Morfología de conductos radiculares en incisivos mandibulares permanentes mediante tomografía computarizada de haz cónico en una subpoblación cuencana
DOI:
https://doi.org/10.31984/oactiva.v7i1.635Palabras clave:
incisivos inferiores; Tomografía Computarizada de Haz de Cono; morfología de conductos radiculares; EndodonciaResumen
Objetivo: Evaluar la morfología de conductos radiculares en incisivos mandibulares permanentes usando tomografía computarizada de haz cónico (CBCT). Materiales y métodos: Se analizaron 187 archivos de CBCT de pacientes cuencanos, valorando un total de 748 imágenes tomográficas. Las CBCT fueron obtenidas usando un tomógrafo Morita 3D Accuitomo 170 (J. Morita Inc., Kyoto, Japan) con tamaño de vóxel de 0.330 mm; parámetros de exposición de 90 kV, 6 mA; campo de visión de 170 x 170; grosor de corte de 0.66mm. La configuración de los conductos radiculares fue analizada de acuerdo a la clasificación de Vertucci. La influencia del género en la distribución de conductos y la simetría de bilateralidad fueron analizados estadísticamente; el nivel de significancia fue p <0.05. Resultados: Todos los dientes presentaron 1 raíz. La prevalencia de dos conductos radiculares fue del 9%. En dientes con dos conductos radiculares, la configuración de Vertucci más prevalente fue el tipo III (6,7%), seguido del tipo V (1,6%). Además, el 68,7% de los dientes con dos conductos radiculares presentaron la bifurcación en el tercio medio de la raíz. No hubo diferencias estadísticamente significativas respecto a la influencia del género y la simetría de bilateralidad. Conclusiones: La prevalencia de dos conductos en incisivos mandibulares en una subpoblación cuencana fue del 9% aproximadamente, siendo la configuración de Vertucci III la más prevalente.
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2. Costa F, Pacheco-Yanes J, Siqueira J, Oliveira A, Gazzaneo I, Amorim CA, et al. Association between missed canals and apical periodontitis. Int Endod J. 2019;52(4):400-6. Available from: URL: https://pubmed.ncbi.nlm.nih.gov/30284719/.
3. Baruwa AO, Martins JNR, Meirinhos J, Pereira B, Gouveia J, Quaresma SA, et al. The Influence of Missed Canals on the Prevalence of Periapical Lesions in Endodontically Treated Teeth: A Cross-sectional Study. J Endod. 2020;46(1):34-39.
4. Cantatore G, Berutti E, Castellucci A. Missed anatomy: frequency and clinical impact. Endod Top. 2006;15(1):3-31. Available from: URL: https://linkinghub.elsevier.com/retrieve/pii/S0099239919307435.
5. Valenti-Obino F, Di Nardo D, Quero L, Miccoli G, Gambarini G, Testarelli L, et al. Symmetry of root and root canal morphology of mandibular incisors: A cone-beam computed tomography study in vivo. J Clin Exp Dent. 2019; e527-533. Available from: URL: http://www.medicinaoral.com/medoralfree01/aop/55629.pdf.
6. Gambarini G, Ropini P, Piasecki L, Costantini R, Carneiro E, Testarelli L, et al. A preliminary assessment of a new dedicated endodontic software for use with CBCT images to evaluate the canal complexity of mandibular molars. Int Endod J. 2018;51(3):259-68. Available from: URL: http://doi.wiley.com/10.1111/iej.12845.
7. Versiani M, Bettina B, Sousa-Neto M. The Root Canal Anatomy in Permanent Dentition. En Springer International Publishing; 2019.
8. Gambarini G, Piasecki L, Ropini P, Miccoli G, Nardo D, Testarelli L. Cone-beam computed tomographic analysis on root and canal morphology of mandibular first permanent molar among multiracial population in Western European population. Eur J Dent. 2018;12(03):434-8. Available from: URL: http://www.thieme-connect.de/DOI/DOI?10.4103/ejd.ejd_116_18.
9. Ahmed H, Dummer P. A new system for classifying tooth, root and canal anomalies. Int Endod J. 2018;51(4):389-404. Available from: URL: http://doi.wiley.com/10.1111/iej.12685.
10. Martins J, Marques D, Silva E, Caramês J, Versiani M. Prevalence Studies on Root Canal Anatomy Using Cone-beam Computed Tomographic Imaging: A Systematic Review. J Endod. 2019;45(4):372-86.
11. Queiroz P, Santaella G, Capelozza A, Rosalen P, Freitas D, Haiter-Neto F. Zoom Reconstruction Tool: Evaluation of Image Quality and Influence on the Diagnosis of Root Fracture. J Endod. 2018;44(4):621-5.
