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Nadir Karşılaşılan Bir Endodontik Problem: Radiks Entomolaris

Year 2015, Volume: 4 Issue: 2, 27 - 33, 01.10.2015

Abstract

Mandibular birinci büyük azı dişlerinin distolingualinde konumlanmış, süpernumerer üçüncü kök ‘’Radiks entomolaris’’in görülme sıklığı etnik popülasyona bağlı olarak % 14.4 olarak belirlenmiştir. Radiks entomolaris de en sık karşılaşılan kanal konfigürasyonu Vertucci sınıf 1 tiptedir. Genel olarak cinsiyet farklılığı yoktur ve çift taraflı ortaya çıkar. Diğer köklere göre vertikal olarak en kısa köktür ve ileri derecede kurvatürlü bir yapıya sahiptir. Kök kanal tedavisi ihtiyacı olan pulpal patolojilerde, teşhisi için en uygun yöntem paralel teknikle mesialden 25°’lik bir açıyla çekilmiş periapikal radyografiler veya cone-beam bilgisayarlı tomografi CBCT ’dir. İkizkenar yamuk şeklinde açılmış giriş kavitesi kanal girişinin bulunmasını kolaylaştırır. Biomekanik preparasyon sırasında ve post boşluğu hazırlama işlemleri sırasında furkasyon seviyesine dikkat edilmesi furkal ve strip perforasyonların önüne geçilmesini sağlar. Bu derlemenin amacı, iki köklü mandibular birinci büyük azı dişlerinin major anatomik varyasyonu olan distolingualde konumlanmış üçüncü kök Radiks Entomolarisin prevalansının, morfolojik sınıflamasının ve anatomik özelliklerinin tartışılması; klinik teşhis ve tedavisinin incelenmesidir

