Prevalence of Root Dilaceration in an inner part of the Aegean Region Endodontic Patient Population

Year 2024, , 25 - 37, 31.03.2024

Safa Kurnaz , Gülsen Kiraz

https://doi.org/10.25279/sak.766464

An Erratum to this article was published on April 1, 2022. https://dergipark.org.tr/en/pub/sak/issue/54262/1115910

Abstract

Aim: The aim of this study was to investigate the distribution and frequency of root dilaceration with respect to gender and tooth types in a sample of the endodontic patient population. Material and Methods: A retrospective study was performed using digital panoramic radiographs of 500 patients who applied to the Kutahya Health Sciences University Faculty of Dentistry Department of Endodontics between 2016 and 2018. All permanent teeth were examined. The gender of the patients with dilacerated teeth, the type of tooth, and the jaw where the dilaceration was observed was recorded. Statistical analysis of the data was performed using Pearson chi-square and Z-ratio tests. Results: A total of 500 panoramic radiographs were evaluated. Dilaceration was detected in 68 (13.6%) of these radiographs, and 74 of the 13,014 (0.57%) teeth examined. It was observed that 20 (27.0%) of these dilacerated teeth were in the maxilla, and 54 (73.0%) were in the mandible. Eight of these dilacerated teeth (10.8%) were in incisors, six (8.1%) were in premolar teeth, and 60 (81%) were in molar teeth. The frequency of root dilaceration was significantly different in the mandible than in the maxilla (p<0.001), but there was no statistically significant difference between the genders (p>0.05). Conclusion and Suggestions: Biomechanical preparation of root canals and effective eradication of microorganisms from the root canal system is important for the success of endodontic treatment. Therefore, it is critically important to diagnose root dilaceration prior to endodontic treatment, both to prevent complications during endodontic treatment and to provide successful treatment.

Keywords

Dilaceration, Panoramic Radiography, Prevalence, Tooth Anomalies

İç Ege Bölgesi Endodontik Hasta Popülasyonunda Kök Dilaserasyonu Yaygınlığı

An Erratum to this article was published on April 1, 2022. https://dergipark.org.tr/en/pub/sak/issue/54262/1115910

Abstract

Amaç: Bu çalışmanın amacı, bir endodontik hasta popülasyon örneğinde cinsiyet ve diş tiplerine göre kök dilaserasyonu sıklığını ve dağılımını belirlemektir. Gereç ve Yöntemler: 2016 ile 2018 tarihleri arasında Kütahya Sağlık Bilimleri Üniversitesi Diş Hekimliği Fakültesi Endodonti Ana Bilim Dalı’na başvuran 500 hastanın dijital panoramik radyografileri kullanılarak retrospektif bir çalışma gerçekleştirildi. Tüm daimi dişler incelendi. Dilaserasyon gözlenen hastaların cinsiyeti ve dilaserasyon görülen dişin tipi ve bulunduğu çene kaydedildi. Elde edilen verilerin istatistiksel analizi Pearson ki-kare ve Z-oran testi ile yapıldı. Bulgular: Çalışmada toplam 500 adet panoramik radyografi değerlendirildi. Bu radyografların 68 (%13.6)’inde ve incelenen 13014 dişin 74 (%0.57)’ünde dilaserasyon saptandı. Bu dilasere dişlerin 20 (%27.0)’sinin maksillada, 54 (%73.0)’ünün ise mandibulada olduğu görüldü. Bu dilasere dişlerin 8 tanesi (%10.8) kesici dişlerde, 6 tanesi (%8.1) premolar dişlerde ve 60 tanesi (%81) ise molar dişlerdeydi. Kök dilaserasyonunun sıklığı mandibulada, maksilladan anlamlı derecede farklı bulundu (p<0.001), ancak cinsiyetler arasında istatistiksel olarak anlamlı bir farklılık gözlenmedi (p>0.05). Sonuç ve Öneriler: Endodontik tedavinin başarısında kök kanalların biyomekanik preperasyonu ve mikroorganizmaların kök kanal sisteminden etkili bir şekilde uzaklaştırılması önemlidir. Bu nedenle endodontik tedaviden önce kök dilaserasyonunu teşhis etmek hem tedavi sırasındaki komplikasyonları önlemek hem de iyi bir tedavi yapabilmek için kritik önem taşımaktadır.

