Aldawla Mohammed A, Madfa Ahmed A
Department of Conservative Dentistry and Endodontics, Faculty of Dentistry, Sana'a University, Sana'a, Yemen.
Department of Restorative Dental Science, College of Dentistry, University of Ha'il, Ha'il, Saudi Arabia.
Int J Dent. 2025 Aug 2;2025:2973236. doi: 10.1155/ijod/2973236. eCollection 2025.
To investigate the root and canal morphology of mandibular using cone-beam computed tomography (CBCT) in a sample of Yemeni population. A total of 320 (160 females and 160 males) Yemeni patient's CBCT scans were examined. A total of 1280 mandibular incisors (640 mandibular central incisors and 640 lateral mandibular incisors) were evaluated. The following items were recorded: (1) number of roots, (2) number of canals, (3) root canal type, and (4) bilateral symmetry in terms of root canal number and root canal type. The effect of gender bilateral symmetry on the incidence of root canal morphology was also investigated. All mandibular central incisors examined in this study had one root. On the other hand, 99.7% of lateral mandibular incisors were single-rooted only 0.3% had two roots. The overall prevalence of second root canals in mandibular central and mandibular lateral was 48.9% and 37.9%, respectively. Where males 28.4% and 27.3% had more canals than females 20.3% and 17.8% in both mandibular central and lateral incisors, respectively. Type I canal configuration was the most prevalent in both mandibular incisors, followed by Type III in central and lateral incisors 38.9% and 34.2%, respectively. The prevalence of the other configuration types was as follows: Type II occurred in 7.5% of central and 7.03% of lateral incisors and Type V occurred in 0.8% of central and 1.1% of lateral incisors. Types IV, V, VI, VII, 1-2-3, 1-2-1-3, and 2-1-2-1 were also found in both mandibular incisors with relatively less frequency, and Type VIII was not detected at all. The bilateral symmetry in the number of root canal was 99.3% in mandibular central incisors and 99.6% in mandibular lateral incisors. Furthermore, 97.18% of the mandibular central incisors and 93.75% of mandibular lateral incisors had symmetry in terms of Vertucci's canal configuration. With no significant difference between gender. Mandibular incisors in the Yemeni population are mainly single rooted with 0.3% having two roots. The occurrence of the second canal in central and lateral mandibular incisors is approximately 46.9% (Type I was the predominant followed by Type III). When at least one tooth had two root canals, bilateral symmetry between contralateral teeth was found in 99.3% and 99.6% of cases for central incisors and lateral incisors, respectively. Males have more incidence of second canals than females.
利用锥形束计算机断层扫描(CBCT)研究也门人群样本中下颌牙的根管形态。共检查了320例也门患者(160名女性和160名男性)的CBCT扫描图像。共评估了1280颗下颌切牙(640颗下颌中切牙和640颗下颌侧切牙)。记录了以下项目:(1)牙根数量;(2)根管数量;(3)根管类型;(4)根管数量和根管类型方面的双侧对称性。还研究了性别双侧对称性对根管形态发生率的影响。本研究中检查的所有下颌中切牙均为单根。另一方面,99.7%的下颌侧切牙为单根,只有0.3%有两根。下颌中切牙和下颌侧切牙第二根管的总体患病率分别为48.9%和37.9%。在下颌中切牙和侧切牙中,男性有第二根管的比例分别为28.4%和27.3%,高于女性的20.3%和17.8%。I型根管形态在下颌切牙中最为常见,其次是下颌中切牙和侧切牙中的III型,分别为38.9%和34.2%。其他形态类型的患病率如下:II型在下颌中切牙中占7.5%,在下颌侧切牙中占7.03%;V型在下颌中切牙中占0.8%,在下颌侧切牙中占1.1%。IV型、V型、VI型、VII型、1 - 2 - 3型、1 - 2 - 1 - 3型和2 - 1 - 2 - 1型在下颌切牙中也有发现,但频率相对较低,VIII型根本未检测到。下颌中切牙根管数量的双侧对称性为99.3%,下颌侧切牙为99.6%。此外,97.18%的下颌中切牙和93.75%的下颌侧切牙在Vertucci根管形态方面具有对称性。性别之间无显著差异。也门人群的下颌切牙主要为单根,0.3%有两根。下颌中切牙和侧切牙中第二根管的发生率约为46.9%(I型为主,其次是III型)。当至少有一颗牙有两根根管时,下颌中切牙和侧切牙中对侧牙之间的双侧对称性分别在99.3%和99.6%的病例中发现。男性第二根管的发生率高于女性。