References

  • 1. .Calberson FL, De Moor RJ, Deroose CA. The radix entomolaris and paramolaris: clinical approach in endodontics. J Endod 2007; 33: 58-63.
  • 2. Abella F, Patel S, Duran-Sindreu F, Mercadè M, Roig M. Mandibular first molar with disto-lingual roots: review and clinical management. Int Endod J 2012; 45: 963-978.
  • 3. Chandra SS, Chandra S, Shankar P,Indira R. Prevalance of radix entomolaris in mandibular permanent first molars: a study in a South Indian population. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2011; 112: e77-82.
  • 4. Carabelli G. Systematisches Handbuch der Zahnheilkunde, 2nd edn. Vienna, Austria: Braumüller and Seidel, 1844: 114.
  • 5. Bolk L. Bermerküngen über Wurzelvariationen am menschilchen unteren Molaren. Z Morphol Anthropol 1915; 17: 605-10.
  • 6. Nayak G, Shetty S, Shekhar R. Asymmetry in mesial root number and morphology in mandibular second molars: a case report. Restor Dent Endod 2104; 39: 45- 50
  • 7. Midtbø M, Halse A, Root length, crown height and root morphology in Turner syndrome. Acta Odontol Scand 1994; 52: 303-14.
  • 8. Baert AL. Encyclopedia of diagnostic imaging. Volume 1. Seoul: Springer; 2008: 427.
  • 9. Alt KW, Rösing FW, Teschler-Nicola M. Dental Anthropology. Fundamentals, Limits and Prospects, Austria: Springer. Türp JC, Alt KW. Chapter 3.1. Anatomy and morphology of human teeth. 1998: 71-94.
  • 10. Tratman EK. Three-rooted lower molars in man and their racial distribution. Br Dent J 1938; 64: 264-74.
  • 11. Turner CG. II. Three-rooted mandibular first permanent molars and the question of American Indian origins. Am J Phys Anthropol 1971; 34: 229-41.
  • 12. de Souza-Freitas JA, Lopes ES, Casati-Alvares L. Anatomic variations of lower first permanent molars roots in two ethnic groups. Oral Surg Oral Med Oral Pathol 1971; 31:274-8.
  • 13. Jones AW. The incidence of three-rooted lower first permanent molar in Malay people. Singapore Dent J 1980; 5: 15-7.
  • 14. Walker RT. Root form and canal anatomy of mandibular first molars in a Southern Chinese population. Dent Traumatol 1988; 4: 19-22.
  • 15. Loh HS. Incidence and features of three-rooted permanent mandibular molars. Aust Dent J 1990; 35: 434-7.
  • 16. Younes SA, Al-Shammery AR, El-Angbawi AF. Threerooted permanent mandibular first molars of Asian and black groups in the Middle East. Oral Surg Oral Med 1990; 69: 102-5.
  • 17. Ferraz JA, Pècora JD. Three rooted mandibular molars in patients of Mongolian, Caucasian and Negro origin. Braz Dent J 1993; 3: 113-7.
  • 18. Yew SC, Chan K. A retrospective study of endodontically treated mandibular first molars in A Chinese population. J Endod 1993; 19: 471-3.
  • 19. Sperber GH, Moreau JL. Study of the number of roots and canals in Senegalese first permanent mandibular molars. Int Endod J 1998; 31: 117-22.
  • 20. Gulabivala K, Aung TH, Alavi A, Ng Y-L. root and canal morphology of Burmese mandibular molars. Int Endod J 2001; 34: 359-70.
  • 21. Gulabivala K, Opasanon A, Ng YL, Alavi A. Root and canal morphology of Thai mandibular molars. Int Endod J 2002; 35: 56-62.
  • 22. Sert S, Bayirli GS. Evaluation of the root canal configurations of the mandibular and maxillary permanent teeth by gender in the Turkish population. J Endod 2004; 30: 391-8.
  • 23. Tu MG, Tsai CC, Jou MJ, Chen WL, Chang YF, Chen SY. Prevalance of three-rooted mandibular first molars among Taiwanese individuals. J Endod 2007; 33: 1163- 6.
  • 24. Schäfer E, Breuer D, Janzen S. The prevalance of threerooted mandibular permanent first molars in a German population. J Endod 2009; 35: 202-5.
  • 25. Song JS, Choi HJ, Jung IY, Jung HS, Kim SO. The prevalence and morphologic classification of distolingual roots in the mandibular molars in a Korean population. J Endod 2010; 36: 653-7.
  • 26. Huang RY, Cheng WC, Chen CJ. Three-dimensional analysis of the root morphology of mandibular first molars with distolingual roots. Int Endod J 2010; 43: 478-84.
