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Vojnosanitetski pregled
2020, vol. 77, br. 5, str. 470-478
jezik rada: engleski
vrsta rada: izvorni naučni članak
objavljeno: 15/06/2020
doi: 10.2298/VSP180322100P
Creative Commons License 4.0
Analiza morfologije korenova i kanala korenova stalnih molara primenom kompjuterizovane tomografije konusnog zraka u populaciji Srbije
Univerzitet u Kragujevcu, Medicinski fakultet

e-adresa: milicapopovic75@gmail.com

Sažetak

Uvod/Cilj. Za uspešnu endodontsku terapiju neophodno je poznavanje morfologije kanala korena zuba. Stoga je cilj naše studije bio da analiziramo morfologiju kanala i dužinu kanala korenova stalnih molara u populaciji Srbije, koristeći kompjuterizovanu tomografiju konusnog zraka (cone-beam computed tomography - CBCT). Metode. Studijom je obuhvaćeno ukupno 305 gornjih i 280 donjih molara snimljenih CBCT-om na kojima su analizirani broj korenova, morfologija kanala prema Vertučijevoj klasifikaciji i dužina kanala korenova. Procenjena je povezanost dobijenih rezultata sa polom i lokacijom zuba u vilici. Rezultati. Meziobukalni korenovi gornjeg prvog molara imali su tip I po Vertučiju u 45,7%, a tip II u 29% slučajeva. Kod gornjeg drugog molara, Vertuči tip I pronađen je u 60,5% slučajeva u meziobukalnim kanalima. Palatinalni i distobukalni kanali su uglavnom imali konfiguraciju kanala tipa I po Vertučiju. Mezijalni korenovi donjih molara najčešće su imali dva kanala, sa najvećom zastupljenošću Vertuči tipa IV u prvom, a Vertuči tipa II u drugom molaru. Distalni korenovi najčešće su imali jedan kanal u oba molara. Dužina palatinalnog kanala bila je najveća kod gornjih prvih molara, sa srednjom vrednošću od 20,26 mm, dok je kod drugih molara najveća bila vrednost meziobukalnih kanala (20,09 mm). Kod oba donja molara najduži su bili mezijalni kanali. Razlike su pronađene u odnosu na pol i stranu zuba u vilici. Zaključak. Meziobukalni korenovi gornjih prvih molara imali su češće dva kanala u poređenju sa drugim molarima. Mezijalni korenovi donjih molara pokazali su sličnu učestalost dva kanala i raznolikost u tipovima prema Vertučijevoj kasifikaciji. Kod osoba muškog pola zapažena je veća učestalost kompleksne morfologije kanala korenova u poređenju sa osobama ženskog pola. CBCT može poboljšati razumevanje morfologije kanala korenova.