Keywords

Diş Anomalileri, Panoramik Radyografi, Kök diselerasyon, Endodonti

References

• Ahlqwist, M., Halling, A., & Hollender, L. (1986). Rotational panoramic radiography in epidemiological studies of dental health. Comparison between panoramic radiographs and intraoral full mouth surveys. Swedish Dental Journal, 10(1-2), 73–84.
• Ahmed, H.M.A. (2012). Management of third molar teeth from an endodontic perspective. European Journal of General Dentistry, 1(3), 148-160. doi: 10.4103/2278-9626.105355
• Andreasen, J. O., Sundström, B., & Ravn, J. J. (1971). The effect of traumatic injuries to primary teeth on their permanent successors. I. A clinical and histologic study of 117 injured permanent teeth. Scandinavian Journal of Dental Research, 79(4), 219–283. https://doi.org/10.1111/j.1600-0722.1971.tb02013.x
• Bodrumlu, E., Gunduz, K., Avsever, H., & Cicek, E. (2013). A retrospective study of the prevalence and characteristics of root dilaceration in a sample of the Turkish population. Oral Radiology, 29(1), 27-32. doi: 10.1007/s11282-012-0105-1
• Chadwick, S. M., & Millett, D. (1995). Dilaceration of a permanent mandibular incisor. A case report. British Journal of Orthodontics, 22(3), 279–281. https://doi.org/10.1179/bjo.22.3.279
• Chohayeb A. A. (1983). Dilaceration of permanent upper lateral incisors: frequency, direction, and endodontic treatment implications. Oral Surgery, Oral Medicine, and Oral Pathology, 55(5), 519–520. https://doi.org/10.1016/0030-4220(83)90239-6
• Cohen S., & Burns R.C. (1984). Pathways of the pulp. 3rd ed. St Louis, USA: Mosby.
• Colak, H., Bayraktar, Y., Hamidi, M. M., Tan, E., & Colak, T. (2012). Prevalence of root dilacerations in Central Anatolian Turkish dental patients. The West Indian Medical Journal, 61(6), 635–639.
• Ezoddini, A. F., Sheikhha, M. H., & Ahmadi, H. (2007). Prevalence of dental developmental anomalies: a radiographic study. Community Dental Health, 24(3), 140–144.
• Feldman B. S. (1984). Tooth with a 'tail'. A case report of a dilacerated mandibular incisor. British Journal of Orthodontics, 11(1), 42–43. https://doi.org/10.1179/bjo.11.1.42
• Gröndahl, H. G., Jönsson, E., & Lindahl, B. (1970). Diagnosis of periapical osteolytic processes with orthopantomography and intraoral full mouth radiography--a comparison. Svensk tandlakare tidskrift. Swedish Dental Journal, 63(10), 679–686.
• Guerisoli, D. M., de Souza, R. A., de Sousa Neto, M. D., Silva, R. G., & Pécora, J. D. (1998). External and internal anatomy of third molars. Brazilian Dental Journal, 9(2), 91–94.
• Gulabivala, K., Opasanon, A., Ng, Y. L., & Alavi, A. (2002). Root and canal morphology of Thai mandibular molars. International Endodontic Journal, 35(1), 56–62. https://doi.org/10.1046/j.1365-2591.2002.00452.x
• Hamasha, A. A., Al-Khateeb, T., & Darwazeh, A. (2002). Prevalence of dilaceration in Jordanian adults. International Endodontic Journal, 35(11), 910–912. https://doi.org/10.1046/j.1365-2591.2002.00593.x
• Ingle, J.I., & Bakland, L.K. (2002). Endodontics. 5th ed. London, UK: BC Decker Inc.
• Jafarzadeh, H., & Abbott, P. V. (2007). Dilaceration: review of an endodontic challenge. Journal of Endodontics, 33(9), 1025–1030. https://doi.org/10.1016/j.joen.2007.04.013