  • 27. Gu Y, Lu Q, Wang H, Ding Y, Wang P, Ni L. Root canal morphology of permanent three-rooted mandibular first molars-Part 1: Pulp floor and root canal system. J Endod 2010; 36: 990-4.
  • 28. Wang Y, Zheng QH, Zhou XD, Tang L, Wang Q, Zheng GN, et al. Evaluation of the root and canal morphology of mandibular first permanent molars in a western Chinese population by cone-beam computed tomography. J Endod 2010; 36: 1786-9.
  • 29. Zhang R, Wang H, Tian YY, Yu X, Hu T, Dummer PM. Use of cone-beam computed tomography to evaluate root and canal morphology of mandibular molars in Chinese individuals. Int Endod J 2011; 44: 990-9.
  • 30. Gark AK, Tewari RK, Kumar A, Hashmi SH, Agrawal N, Mishra SK. Prevalence of three-rooted mandibular permanent first molars among the Indian Population. J Endod 2010; 36: 1302-6.
  • 31. Çolak H, Ozcan E, Hamidi MM. Prevalence of threerooted mandibular permanent first molars among the Turkish population. Niger J Clin Pract 2012; 15: 306- 10.
  • 32. Park J-B, Kim N, Park S, Kim Y, Ko Y. Evaluation of root canal anatomy of permanent mandibular premolars and molars in a Korean population with cone-beam computed tomography. Eur J Dent 2013; 7: 94-101.
  • 33. 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: 303-308.
  • 34. Song JS, Kim SO, Choi BJ, Choi HJ, Son HK, Lee JH. Incidence and relationship of an additional root in the mandibular first permanent molar and primary molars. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009; 107: e56-60.
  • 35. Huang RY, Lin CD, Lee MS, Yeh CL, Shen EC, Chiang CY, Chiu HC, Fu E. Mandibular disto-lingual root: a consideration in periodontal therapy. J Periodontol 2007; 78: 1485-90.
  • 36. Patel S, Dawood A, Whaites E, Pitt Ford T. New dimensions in endodontic managing: part 1. Conventional and alternative radiographic systems. Int Endod J 2009; 42: 447-62.
  • 37. Wang Q, Yu G, Zhou XD, Peters OA, Zheng QH, Huang DM. Evaluation of x-ray projection angulation for successful radix entomolaris diagnosis in mandibular first molar in vitro. J Endod 2011; 37: 1063- 8.
  • 38. Yu DC, Tam A, Schilder H. Root canal anatomy illustrated by microcomputed tomography and clinical cases. Gen Dent 2006; 54: 331-5.
  • 39. Carlsen O, Alexandersen V. Radix paramolaris in permanent mandibular molars: identification and morphology. Scan J Dent Res 1991; 99: 189-95.
  • 40. Ribeiro FC, Consolaro A. Importancia clinica y antropologica de la raiz distolingual en los molares inferiores permamentes. Endodoncia 1997;15: 72-8.
  • 41. Scheneider SW. A comparison of canal preparations in straight and curved root canals. Oral Surg Oral Med Oral Pathol 1971; 32: 271-5.
  • 42. Vertucci FJ. Root canal anatomy of the human permanent teeth. Oral Surg Oral Med Oral Path 1984; 58: 589-99.
  • 43. Sarangi P, Uppin VM. Mandibular First Molar with a Radix Entomolaris: An Endodontic Dilemma. J Dent 2014; 11: 118-122.
  • 44. Tu MG, Huang HL, Hsue SS, Hsu JT, Che SY, Jou MJ, Tsai CC. Detection of permanent three-rooted mandibular first molars by cone-beam computed tomography imaging in Taiwanese individuals. J Endod 2009; 35: 503-7.
  • 45. Gu Y, Zhou P, Ding Y, Wang P, Ni L. Root canal morphology of permanent three-rooted mandibular first molars: Part 3- An odontometric analysis. J Endod 2011; 37: 485-90.
  • 46. Chen YC, Lee YY, Pai SF, Yang SF. The morphologic characteristics of the distolingual roots of mandibular first molars in a Taiwanese population. J Endod 2009; 35: 643-5.
  • 47. Cunningham CJ, Senia ES. A three-dimensional study of canal curvatures in the mesial roots of mandibular molars. J Endod 1992; 18: 294-300.
  • 48. Gu Y, Lu Q, Wang P, Ni L. Root canal morphology of permanent three-rooted mandibular first molars: part 2- measurement of root canal curvatures. J Endod 2010; 36: 1341-6.
  • 49. Inan U, Aydin C, Uzun O, Topuz O, Alacam T. Evaluation of the surface characteristics of used and new ProTaper instruments: an anatomic force microscopy study. J Endod 2007; 33: 1334-7.
  • 50. Waerhaug J. The furcation problem. Etiology, pathogenesis, diagnosis, theraphy and prognosis. J Clin Periodontol 1980; 7: 73-95.

