMID: 25287321.
31. Vertucci FJ. Root canal anatomy of the human permanent teeth. Oral Surg Oral Med Oral Pathol. 1984;58(5):589-99. https://doi.org/10.1016/0030-4220(84)90085-9. PMID: 6595621.
32. Morales-González F. Imagenological diagnosis of obliterated ducts: a review. Rev Cient Odontol. 2020;8(3): e038. https://doi.org/10.21142/2523-2754-0803-2020-038
2. Park JB, Kim N, Park S, Kim Y, Ko Y. Evaluation of root anatomy of permanent mandibular premolars and molars in a Korean population with cone-beam computed tomography. Eur J Dent. 2013;7(1):94-101. PMID: 23407684; PMCID: PMC3571516.
3. Pedemonte E, Cabrera C, Torres A, Jacobs R, Harnisch A, Ramírez V, Concha G, Briner A, Brizuela C. Root and canal morphology of mandibular premolars using cone-beam computed tomography in a Chilean and Belgian subpopulation: a cross-sectional study. Oral Radiol. 2018;34(2):143-150. https://doi.org/10.1007/s11282-017-0297-5. Epub 2017 Jul 3. PMID: 30484131.
4. Liao Q, Han JL, Xu X. [Analysis of canal morphology of mandibular first premolar]. Shanghai Kou Qiang Yi Xue. 2011;20(5):517-21. Chinese. PMID: 22109371.
5. Zhang D, Chen J, Lan G, Li M, An J, Wen X, Liu L, Deng M. The root canal morphology in mandibular first premolars: a comparative evaluation of cone-beam computed tomography and micro-computed tomography. Clin Oral Investig. 2017;21(4):1007-1012. https://doi.org/10.1007/s00784-016-1852-x. Epub 2016 May 13. PMID: 27178313.
6. Huang YD, Wu J, Sheu RJ, Chen MH, Chien DL, Huang YT, Huang CC, Chen YJ. Evaluation of the root and root canal systems of mandibular first premolars in northern Taiwanese patients using cone-beam computed tomography. J Formos Med Assoc. 2015;114(11):1129-34. https://doi.org/10.1016/j.jfma.2014.05.008. Epub 2014 Aug 28. PMID: 25174647.
7. Robinson S, Czerny C, Gahleitner A, Bernhart T, Kainberger FM. Dental CT evaluation of mandibular first premolar root configurations and canal variations. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2002;93(3):328-32. https://doi.org/10.1067/moe.2002.120055. PMID: 11925543.
8. Rahimi S, Shahi S, Yavari HR, Manafi H, Eskandarzadeh N. Root canal configuration of mandibular first and second premolars in an Iranian population. J Dent Res Dent Clin Dent Prospects. 2007 Summer;1(2):59-64. https://doi.org/10.5681/joddd.2007.010. Epub 2007 Sep 10. PMID: 23277835; PMCID: PMC3525926.
9. Walker RT. Root canal anatomy of mandibular first premolars in a southern Chinese population. Endod Dent Traumatol. 1988;4(5):226-8. https://doi.org/10.1111/j.1600-9657.1988.tb00326.x. PMID: 3248581.
10. Bürklein S, Heck R, Schäfer E. Evaluation of the Root Canal Anatomy of Maxillary and Mandibular Premolars in a Selected German Population Using Cone-beam Computed Tomographic Data. J Endod. 2017 ;43(9):1448-1452. https://doi.org/10.1016/j.joen.2017.03.044. Epub 2017 Jul 22. PMID: 28743430.
11. Awawdeh LA, Al-Qudah AA. Root form and canal morphology of mandibular premolars in a Jordanian population. Int Endod J. 2008;41(3):240-8. https://doi.org/10.1111/j.1365-2591.2007.01348.x. Epub 2007 Dec 12. PMID: 18081806.
12. Bulut DG, Kose E, Ozcan G, Sekerci AE, Canger EM, Sisman Y. Evaluation of root morphology and root canal con-figuration of premolars in the Turkish individuals using cone beam computed tomography. Eur J Dent. 2015;9(4):551-7.
13. Cleghorn BM, Christie WH, Dong CC. The root and root canal morphology of the human mandibular first premolar: a literature review. J Endod. 2007 ;33(5):509-16. https://doi.org/10.1016/j.joen.2006.12.004.
14. Alhadainy HA. Canal configuration of mandibular first premolars in an Egyptian population. J Adv Res. 2013;4(2):123-8. https://doi.org/10.1016/j.jare.2012.03.002. Epub 2012 Apr 12. PMID: 25685409; PMCID: PMC4195450.
15. Ahmad IA, Alenezi MA. Root and Root Canal Morphology of Maxillary First Premolars: A Literature Review and Clinical Considerations. J Endod. 2016;42 (6):861-72. https://doi.org/10.1016/j.joen.2016.02.017. Epub 2016 Apr 20. PMID: 27106718.
16. Martins JNR, Marques D, Silva EJNL, Caramês J, Versiani MA. Prevalence Studies on Root Canal Anatomy Using Cone-beam Computed Tomographic Imaging: A Systematic Review. J Endod. 2019;45(4):372-386.e4. https://doi.org/ 10.1016/j.joen.2018.12.016. Epub 2019 Mar 2. PMID: 30833097.
17. Singh S, Pawar M. Root canal morphology of South asian Indian mandibular premolar teeth. J Endod. 2014;40(9):1338-41. https://doi.org/10.1016/j.joen.2014.03.021. Epub 2014 Jul 16. PMID: 25043328.
