ASCERTAINMENT OF MAXILLARY BICUSPID ROOT AND ROOT CANAL MORPHOLOGY USING CONE BEAM COMPUTED TOMOGRAPHY, AMONG PATIENTS OF KHYBER PAKHTUNKHWA

Authors

  • Maryam Arbab Department of Oral Biology, Sardar Begum Dental College Peshawar, Pakistan.
  • Asmat Ullah Department of Oral Medicine, Khyber College of Dentistry, Peshawar, Pakistan.
  • Neelofar Nausheen Department of Oral Biology, Sardar Begum Dental College Peshawar, Pakistan.
  • Nida Murad Department of Oral Biology, Sardar Begum Dental College, Peshawar, Pakistan. https://orcid.org/0000-0003-4669-1671
  • Muhammad Naeem Department of Community Dentistry, Bacha Khan Dental College, Mardan, Pakistan.
  • Gulelala Department of Oral Biology, Sardar Begum Dental College, Peshawar, Pakistan.

DOI:

https://doi.org/10.33279/jkcd.v15i02.867

Keywords:

Keywords:  Vertucci, Maxillary, Premolar, Root Canal

Abstract

Objectives: To determine the most common root canal configuration in maxillary fi rst bicuspid (MFB) teeth using Vertucci’s classification among patients visiting a tertiary care hospital.
Materials and Methods: This descriptive cross-sectional study was conducted from August 2023 to August 2024. CBCT images were obtained from the radiology department using a SCANORA 3DX scanner, with a 50x50 mm field of view and 200 µm resolution. Patients aged 12–40 years who met the inclusion criteria were enrolled. Data analysis was performed using SPSS version 22. Chi-square or Fisher’s exact test was applied to assess statistical differences in Vertucci canal types between genders.
Results: A total of 246 patients were evaluated with a male-to-female ratio of 1:1.2 and a mean age of 28.02 ± 11.63 years. The revalence of two-rooted MFBs was 54.3% on the left side and 59.9% on the right. Vertucci’s Type IV canal configuration was the most common, observed in 72.2% of cases on both sides of the arch. The association between canal configuration and gender was statistically non-significant (p = 1.000).
Conclusion: Maxillary first bicuspids demonstrated bilateral symmetry in root number, with Vertucci’s Type IV being the most prevalent canal configuration in both male and female patients.

Author Biographies

Asmat Ullah, Department of Oral Medicine, Khyber College of Dentistry, Peshawar, Pakistan.

Associate Professor, Oral Medicine, KCD.

Neelofar Nausheen, Department of Oral Biology, Sardar Begum Dental College Peshawar, Pakistan.

Assistant Professor, Oral Biology.

Muhammad Naeem, Department of Community Dentistry, Bacha Khan Dental College, Mardan, Pakistan.

Associate Professor, Bacha Khan Dental College, Mardan.

References

Karobari MI et al. Inter-canal communications are to be included in the classification of root canal systems. International Endodontic Journal.2019; 52(6): 917–9

Ahmed h, Adura Z, Azami N et al. “Application of a new system for classifying root canal morphology in undergraduate teaching and clinical practice: a national survey in Malaysia,” International Endodontic Journal.2020; 53: 871–9

Maghfuri S, Kaylani H, Chohan H, Dakkam S, Atiah A, Mashyakhy M. Evaluation of root canal morphology of maxillary first premolars by cone beam computed tomography in Saudi Arabian southern region subpopulation: An in vitro study. Int J Dent. 2019; 11: 34-41

Zubaidi S et al. Assessment of root morphology and canal confi guration of maxillary premolars in a Saudi subpopulation: a cone beam computed tomographic study. BMC Oral Health.2021; 21;397: 2-11

Pamukcu E. Root Canal Morphology and Anatomy. Human Teeth - Key Skills and Clinical Illustrations. Intech Open; 2020.2:119-34.

Alnaqbi SY et al. Evaluation of Variations in Root Canal Anatomy and Morphology of Permanent Maxillary Premolars among the Emirate Population using CBCT. Open Dentistry J. 2022; 16: 1-10.

Karobari MI, Parveen A, Mirza MB, Makandar SD, Nik Abdul Ghani NR, Noorani TY, Marya A. Root and Root Canal Morphology Classifi cation Systems. Int J Dent. 2021;19: 27-31.

