Maxillary premolar root and canal morphology in a Nigerian population: An in-vitro study

Authors

  • Collins Nimbiye Agholor Department of Restorative Dentistry, University of Benin Teaching Hospital, Benin City, Nigeria https://orcid.org/0000-0001-7667-8721
  • Matthew Asizide Sede Department of Restorative Dentistry, University of Benin Teaching Hospital, Benin City, Nigeria
  • Louis Ibhawoh Department of Restorative Dentistry, University of Benin Teaching Hospital, Benin City, Nigeria

DOI:

https://doi.org/10.22270/ijmspr.v9i2.74

Keywords:

maxillary premolar, Root canal morphology, Nigerian

Abstract

Aim: To describe the external and internal root anatomy of maxillary first and second premolars in a Nigerian population using decalcification, clearing and staining technique.

Materials and Methods: Ninety-six maxillary first premolars and one hundred and sixteen maxillary second premolars from 212 consenting adults indicated for extraction were studied. They were then decalcified, cleared and stained in vitro. The number of roots, tooth length, direction of root curvature, number of canals, canal configuration and number of apical foramina were noted.

Results: The maxillary first premolars were mostly two rooted (70.8%) while maxillary second premolars predominantly had one root (82.8%) (p=0.001) and two canals. The mean tooth length for the maxillary first (21.87mm) and second (21.56mm) premolars was determined. There was no statistically significant difference between tooth length and gender in the teeth studied.

The majority of single rooted teeth studied were curved distally, with more variable canal configurations than two rooted specimens. Overall, type IV configuration was the most prevalent in both maxillary first (81.2%) and second premolars (58.6%).

Lateral canals were present in 29.2% of maxillary first and in 34.4% of second premolars studied. Inter- canal communications were observed in 20.8% of maxillary first premolars and 6.8% of maxillary second premolars. Root canals exited with multiple foramina in both maxillary first (83.3%) and second (62.1%) premolars.

Conclusion: Maxillary first premolars were mostly two rooted while maxillary second premolars predominantly had a single root in the studied population. Also, the majority of the teeth studied had two canals and type IV canal configuration.  Anatomic variations in these teeth should be borne in mind when carrying out endodontic treatment. 

Keywords: Maxillary premolars, root canal, morphology, Nigerian

Author Biographies

Collins Nimbiye Agholor, Department of Restorative Dentistry, University of Benin Teaching Hospital, Benin City, Nigeria

Department of Restorative Dentistry, University of Benin Teaching Hospital, Benin City, Nigeria

Matthew Asizide Sede, Department of Restorative Dentistry, University of Benin Teaching Hospital, Benin City, Nigeria

Department of Restorative Dentistry, University of Benin Teaching Hospital, Benin City, Nigeria

Louis Ibhawoh, Department of Restorative Dentistry, University of Benin Teaching Hospital, Benin City, Nigeria

Department of Restorative Dentistry, University of Benin Teaching Hospital, Benin City, Nigeria

References

Tandon S. Challenges to the Oral workforce in India. J Dent Educ 2001; 68:28-33. https://doi.org/10.1002/j.0022-0337.2004.68.7_suppl.tb03813.x

Glickman GN, Koch KA. 21st century endodontics: J Am Dent Assoc 2000; 131:39-46. https://doi.org/10.14219/jada.archive.2000.0401

Edionwe JI, Shaba OP, Umesi DC. Single visit root canal treatment: A prospective study. Niger J Clin Pract 2014; 17:276-281. https://doi.org/10.4103/1119-3077.130210

Khan M, Rehman K, Saleem M. Causes of endodontic treatment failure- a study. Pak Oral Dent J 2010; 30:232-236.

Al-Nazhan S, Al-Daafas A, Al-Maflehi N. Radiographic investigation of in vivo endodontically treated maxillary premolars in a Saudi Arabian sub-population. Saudi Endod J 2012; 2:1-5. https://doi.org/10.4103/1658-5984.104407

Mashyakhy M, Gambarini G. Root and canal morphology differences between genders: A comprehensive in vivo CBCT study in a Saudi population. Actastomatol Croat 2019; 53:231-46 https://doi.org/10.15644/asc53/3/5

Ampofo P, Blankson PK, Nyako EA, Konadu A, Quartey-Papafio N. Radiographic in vivo determination of the number of canals in maxillary premolars of Ghanian population. Nig J Res Dent 2017; 2:33-5

Agholor CN, Sede MA. An evaluation of root and canal morphology of maxillary premolars in a Nigerian tertiary hospital: An in vivo study. Ghana Dent J 2021; 2:30-6

Pecora JD , Sousa Neto MD, Saquy PC, Woelfel JB. Root form and canal anatomy of maxillary first premolars. Braz Dent J 1991; 2:87-94.