Rarely Encountered An Endodontic Problem: Radix Entomolaris

Year 2015, Volume: 4 Issue: 2, 27 - 33, 01.10.2015

Abstract

Distolingual area of mandibular first molar teeth located that supernumerary root ‘’ Radix entomolaris’’ incidence was %14.4 and associated with certain ethnic populations. The most common canal configuration of distal roots was Vertucci type 1, respectively. Generally, no significant differences were observed in the prevalence of radix entomolaris according to gender and unilateral or bilateral occurrance. The root length of the radix entomolaris was shorter than other roots. During the treatment of pulpal pathologies that requiring root canal treatment, the best methods to diagnosis radix entomolaris are 25° mesial parallax periapical radiograph or cone-beam computed tomography CBCT . A trapezoidal shape access cavity is benefit to locate the orifice of the radix entomolaris. During the biomechanical preparation and post-space preparation clinicians should be aware of the variable furcation levels to avoid furcal and strip perforation. The purpose of this review was to conduct a literature review on the prevalance, morphologic classification and anatomic characteristic of the two-rooted mandibular first molar is a tooth with an additional distolingual and third root: major anatomical variant the Radix entomolaris

References

  • 1. .Calberson FL, De Moor RJ, Deroose CA. The radix entomolaris and paramolaris: clinical approach in endodontics. J Endod 2007; 33: 58-63.
  • 2. Abella F, Patel S, Duran-Sindreu F, Mercadè M, Roig M. Mandibular first molar with disto-lingual roots: review and clinical management. Int Endod J 2012; 45: 963-978.
  • 3. Chandra SS, Chandra S, Shankar P,Indira R. Prevalance of radix entomolaris in mandibular permanent first molars: a study in a South Indian population. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2011; 112: e77-82.
  • 4. Carabelli G. Systematisches Handbuch der Zahnheilkunde, 2nd edn. Vienna, Austria: Braumüller and Seidel, 1844: 114.
  • 5. Bolk L. Bermerküngen über Wurzelvariationen am menschilchen unteren Molaren. Z Morphol Anthropol 1915; 17: 605-10.
  • 6. Nayak G, Shetty S, Shekhar R. Asymmetry in mesial root number and morphology in mandibular second molars: a case report. Restor Dent Endod 2104; 39: 45- 50
  • 7. Midtbø M, Halse A, Root length, crown height and root morphology in Turner syndrome. Acta Odontol Scand 1994; 52: 303-14.
  • 8. Baert AL. Encyclopedia of diagnostic imaging. Volume 1. Seoul: Springer; 2008: 427.
  • 9. Alt KW, Rösing FW, Teschler-Nicola M. Dental Anthropology. Fundamentals, Limits and Prospects, Austria: Springer. Türp JC, Alt KW. Chapter 3.1. Anatomy and morphology of human teeth. 1998: 71-94.
  • 10. Tratman EK. Three-rooted lower molars in man and their racial distribution. Br Dent J 1938; 64: 264-74.
  • 11. Turner CG. II. Three-rooted mandibular first permanent molars and the question of American Indian origins. Am J Phys Anthropol 1971; 34: 229-41.
  • 12. de Souza-Freitas JA, Lopes ES, Casati-Alvares L. Anatomic variations of lower first permanent molars roots in two ethnic groups. Oral Surg Oral Med Oral Pathol 1971; 31:274-8.
  • 13. Jones AW. The incidence of three-rooted lower first permanent molar in Malay people. Singapore Dent J 1980; 5: 15-7.
  • 14. Walker RT. Root form and canal anatomy of mandibular first molars in a Southern Chinese population. Dent Traumatol 1988; 4: 19-22.
  • 15. Loh HS. Incidence and features of three-rooted permanent mandibular molars. Aust Dent J 1990; 35: 434-7.
  • 16. Younes SA, Al-Shammery AR, El-Angbawi AF. Threerooted permanent mandibular first molars of Asian and black groups in the Middle East. Oral Surg Oral Med 1990; 69: 102-5.
  • 17. Ferraz JA, Pècora JD. Three rooted mandibular molars in patients of Mongolian, Caucasian and Negro origin. Braz Dent J 1993; 3: 113-7.
  • 18. Yew SC, Chan K. A retrospective study of endodontically treated mandibular first molars in A Chinese population. J Endod 1993; 19: 471-3.
  • 19. Sperber GH, Moreau JL. Study of the number of roots and canals in Senegalese first permanent mandibular molars. Int Endod J 1998; 31: 117-22.
  • 20. Gulabivala K, Aung TH, Alavi A, Ng Y-L. root and canal morphology of Burmese mandibular molars. Int Endod J 2001; 34: 359-70.
  • 21. Gulabivala K, Opasanon A, Ng YL, Alavi A. Root and canal morphology of Thai mandibular molars. Int Endod J 2002; 35: 56-62.
  • 22. Sert S, Bayirli GS. Evaluation of the root canal configurations of the mandibular and maxillary permanent teeth by gender in the Turkish population. J Endod 2004; 30: 391-8.
  • 23. Tu MG, Tsai CC, Jou MJ, Chen WL, Chang YF, Chen SY. Prevalance of three-rooted mandibular first molars among Taiwanese individuals. J Endod 2007; 33: 1163- 6.