18. Velmurugan N, Sandhya R. Root canal morphology of mandibular first premolars in an Indian population: a laboratory study. Int Endod J. 2009;42(1):54-8.
19. Hajihassani N, Roohi N, Madadi K, Bakhshi M, Tofangchiha M. Evaluation of Root Canal Morphology of Mandibular First and Second Premolars Using Cone Beam Computed Tomography in a Defined Group of Dental Patients in Iran. Scientifica (Cairo). 2017;2017:1504341. https://doi.org/10.1155/2017/1504341. Epub 2017 Nov
16. PMID: 29348968; PMCID: PMC5734008.
20. Shetty A, Hegde MN, Tahiliani D, Shetty H, Bhat GT, Shetty S. A three-dimensional study of variations in root canal morphology using cone-beam computed tomography of mandibular premolars in a South Indian population. J Clin Diagn Res. 2014;8(8):ZC22-4.https://doi.org/10.7860/JCDR/2014/8674.4707. Epub 2014 Aug 20. PMID: 25302261; PMCID: PMC4190787.
21. Gu Y, Zhang Y, Liao Z. Root and canal morphology of mandibular first premolars with radicular grooves. Arch Oral Biol. 2013;58(11):1609-17. https://doi.org/10.1016/j.archoralbio.2013.07.014. Epub 2013 Aug 8. PMID: 24112726.
22. Matherne RP, Angelopoulos C, Kulild JC, Tira D. Use of cone-beam computed tomography to identify root canal systems in vitro. J Endod. 2008;34(1):87-9. https://doi.org/10.1016/j.joen.2007.10.016. PMID: 18155501.
23. Szabo BT, Pataky L, Mikusi R, Fejerdy P, Dobo-Nagy C. Comparative evaluation of cone-beam CT equipment with micro-CT in the visualization of root canal system. Ann Ist Super Sanita. 2012;48(1):49-52. https://doi.org/10.4415/ANN_12_01_08. PMID: 22456015.
24. Alfawaz H, Alqedairi A, Al-Dahman YH, Al-Jebaly AS, Alnassar FA, Alsubait S, Allahem Z. Evaluation of root canal morphology of mandibular premolars in a Saudi population using cone beam computed tomography: A retrospective study. Saudi Dent J. 2019;31(1):137-142. https://doi.org/10.1016/j.sdentj.2018.10.005. Epub 2018 Nov 3. PMID: 30723367; PMCID: PMC6349998.
25. Alfawaz H, Alqedairi A, Al-Dahman YH, Al-Jebaly AS, Alnassar FA, Alsubait S, Allahem Z. Evaluation of root canal morphology of mandibular premolars in a Saudi population using cone beam computed tomography: A retrospective study. Saudi Dent J. 2019;31(1):137-142. https://doi.org/10.1016/j.sdentj.2018.10.005. Epub 2018 Nov 3. PMID: 30723367; PMCID: PMC6349998.
26. Alkaabi W, AlShwaimi E, Farooq I, Goodis HE, Chogle SM. A Micro-Computed Tomography Study of the Root Canal Morphology of Mandibular First Premolars in an Emirati Population. Med Princ Pract. 2017;26(2):118-124. https://doi.org/10.1159/000453039. Epub 2016 Nov 3. PMID: 27816983; PMCID: PMC5588359.
27. Huang CC, Chang YC, Chuang MC, Lai TM, Lai JY, Lee BS, Lin CP. Evaluation of root and canal systems of mandibular first molars in Taiwanese individuals using cone-beam computed tomography. J Formos Med Assoc. 2010;109(4):303-8. https://doi.org/10.1016/S0929-6646(10)60056-3. PMID: 20434040.
28. Ok E, Altunsoy M, Nur BG, Aglarci OS, Çolak M, Güngör E. A cone-beam computed tomography study of root canal morphology of maxillary and mandibular premolars in a Turkish population. Acta Odontol Scand. 2014;72(8):701-6. https://doi.org/10.3109/00016357.2014.898091. Epub 2014 May 15. PMID: 24832561.
29. Kottoor J, Albuquerque D, Velmurugan N, Kuruvilla J. Root anatomy and root canal configuration of human permanent mandibular premolars: a systematic review. Anat Res Int. 2013;2013:254250. https://doi.org/10.1155/ 2013/254250. Epub 2013 Dec 22. PMID: 24455268; PMCID: PMC3881342.
30. Venskutonis T, Plotino G, Juodzbalys G, Mickevičienė L. The importance of cone-beam computed tomography in the management of endodontic problems: a review of the literature. J Endod. 2014;40(12):1895-901. https://doi.org/10.1016/j.joen.2014.05.009. Epub 2014 Oct 3. PMID: 25287321.
31. Vertucci FJ. Root canal anatomy of the human permanent teeth. Oral Surg Oral Med Oral Pathol. 1984;58(5):589-99. https://doi.org/10.1016/0030-4220(84)90085-9. PMID: 6595621.
32. Morales-González F. Imagenological diagnosis of obliterated ducts: a review. Rev Cient Odontol. 2020;8(3): e038. https://doi.org/10.21142/2523-2754-0803-2020-038
Publicado
2024-05-10
##submission.howToCite##
BENAVIDES-GUZMAN, Olger et al.
Evaluación de la morfología radicular de primeros premolares mandibulares mediante tomografía computarizada de haz cónico en una población peruana.
Journal of Oral Research, [S.l.], v. 13, n. 1, p. 37-46, may 2024.
ISSN 0719-2479.
Disponible en: <https://joralres.com/index.php/JOralRes/article/view/1584>. Fecha de acceso: 20 may 2024
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