12. Scarfe W. Maxillofacial cone beam computed tomography. New York, NY: Springer Berlin Heidelberg; 2018.
13. Vertucci F. Root canal anatomy of the mandibular anterior teeth. J Am Dent Assoc. 1974;89(2):369-71. Available from: URL: https://linkinghub.elsevier.com/retrieve/pii/0030422084900859.
14. Gulabivala K, Aung T, Alavi A, Ng Y-L. Root and canal morphology of Burmese mandibular molars. Int Endod J. 2001;34(5):359-70.
15. Cheung G, Yang J, Fan B. Morphometric study of the apical anatomy of C-shaped root canal systems in mandibular second molars. Int Endod J. 2007;40(4):239-46.
16. Moreano S. Técnica de diafanización dental. ReciMundo Rev Científica Investig El Conoc. 2019;3(1):725-41.
17. Nair M, Nair U. Digital and Advanced Imaging in Endodontics: A Review. J Endod. 2007;33(1):1-6. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0099239906007655.
18. Fan B, Gao Y, Fan W, Gutmann J. Identification of a C-shaped Canal System in Mandibular Second Molars—Part II: The Effect of Bone Image Superimposition and Intraradicular Contrast Medium on Radiograph Interpretation. J Endod. 2008;34(2):160-5.
19. Sousa T, Haiter-Neto F, Nascimento E, Peroni L, Freitas D, Hassan B. Diagnostic Accuracy of Periapical Radiography and Cone-beam Computed Tomography in Identifying Root Canal Configuration of Human Premolars. J Endod. 2017;43(7):1176-9.
20. Ramos Brito A, Verner F, Junqueira R, Yamasaki M, Queiroz P, Freitas D, et al. Detection of Fractured Endodontic Instruments in Root Canals: Comparison between Different Digital Radiography Systems and Cone-beam Computed Tomography. J Endod. 2017;43(4):544-9. Available from: URL: https://linkinghub.elsevier.com/retrieve/pii/S0099239916309463.
21. Mohsen A, Mona S, Naghmeh M, Hasan R, Mohamad K. Evaluation of the Root and Canal Morphology of Mandibular Permanent Anterior Teeth in an Iranian Population by Cone-Beam Computed Tomography. J Dent Tehran Iran. 2013;10(4):358-66.
22. Han T, Ma Y, Yang L, Chen X, Zhang X, Wang Y. A Study of the Root Canal Morphology of Mandibular Anterior Teeth Using Cone-beam Computed Tomography in a Chinese Subpopulation. J Endod. 2014;40(9):1309-14.
23. Haghanifar S, Moudi E, Bijani A, Ghanbarabadi M. Morphologic assessment of mandibular anterior teeth root canal using CBCT. Acta Medica Acad. 2017;46(2):85-93.
24. Berman L, Cohen S, Hargreaves K. Pathways of the Pulp. 11.a ed. Elsevier; 2016.
25. Mozzo P, Procacci C, Tacconi A, Tinazzi Martini P, Bergamo Andreis I. A new volumetric CT machine for dental imaging based on the cone-beam technique: preliminary results. Eur Radiol. 1998;8(9):1558-64. Available from: URL: http://link.springer.com/10.1007/s003300050586.
26. Leoni G, Versiani M, Pécora J, Damião de Sousa-Neto M. Micro–Computed Tomographic Analysis of the Root Canal Morphology of Mandibular Incisors. J Endod. 2014;40(5):710-6.
27. Marciano M, Duarte M, Ordinola-Zapata R, Villas-Bôas M, Minotti P, Bramante C, et al. Applications of micro-computed tomography in endodontic research. En: Current Microscopy Contributions to Advances in Science and Technology. A. Méndez-Vilas, Ed. 2012.
28. Somma F, Leoni D, Plotino G, Grande N, Plasschaert A. Root canal morphology of the mesiobuccal root of maxillary first molars: a micro-computed tomographic analysis. Int Endod J. 2009;42(2):165-74. Available from: URL: http://doi.wiley.com/10.1111/j.1365-2591.2008.01472.x.
29. Verma P, Love R. A Micro CT study of the mesiobuccal root canal morphology of the maxillary first molar tooth: Mesiobuccal root canal morphology. Int Endod J. 2011;44(3):210-7.
30. Arslan H, Ertas H, Ertas E, Kalabalık F, Saygılı G, Capar I. Evaluating root canal configuration of mandibular incisors with cone-beam computed tomography in a Turkish population. J Dent Sci. 2015;10(4):359-64.
31. Paes da Silva L, Rice D, Ordinola-Zapata R, Alvares A, Bramante C, Jaramillo D, et al. Detection of Various Anatomic Patterns of Root Canals in Mandibular Incisors Using Digital Periapical Radiography, 3 Cone-beam Computed Tomographic Scanners, and Micro–Computed Tomographic Imaging. J Endod. 2014;40(1):42-5. Available from: URL: https://linkinghub.elsevier.com/retrieve/pii/S0099239913008698.