  • 24. Schäfer E, Breuer D, Janzen S. The prevalance of threerooted mandibular permanent first molars in a German population. J Endod 2009; 35: 202-5.
  • 25. Song JS, Choi HJ, Jung IY, Jung HS, Kim SO. The prevalence and morphologic classification of distolingual roots in the mandibular molars in a Korean population. J Endod 2010; 36: 653-7.
  • 26. Huang RY, Cheng WC, Chen CJ. Three-dimensional analysis of the root morphology of mandibular first molars with distolingual roots. Int Endod J 2010; 43: 478-84.
  • 27. Gu Y, Lu Q, Wang H, Ding Y, Wang P, Ni L. Root canal morphology of permanent three-rooted mandibular first molars-Part 1: Pulp floor and root canal system. J Endod 2010; 36: 990-4.
  • 28. Wang Y, Zheng QH, Zhou XD, Tang L, Wang Q, Zheng GN, et al. Evaluation of the root and canal morphology of mandibular first permanent molars in a western Chinese population by cone-beam computed tomography. J Endod 2010; 36: 1786-9.
  • 29. Zhang R, Wang H, Tian YY, Yu X, Hu T, Dummer PM. Use of cone-beam computed tomography to evaluate root and canal morphology of mandibular molars in Chinese individuals. Int Endod J 2011; 44: 990-9.
  • 30. Gark AK, Tewari RK, Kumar A, Hashmi SH, Agrawal N, Mishra SK. Prevalence of three-rooted mandibular permanent first molars among the Indian Population. J Endod 2010; 36: 1302-6.
  • 31. Çolak H, Ozcan E, Hamidi MM. Prevalence of threerooted mandibular permanent first molars among the Turkish population. Niger J Clin Pract 2012; 15: 306- 10.
  • 32. Park J-B, Kim N, Park S, Kim Y, Ko Y. Evaluation of root canal anatomy of permanent mandibular premolars and molars in a Korean population with cone-beam computed tomography. Eur J Dent 2013; 7: 94-101.
  • 33. 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: 303-308.
  • 34. Song JS, Kim SO, Choi BJ, Choi HJ, Son HK, Lee JH. Incidence and relationship of an additional root in the mandibular first permanent molar and primary molars. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009; 107: e56-60.
  • 35. Huang RY, Lin CD, Lee MS, Yeh CL, Shen EC, Chiang CY, Chiu HC, Fu E. Mandibular disto-lingual root: a consideration in periodontal therapy. J Periodontol 2007; 78: 1485-90.
  • 36. Patel S, Dawood A, Whaites E, Pitt Ford T. New dimensions in endodontic managing: part 1. Conventional and alternative radiographic systems. Int Endod J 2009; 42: 447-62.
  • 37. Wang Q, Yu G, Zhou XD, Peters OA, Zheng QH, Huang DM. Evaluation of x-ray projection angulation for successful radix entomolaris diagnosis in mandibular first molar in vitro. J Endod 2011; 37: 1063- 8.
  • 38. Yu DC, Tam A, Schilder H. Root canal anatomy illustrated by microcomputed tomography and clinical cases. Gen Dent 2006; 54: 331-5.
  • 39. Carlsen O, Alexandersen V. Radix paramolaris in permanent mandibular molars: identification and morphology. Scan J Dent Res 1991; 99: 189-95.
  • 40. Ribeiro FC, Consolaro A. Importancia clinica y antropologica de la raiz distolingual en los molares inferiores permamentes. Endodoncia 1997;15: 72-8.
  • 41. Scheneider SW. A comparison of canal preparations in straight and curved root canals. Oral Surg Oral Med Oral Pathol 1971; 32: 271-5.
  • 42. Vertucci FJ. Root canal anatomy of the human permanent teeth. Oral Surg Oral Med Oral Path 1984; 58: 589-99.
  • 43. Sarangi P, Uppin VM. Mandibular First Molar with a Radix Entomolaris: An Endodontic Dilemma. J Dent 2014; 11: 118-122.
  • 44. Tu MG, Huang HL, Hsue SS, Hsu JT, Che SY, Jou MJ, Tsai CC. Detection of permanent three-rooted mandibular first molars by cone-beam computed tomography imaging in Taiwanese individuals. J Endod 2009; 35: 503-7.
  • 45. Gu Y, Zhou P, Ding Y, Wang P, Ni L. Root canal morphology of permanent three-rooted mandibular first molars: Part 3- An odontometric analysis. J Endod 2011; 37: 485-90.
  • 46. Chen YC, Lee YY, Pai SF, Yang SF. The morphologic characteristics of the distolingual roots of mandibular first molars in a Taiwanese population. J Endod 2009; 35: 643-5.
  • 47. Cunningham CJ, Senia ES. A three-dimensional study of canal curvatures in the mesial roots of mandibular molars. J Endod 1992; 18: 294-300.
  • 48. Gu Y, Lu Q, Wang P, Ni L. Root canal morphology of permanent three-rooted mandibular first molars: part 2- measurement of root canal curvatures. J Endod 2010; 36: 1341-6.
  • 49. Inan U, Aydin C, Uzun O, Topuz O, Alacam T. Evaluation of the surface characteristics of used and new ProTaper instruments: an anatomic force microscopy study. J Endod 2007; 33: 1334-7.
  • 50. Waerhaug J. The furcation problem. Etiology, pathogenesis, diagnosis, theraphy and prognosis. J Clin Periodontol 1980; 7: 73-95.
There are 50 citations in total.