• Kalra, N., Sushma, K., & Mahapatra, G. K. (2000). Changes in developing succedaneous teeth as a consequence of infected deciduous molars. Journal of the Indian Society of Pedodontics and Preventive Dentistry, 18(3), 90–94.
• Karadaş, M., & Tahan, E. (2015). Prevalence of root dilaceration in a subpopulation of Northeast Turkey. Turkiye Klinikleri Journal of Dental Sciences, 21(2), 71-76.
• Karataş, E., Topçuoğlu, H.S., Arslan, H., Erdoğan, Ş., & Ezmeci E.B. (2012). Prevalence of root dilacerations in an East Anatolian endodontic patient population. Turkiye Klinikleri Journal of Dental Sciences, 18(1), 28-32.
• Kilpatrick, N. M., Hardman, P. J., & Welbury, R. R. (1991). Dilaceration of a primary tooth. International Journal of Paediatric Dentistry, 1(3), 151–153. https://doi.org/10.1111/j.1365-263x.1991.tb00335.x
• Malcić, A., Jukić, S., Brzović, V., Miletić, I., Pelivan, I., & Anić, I. (2006). Prevalence of root dilaceration in adult dental patients in Croatia. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics, 102(1), 104–109. https://doi.org/10.1016/j.tripleo.2005.08.021
• Maragakis M. G. (1995). Crown dilaceration of permanent incisors following trauma to their primary predecessors. The Journal of Clinical Pediatric Dentistry, 20(1), 49–52.
• Matsuoka, T., Sobue, S., & Ooshima, T. (2000). Crown dilaceration of a first premolar caused by extraction of its deciduous predecessor: a case report. Endodontics & Dental Traumatology, 16(2), 91–94. https://doi.org/10.1034/j.1600-9657.2000.016002091.x
• Miloglu, O., Cakici, F., Caglayan, F., Yilmaz, A. B., & Demirkaya, F. (2010). The prevalence of root dilacerations in a Turkish population. Medicina Oral, Patologia Oral y Cirugia Bucal, 15(3), e441–e444. https://doi.org/10.4317/medoral.15.e441
• Muhammed, A. H., Manson-Hing, L. R., & Ala, B. (1982). A comparison of panoramic and intraoral radiographic surveys in evaluating a dental clinic population. Oral Surgery, Oral Medicine, and Oral Pathology, 54(1), 108–117. https://doi.org/10.1016/0030-4220(82)90425-x
• Sert, S., Sahinkesen, G., Topçu, F. T., Eroğlu, S. E., & Oktay, E. A. (2011). Root canal configurations of third molar teeth. A comparison with first and second molars in the Turkish population. Australian Endodontic Journal, 37(3), 109–117. https://doi.org/10.1111/j.1747-4477.2010.00254.x
• Sidow, S. J., West, L. A., Liewehr, F. R., & Loushine, R. J. (2000). Root canal morphology of human maxillary and mandibular third molars. Journal of Endodontics, 26(11), 675–678. https://doi.org/10.1097/00004770-200011000-00011
• Stewart D. J. (1978). Dilacerate unerupted maxillary central incisors. British Dental Journal, 145(8), 229–233. https://doi.org/10.1038/sj.bdj.4804154
• Uzun, I., Kalyoncuoğlu, E., Demiral, M., Güler, B., & Gündüz K. (2013). Retrospective evaluation of the prevalence of dilacerations in an adult population applied Ondokuz Mayıs University Faculty of Dentistry. The Journal of Ondokuz Mayis University Faculty of Dentistry, 14(1), 21-25.
• White, S.C., & Pharoah, M.J. (2009). Oral radiology: principles and interpretation. 6th ed. St Louis, USA: Mosby.
• White, S. C., & Pharoah, M. J. (2008). The evolution and application of dental maxillofacial imaging modalities. Dental Clinics of North America, 52(4), 689–705. https://doi.org/10.1016/j.cden.2008.05.006