Ključne reči

zub, korenski kanal; molari; tomografija, kompjuterizovana konusna; Srbija

Reference

Novododat članak: provera, normiranje i linkovanje referenci u toku.
Vertucci FJ. Root canal anatomy of the human permanent teeth. Oral Surg Oral Med Oral Pathol 1984; 58(5): 589-99.
Plotino G, Tocci L, Grande NM, Testarelli L, Messineo D, Ciotti M, et al. Symmetry of root and root canal morphology of maxillary and mandibular molars in a white population: a conebeam computed tomography study in vivo. J Endod 2013; 39(12): 1545-8.
Beljić-Ivanović K, Teodorović N. Morphological characteristics of mesiobuccal root canals of the first maxillary molars. Srp Arh Celok Lek 2010; 138(7-8): 414-9. (Serbian)
Gulabivala K, Opasanon A, Ng YL, Alavi A. Root and canal morphology of Thai mandibular molars. Int Endod J 2002; 35(1): 56-62.
Tchorz JP, Poxleitner PJ, Stampf S, Patzelt SBM, Rottke D, Hellwig E, et al. The use of cone beam computed tomography to predetermine root canal lengths in molar teeth: a comparison between two-dimensional and three-dimensional measurements. Clin Oral Investig 2014; 18(4): 1129-33.
Jeger FB, Janner SF, Bornstein MM, Lussi A. Endodontic working length measurement with preexisting cone-beam computed tomography scanning: a prospective, controlled clinical study. J Endod 2012; 38(7): 884-8.
de Pablo OV, Estevez R, Péix Sánchez M, Heilborn C, Cohenca N. Root anatomy and canal configuration of the permanent mandibular first molar: a systematic review. J Endod 2010; 36(12): 1919-31.
Ratanajirasut R, Panichuttra A, Panmekiate S. A Cone-beam Computed Tomographic Study of Root and Canal Morphology of Maxillary First and Second Permanent Molars in a Thai Population. J Endod 2018; 44(1): 56-61.
Cleghorn BM, Christie WH, Dong CC. Root and root canal morphology of the human permanent maxillary first molar: a literature review. J Endod 2006; 32(9): 813-21.
Gulabivala K, Aung TH, Alavi A, Ng YL. Root and canal morphology of Burmese mandibular molars. Int Endod J 2001; 34(5): 359-70.
Rajan Dhawan M, Dhawan S, Mehta P. Analysis of Root Canal Anatomy & Morphological Variations of Maxillary 1st Molar by Different Methods - An In Vitro Study. Endodontology 2014; 26(2): 279-85.
de Toubes KM, Côrtes MI, Valadares MA, Fonseca LC, Nunes E, Silveira FF. Comparative analysis of accessory mesial canal identification in mandibular first molars by using four different diagnostic methods. J Endod 2012; 38(4): 436-41.
Popović M, Papić M, Živanović S, Acović A, Lončarević S, Ristić V. Cone-beam computed tomography study of root canal morphology of mandibular anterior teeth in Serbian population. SJECR Serb Exp Clin Res 2018; 19(1): 27-34.
Popović M, Papić M, Acović A, Živanović S, Kanjevac T. Cone-beam Computed Tomography Study of Root Number and Root Canal Configuration of Premolar Teeth in Serbian population. Med Pregl 2018; 71(3-4): 100-7.
Hatcher DC. Operational principles for cone-beam computed tomography. J Am Dent Assoc 2010; 141 Suppl 3: 3S-6S.
Nikolić M, Mitić A, Gašić J, Popović J, Barac R, Dačić S, et al. First premolar variations in number of roots, root canals and tooth length. Glasnik Antropološkog Društva Srbije 2014; 2014(49): 37-41.
Thomas RP, Moule A, Bryant R. Root canal morphology of maxillary permanent first molar teeth at various ages. Int Endod J 1993; 26(5): 257-67.
Ghoncheh Z, Zade BM, Kharazifard MJ. Root Morphology of the Maxillary First and Second Molars in an Iranian Population Using Cone Beam Computed Tomography. J Dent (Tehran) 2017; 14(3): 115-22.
Alrahabi M, Sohail Zafar M. Evaluation of root canal morphology of maxillary molars using cone beam computed tomography. Pak J Med Sci 2015; 31(2): 426-30.
Barbizam JV, Ribeiro RG, Tanomaru Filho M. Unusual anatomy of permanent maxillary molars. J Endod 2004; 30(9): 668-71.
Ozcan G, Sekerci AE, Cantekin K, Aydinbelge M, Dogan S. Evaluation of root canal morphology of human primary molars by using CBCT and comprehensive review of the literature. Acta Odontol Scand 2016; 74(4): 250-8.
Wolcott J, Ishley D, Kennedy W, Johnson S, Minnich S. Clinical investigation of second mesiobuccal canals in endodontically treated and retreated maxillary molars. J Endod 2002; 28(6): 477-9.
Kim Y, Lee SJ, 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.
Pérez-Heredia M, Ferrer-Luque CM, Bravo M, Castelo-Baz P, Ruíz-Piñón M, Baca P. Cone-beam Computed Tomographic Study of Root Anatomy and Canal Configuration of Molars in a Spanish Population. J Endod 2017; 43(9): 1511-6.
Sert S, Aslanalp V, Tanalp J. Investigation of the root canal configurations of mandibular permanent teeth in the Turkish population. Int Endod J 2004; 37(7): 494-9.
Neelakantan P, Subbarao C, Abuja R, Subbarao CV, Gutman JI. Cone-Beam Computed Tomography Study of Root and Canal Morphology of Maxillary First and Second Molar in an Indian Population. J Endod 2010; 36(10): 1622-7.
Torres A, Jacobs R, Lambrechts P, Brizuela C, Cabrera C, Concha G, et al. Characterization of mandibular molar root and canal morphology using cone beam computed tomography and its variability in Belgian and Chilean population samples. Imaging Sci Dent 2015; 45(2): 95-101.
Kim SY, Kim BS, Woo J, Kim Y. Morphology of mandibular first molars analyzed by cone-beam computed tomography in a Korean population: variations in the number of roots and canals. J Endod 2013; 39(12): 1516-21.
Rwenyonyi CM, Kutesa A, Muwazi LM, Buwembo W. Root and canal morphology of mandibular first and second permanent molar teeth in a Ugandan population. Odontology 2009; 97(2): 92-6.
Liang YH, Jiang L, Chen C, Gao XJ, Wesselink PR, Wu MK, et al. The validity of cone-beam computed tomography in measuring root canal length using a gold standard. J Endod 2013; 39(12): 1607-10.
Rodríguez-Niklitschek C, Cantín M, Oporto VG. Comparison of Two Different Methods of Average Working Length Determination in Second Molars and Premolars. Int J Morphol [online] 2015; 33(3): 1136-40.
Keleş P, Díyarbakirli S, Tan M, Tan U. Facial asymmetry in right and left-handed men and women. Int J Neurosci 1997; 91(3-4): 147-59.