head JofIMAB
Journal of IMAB - Annual Proceeding (Scientific Papers)
Publisher: Peytchinski Publishing Ltd.
ISSN: 1312-773X (Online)
Issue: 2025, vol. 31, issue2
Subject Area: Dental Medicine
-
DOI: 10.5272/jimab.2025312.6189
Published online: 07 May 2025

Original article
J of IMAB. 2025 Apr-Jun;31(2):6189-6194
CONE BEAM COMPUTERED TOMOGRAPHY EVALUATION OF THE ROOT CANAL OBTURATION OF PREMOLARS WITH ATYPICAL ANATOMY
Kostadin GeorgievORCID logo, Aleksandra PechevaORCID logoCorresponding Autoremail, Elena BoyadzhievaORCID logo, Lyubomir VangelovORCID logo,
Department of Operative Dentistry and Endodontics, Faculty of Dental Medicine, Medical University of Plovdiv, Bulgaria.

ABSTRACT:
Purpose: The aim of the study is to evaluate, by cone beam computed tomography, the quality of obturation of the root canal system using the hydraulic condensation method and three preparation methods of printed 3D replicas of human premolars with Vertucci type III, IV and V configuration.
Materials and methods: The printed 3D replicas of human premolar teeth (n=45) are divided into three groups, depending on the morphology of their root-canal system and the method of preparation: Group 1: 15 specimens with Vertucci type III, IV, and V configuration (5 for each configuration), using a standard preparation technique with a .02 taper; group 2: 15 specimens with Vertucci type III, IV, and V configuration (5 for each configuration), Crown down preparation technique with .06 taper and group 3: 15 specimens with Vertucci type III, IV and V configuration (5 for each configuration), by hybrid preparation technique.
All root canals of all specimens were obturated using the hydraulic condensation method.
Cone beam computed tomography scans of the obturated endodontic spaces were compared using HOROS software.
Results: The quality of the root canal filling did not differ significantly in the three studied groups, with 3D obturation having the highest results in group 3 of the studied.
Conclusion: Obturation of premolars with atypical anatomy by the method of hydraulic condensation gives good results in three methods of preparation of the root canal system.

Keywords: cone beam computed tomography, root canal obturation, atypical anatomy,

pdf - Download FULL TEXT /PDF 1102 KB/
Please cite this article as: Georgiev K, Pecheva A, Boyadzhieva E, Vangelov L. Cone beam computered tomography evaluation of the root canal obturation of premolars with atypical anatomy. J of IMAB. 2025 Apr-Jun;31(2):6189-6194. [Crossref - 10.5272/jimab.2025312.6189]

Corresponding AutorCorrespondence to: Dr Aleksandra Pecheva-Stoeva, Chiev Ass. Prof., Department of Operative Dentistry and endodontics, Faculty of Dental Medicine, Medical University Plovdiv; 3 Hristo Botev Blvd, Plovdiv, Bulgaria; E-mail: Aleksandra.pecheva@mu-plovdiv.bg

REFERENCES:
1. Shenoy A, Bolla N, Vemuri S, Kurian J. Endodontic retreatment—unusual anatomy of a maxillary second and mandibular first premolar: report of two cases. Indian J Dent Res. 2013 Jan-Feb; 24:1237. [PubMed]
2. Vertucci FJ. Root canal morphology and its relationship to endodontic procedures. Endod Topics. 2005 Mar; 10(1):3-29. [Crossref]
3. Bürklein S, Heck R, Schäfer E. Evaluation of the root canal anatomy of maxillary and mandibular premolars in a selected German population using cone-beam computed tomographic data. J Endod. 2017 Sep;43(9):1448-1452. [PubMed]
4. Özcan E, Çolak H, Hamidi MM. Root and canal morphology of maxillary first premolars in a Turkish population. J Dent Sci. 2012 Dec;7(4):407-411. [Crossref]
5. Fan B, Yang J, Gutmann JL, Fan M. Root canal systems in mandibular first premolars with C-shaped root configurations. Part I: microcomputed tomography mapping of the radicular groove and associated root canal cross-sections. J Endod. 2008 Nov;34(11):1337-1341. [PubMed]
6. Cleghorn BM, Christie WH, Dong CC. The root and root canal morphology of the human mandibular first premolar: a literature review. J Endod. 2007 Sep;33(9):1031-7. [PubMed]
7. Vertucci FJ. Root canal morphology of mandibular premolars. J Am Dent Assoc. 1978 Sep;97(1):47-50. [PubMed]
8. Khanna S, Jobanputra L, Mehta J, Parmar A, Panchal A, Mehta F. Revisiting Premolars Using Cone-Beam Computed Tomography Analysis and Classifying Their Roots and Root Canal Morphology Using Newer Classification. Cureus. 2023 May 6;15(5):e38623. [PubMed]
9. Olczak K, Pawlicka H, Szymański W. Root form and canal anatomy of maxillary first premolars: a cone-beam computed tomography study. Odontology. 2022 Apr;110(2):365-375. [PubMed]
10. Davaji M, Valizadeh M, Karimpour S. Detection and Endodontic Treatment of Unusual Anatomic Variations in Second Premolars: A Case Report. Iran Endod J. 2023; 18(4):254-258. [PubMed]
11. Wolf TG, Anderegg AL, Wierichs RJ, Campus G. Root canal morphology of the mandibular second premolar: a systematic review and meta-analysis. BMC Oral Health. 2021. June 16;21(1):309. [PubMed]
12. Slowey RR. Root canal anatomy: Road map to successful endodontics. Dent Clin North Am. 1979 Mar; 23:555-73. [PubMed]
13. Reis T, Barbosa C, Franco M, Baptista C, Alves N, Castelo-Baz P, et al. 3D-Printed Teeth in Endodontics: Why, How, Problems and Future-A Narrative Review. Int J Environ Res Public Health. 2022 Jun 29;19(13):7966. [PubMed]
14. Zhekov K, Stefanova V. Optimizing non-surgical endodontic retreatment: a 3D CBCT quantification of root canal bioceramic filling material removal. Open Dent J. 2024; 18:e18742106300149. [Crossref]
15. Gluskin AH, Peters CI, Peters OA. Minimally invasive endodontics: challenging traditional concepts of preparation. Dent Clin North Am. 2010 Mar;54(2):249-268. [PubMed]
16. Liu H, Lai WWM, Hieawy A, Gao Y, von Bergmann H, Haapasalo M,  et al. Micro-computed tomographic evaluation of the quality of root canal fillings in mandibular molars after obturation for 54 Months. J Endod. 2021 Nov;47(11):1783-1789. [PubMed]
17. Liang Y, Yue L. Evolution and development: engine-driven endodontic rotary nickel-titanium instruments. Int J Oral Sci. 2022 Feb 18;14(1):12. [PubMed]

Received: 11 October 2024
Published online: 07 May 2025

back to Online Journal