32. Ronda N. Aplicaciones de la TAC en endodoncia. Electron J Endod Rosario. 2012; 2:28.
33. Haji-Hassani N, Tofangchiha M, Bakhshi M, Mostafaei F. Evaluation of Root Canal Morphology of Mandibular Incisor using Cone Beam Computed Tomography. J Int Oral Health. 2016;8(2):167-71.
34. Candeiro G, Monteiro Dodt Teixeira I, Olimpio Barbosa D, Vivacqua-Gomes N, Alves F. Vertucci’s Root Canal Configuration of 14,413 Mandibular Anterior Teeth in a Brazilian Population: A Prevalence Study Using Cone-beam Computed Tomography. J Endod. 2021;47(3):404-8. Available from: URL: https://linkinghub.elsevier.com/retrieve/pii/S0099239920309560.
35. Kumar G. Orban’s Oral Histology & Embriology. 14 ed. New Delhi: Elsevier; 2015.
36. Wu Y, Cheng W, Chung M, Su C, Weng P, Cathy Tsai Y-W, et al. Complicated Root Canal Morphology of Mandibular Lateral Incisors Is Associated with the Presence of Distolingual Root in Mandibular First Molars: A Cone-beam Computed Tomographic Study in a Taiwanese Population. J Endod. 2018;44(1):73-79.
37. Lin Z, Hu Q, Wang T, Ge J, Liu S, Zhu M, et al. Use of CBCT to investigate the root canal morphology of mandibular incisors. Surg Radiol Anat. 2014;36(9):877-82. Available from: URL: https://pubmed.ncbi.nlm.nih.gov/21496678/.
38. 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.
39. Wu Y, Cheng W, Weng P, Chung M, Su C, Chiang H, et al. The Presence of Distolingual Root in Mandibular First Molars Is Correlated with Complicated Root Canal Morphology of Mandibular Central Incisors: A Cone-beam Computed Tomographic Study in a Taiwanese Population. J Endod. 2018;44(5):711-6.
40. Kun Astudillo K. Estudio in vitro de la anatomía interna del incisivo central inferior mediante el proceso de diafanización (tesis de licenciatura en odontología). [Ciudad de Cuenca]: Universidad de Cuenca; 2013.
41. Nogueira E, Queiroz de Castro R, Nejaim Y, Vespasino A, Haiter 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. Available from: URL: http://qi.quintessenz.de/index.php?doc=abstract&abstractID=34807.
42. Darwazeh A, Hamasha A. Radiographic evidence of enamel pearls in Jordanian dental patients. Oral Surg Oral Med Oral Pathol Oral Radiol Endodontology. 2000;89(2):255-8.
43. Cavanha A. Enamel pearls. Oral Surg Oral Med Oral Pathol. 1965;19(3):373-82.
44. Ortega D. Anatomía radicular interna en incisivos inferiores mediante TAC en la ciudad de Loja en el período octubre 2017- marzo 2018 (tesis de licenciatura en odontología). [Ciudad de Loja]: Universidad Nacional de Loja; 2018.
45. De la Torre F, Cisneros-Cabello R, Aranguren J, Estévez R, Velasco-Ortega E, Segura-Egea J. Single-rooted maxillary first molar with a single canal: endodontic retreatment. Oral Surg Oral Med Oral Pathol Oral Radiol Endodontology. 2008;106(6): e66-8. Available from: URL: https://linkinghub.elsevier.com/retrieve/pii/S1079210408005635.
46. Kottoor J, Velmurugan N, Surendran S. Endodontic management of a maxillary first molar with eight root canal systems evaluated using cone-beam computed tomography scanning: a case report. J Endod. 37(5):715-9.
47. Martins J, Marques D, Leal Silva E, Caramês J, Mata A, Versiani M. Influence of Demographic Factors on the Prevalence of a Second Root Canal in Mandibular Anterior Teeth – A Systematic Review and Meta-Analysis of Cross-Sectional Studies Using Cone Beam Computed Tomography. Arch Oral Biol. 2020; 116: 104749.
48. Wolf T, Stiebritz M, Boemke N, Elsayed I, Paqué F, Wierichs R, et al. 3-dimensional Analysis and Literature Review of the Root Canal Morphology and Physiological Foramen Geometry of 125 Mandibular Incisors by Means of Micro–Computed Tomography in a German Population. J Endod. 2020;46(2):184-91.
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2022-01-31
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ALVAREZ VASQUEZ, J. L., Durán Urdiales, D. B., & GONZALEZ NEIRA, C. C. (2022). Morfología de conductos radiculares en incisivos mandibulares permanentes mediante tomografía computarizada de haz cónico en una subpoblación cuencana. Odontología Activa Revista Científica, 7(1), 7–16. https://doi.org/10.31984/oactiva.v7i1.635
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