Mengchen Xu et al. Systematic review and meta-analysis of root morphology and canal confi guration of permanent premolars using cone-beam computed tomography. BMC. 2024; 656:2-13.

Saber M, M. Ahmed M, Obeid M, Ahmed MA. “Root and canal morphology of maxillary premolar teeth in an Egyptian subpopulation using two classification systems: a cone beam computed tomography study.” International Endodontic Journal. 2019; 52(3): 267–78.

Cosar M, Kandemir DG, Caliskan MK. The effect of two different root canal sealers on treatment outcome and post-obturation pain in single-visit root canal treatment: a prospective randomized clinical trial. Int Endod J. 2023;56(3):318–30.

Martins J, Versiani MA. Worldwide Assessment of the Root and Root Canal characteristics of Maxillary premolars - a multi-center cone-beam computed Tomography cross-sectional StudyWith Meta-analysis. J Endod. 2024;50(1):31-54

Solomonov M, Kim HC, Hadad A, Levy DH, Ben Itzhak J, Levinson O, Azizi H. Age-dependent root canal instrumentation techniques: a comprehensive narrative review. Restor Dent Endod. 2020;45(2):e21.

Erkan et al. Assessment of the canal anatomy of the premolar teeth in a selected Turkish population: a cone

beam computed tomography study. BMC Oral Health. 2023; 403: 1-6.

Haider I et al. Evaluation of Root Canal Morphology of Maxillary First Premolars by Cone Beam Computed

Tomography. P J M H S. 2021; 15(12): 3663-6.

Alqedairi A, Alfawaz H, Al-Dahman Y, Alnassar F, Al Jebaly A, Alsubait S. Cone-Beam computed tomographic evaluation of root canal morphology of maxillary premolars in a Saudi population. Biomed Res Int. 2018;15; 46-9.

Martins JN, Gu Y, Marques D, Francisco H, Caramês J. Differences on the Root and Root Canal Morphologies between Asian and White Ethnic Groups Analyzed by Cone-beam Computed Tomography. J Endod. 2020; 44(7):1096–104.

Asheghi et al. Morphological Evaluation of Maxillary Premolar Canals in Iranian Population: A Cone-BeamComputed Tomography Study. J of Dent. 2020; 21(3): 215–24.

Nazeer et al. Evaluation of root morphology and canal configuration of maxillary premolars in a sample of Pakistani population by using cone beam computed tomography. Journal of the College of Physicians and Surgeons Pakistan. 2014; 68(3), 423-7.

Karobari M, Noorani T, Halim M, Ahmed HM. Root and canal morphology of the anterior permanent dentition in Malaysian population using two classifi cation systems: a CBCT clinical study, Australian Endodontic Journal. 2020; 13: 133-46.

Mashyakhy M, Gambarini G. Root and Root Canal Morphology diff erences between Genders: A Comprehensive in-vivo CBCT Study in a Saudi Population. Acta Stomatol Croat. 2019;53(3):213–46.

Gündüz H, Özlek E. Evaluation of Root morphology and Root Canal confi guration of Mandibular and Maxillary Premolar Teeth in Turkish Subpopulation by using Cone Beam Computed Tomography. Eastern J Med. 2022;27(3):465-71.

Yoza T, et al. Cone-beam computed tomography observation of maxillary first premolar canal shapes. Anat Cell Biol. 2021;54(4):424–30.

Saber SE, Ahmed MH, Obeid M, Ahmed HM. Root and canal morphology of maxillary premolar teeth in an Egyptian subpopulation using two classifi cation systems: a cone beam computed tomography study. Int Endod J. 2019; 52(3):267–78.

Olczak K, Pawlicka H, Szymanski W. Root form and canal anatomy of maxillary first premolars: a cone-beam computed tomography study. Odontology. 2022;110(2):365–75.

Downloads

Published

2025-06-23

How to Cite

Arbab, M. ., Asmat Ullah, Nausheen, . N. ., Murad, N., Naeem, M., & Gulelala. (2025). ASCERTAINMENT OF MAXILLARY BICUSPID ROOT AND ROOT CANAL MORPHOLOGY USING CONE BEAM COMPUTED TOMOGRAPHY, AMONG PATIENTS OF KHYBER PAKHTUNKHWA. JOURNAL OF KHYBER COLLEGE OF DENTISTRY, 15(02), 58–63. https://doi.org/10.33279/jkcd.v15i02.867

Most read articles by the same author(s)