Alavi AM, Opasanon A, Ng YL, Gulabivala K. Root Canal morphology of Thai maxillary molars. Int Endod J 2002; 35:215-218. https://doi.org/10.1046/j.1365-2591.2002.00511.x

Ross IE, Evanchik PA. Root fusion in molars: incidence and sex linkage. J Periodontol 1981; 52:663-667 https://doi.org/10.1902/jop.1981.52.11.663

Ng'ang'a RN, Masiga MA, Maina SW. External root morphology of maxillary first premolars in Kenyan Africans. East Afr Med J 2009; 86:539-544. https://doi.org/10.4314/eamj.v86i12.62504

Awawdeh LA, Abdullah H, Al-Qudah A. Root form and canal morphology of mandibular premolars in a Jordanian population. Int Endod J 2008; 34:956-961. https://doi.org/10.1016/j.joen.2008.04.013

Oginni A. Clinical radiographic estimation of the number of root canals in maxillary first and second premolars among Nigerians. Internet J Dent Sci 2004; 2:65-83. https://doi.org/10.5580/de5

Pineda F, Kuttler Y. Mesiodistal and buccolingual roentgenographic investigation of 7275 root canals. Oral Surg Oral Med Oral Pathol 1972; 33:101-110. https://doi.org/10.1016/0030-4220(72)90214-9

Grover C, Shetty N. Methods to study root canal morphology: A review. Endod 2012; 6:171-182.

Loh HS. Root morphology of the maxillary first premolar in Singaporeans. Aust Dent J 1998; 43:339-402. https://doi.org/10.1111/j.1834-7819.1998.tb00199.x

Lipski M, Wozniak K, Lagocha R, Tomasik M. Root and canal morphology of the first human maxillary premolar. Durham Anthropol J 2005; 12:2-3.

Atieh MA. Root and Canal Morphology of Maxillary First Premolars in a Saudi Population. J Contemp Dent Pract 2008; 1:46-53. https://doi.org/10.5005/jcdp-9-1-46

Vertucci FJ, Gegauff A. Root canal morphology of the maxillary first premolar. J Am Dent Assoc 1979; 99:194-198. https://doi.org/10.14219/jada.archive.1979.0255

Maina SW, Wagaiyu CK. The average tooth length in a black Kenyan population. East Afr Med J 1990; 67:333-338.

Carrotte P. Endodontics: Part 4 Morphology of the root canal system. Br Dent J 2004; 197:379-383. https://doi.org/10.1038/sj.bdj.4811711

Pecora JD, Sousa Neto MD, Saquy PC, Woefel JB. In vitro of root canal anatomy of maxillary second premolars. Braz Dent J 1993; 3: 81-85.

Ng'ang'a RN, Masiga MA, Maina SW. External root morphology of maxillary first premolars in Kenyan Africans. East Afr Med J 2009; 86:539-544. https://doi.org/10.4314/eamj.v86i12.62504

Chima O. Number of root canals of the maxillary second premolar in Nigerians Odontostomatol Trop 1997; 78:31-32.

Abella F, Teixdo LM, Patel S, Sosa F, Duran-Sindreu F, Roig M. Cone-beam computed tomography analysis of the root canal morphology of maxillary first and second premolars in a Spanish population. J Endod 2015; 4:1241-1247. https://doi.org/10.1016/j.joen.2015.03.026

Celikten B, Orhan K, Aksoy U, Tufenkci P, Atakan K, Basmaci F, et al. Cone-beam CT evaluation of root canal morphology of maxillary and mandibular premolars in a Turkish-Cypriot population. BDJ Open. 2016 Jan 1; 2:15006 https://doi.org/10.1038/bdjopen.2015.6

Wu MK, Wesselink PR. A primary observation on the preparation and obturation of oval canals. Int Endod J 2001; 34:137-141. https://doi.org/10.1046/j.1365-2591.2001.00361.x

Gupta S, Sinha DJ, Gupta S. Root and canal morphology of maxillary first premolar teeth in North Indian population using clearance technique: An in vitro study. J Conserv Dent 2015; 18:232-236. https://doi.org/10.4103/0972-0707.157260

Weng XL, Yu SB, Zhao SL. Root canal morphology of permanent maxillary premolar teeth in the Han nationality in Chinese Guanzhong area: a new modified root canal staining technique. J Endod 2009; 35:651-656. https://doi.org/10.1016/j.joen.2009.02.010

Martos J, Lubian C, Silveira LFM, Suita de Castro LA, Ferrer-Luque CM. Morphologic analysis of the root apex in human teeth. J Endod 2010; 36:664-667. https://doi.org/10.1016/j.joen.2010.01.014

Burch JG, Hulen S. The relationship of the apical foramen to the anatomic apex of the tooth root. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1972; 34: 262-267 https://doi.org/10.1016/0030-4220(72)90418-5

Krasner P, Rankow HJ. Anatomy of the pulp chamber floor. J Endod 2004; 30: 5-16. https://doi.org/10.1097/00004770-200401000-00002

Vertucci FJ. Root canal anatomy of the human permanent teeth. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1984; 58:589-599. https://doi.org/10.1016/0030-4220(84)90085-9

Vertucci FJ. Root canal morphology and its relationship to endodontic procedures. Endod Topics 2005; 10: 3-29. https://doi.org/10.1111/j.1601-1546.2005.00129.x

Ahmad IA, Alenezi MA. Root and root canal morphology of maxillary first premolars: A literature review and clinical considerations. J Endod 2016; 42:861-872. https://doi.org/10.1016/j.joen.2016.02.017

Published

15-06-2023

How to Cite

Agholor, C. N. ., Sede, M. A., & Ibhawoh, L. (2023). Maxillary premolar root and canal morphology in a Nigerian population: An in-vitro study. International Journal of Medical Sciences and Pharma Research, 9(2), 13–21. https://doi.org/10.22270/ijmspr.v9i2.74