Details

Primary Language Turkish
Journal Section Case Report
Authors

Özgür Doğan This is me

Publication Date October 1, 2015
Published in Issue Year 2015 Volume: 4 Issue: 2

Cite

APA Doğan, Ö. (2015). Nadir Karşılaşılan Bir Endodontik Problem: Radiks Entomolaris. Annals of Health Sciences Research, 4(2), 27-33.
AMA Doğan Ö. Nadir Karşılaşılan Bir Endodontik Problem: Radiks Entomolaris. Ann Health Sci Res. October 2015;4(2):27-33.
Chicago Doğan, Özgür. “Nadir Karşılaşılan Bir Endodontik Problem: Radiks Entomolaris”. Annals of Health Sciences Research 4, no. 2 (October 2015): 27-33.
EndNote Doğan Ö (October 1, 2015) Nadir Karşılaşılan Bir Endodontik Problem: Radiks Entomolaris. Annals of Health Sciences Research 4 2 27–33.
IEEE Ö. Doğan, “Nadir Karşılaşılan Bir Endodontik Problem: Radiks Entomolaris”, Ann Health Sci Res, vol. 4, no. 2, pp. 27–33, 2015.
ISNAD Doğan, Özgür. “Nadir Karşılaşılan Bir Endodontik Problem: Radiks Entomolaris”. Annals of Health Sciences Research 4/2 (October 2015), 27-33.
JAMA Doğan Ö. Nadir Karşılaşılan Bir Endodontik Problem: Radiks Entomolaris. Ann Health Sci Res. 2015;4:27–33.
MLA Doğan, Özgür. “Nadir Karşılaşılan Bir Endodontik Problem: Radiks Entomolaris”. Annals of Health Sciences Research, vol. 4, no. 2, 2015, pp. 27-33.
Vancouver Doğan Ö. Nadir Karşılaşılan Bir Endodontik Problem: Radiks Entomolaris. Ann Health Sci Res. 2015;4(2):27-33.