Use of cone-beam computed tomography to evaluate root canal morphology and locate root canal orifices of maxillary second premolars in a Chinese subpopulation.
BACKGROUND
The aim of this study was to investigate root canal morphology and locate root canal orifices of maxillary second premolars in a Chinese subpopulation using cone-beam computed tomographic imaging.


METHODS
A total of 392 cone-beam computed tomographic images of maxillary second premolars were obtained from 238 patients who required a preoperative assessment for implant surgery or orthodontic treatment. The number of roots and root canals and root canal configuration were investigated and categorized using Vertucci's criteria. The distance between the root canal orifice and the anatomic apex and the distance between root canal orifices in those teeth with 2 root canals were measured and evaluated. The Fisher exact test was used to analyze the correlation between the number of roots and sex.


RESULTS
Among the 392 teeth, 86.5% (n = 339) had 1 root; 45.4% (n = 178) of the teeth had 1 root canal, and 54.3% (n = 213) had 2 root canals that ranged from type II-type V. The majority of teeth with 2 root canals showed a type IV canal configuration (n = 79, 20.2%) followed by type II (n = 64, 16.3%), type III (n = 45, 11.4%), and type V (n = 25, 6.4%). Only 1 tooth had 3 root canals. No significant difference was found between the number of roots and sex (P > .05). Among the 213 teeth with 2 root canals, the most frequent distribution of the distance between the root canal orifice and the anatomic apex was 5-10 mm (n = 157). The distance between the 2 orifices of 189 teeth was 1-4 mm.


CONCLUSIONS
The frequency of teeth with 2 root canals was high in maxillary second premolars. The internal morphology of teeth with 2 root canals was variable. This study provided useful information about the root canal morphology of maxillary second premolars in a Chinese subpopulation.
Department of Endodontics, School and Hospital of Stomatology, Shandong University, Shandong Provincial Key Laboratory of Oral Biomedicine, Jinan, China.
Lin
L
Yang
Department of Endodontics, School and Hospital of Stomatology, Shandong University, Shandong Provincial Key Laboratory of Oral Biomedicine, Jinan, China.
Xinyu
X
Chen
Department of Endodontics, School and Hospital of Stomatology, Shandong University, Shandong Provincial Key Laboratory of Oral Biomedicine, Jinan, China.
Cheng
C
Tian
Department of Endodontics, School and Hospital of Stomatology, Shandong University, Shandong Provincial Key Laboratory of Oral Biomedicine, Jinan, China.
Ting
T
Han
Department of Endodontics, School and Hospital of Stomatology, Shandong University, Shandong Provincial Key Laboratory of Oral Biomedicine, Jinan, China. Electronic address: wangyan1965@sdu.edu.cn.
Yan
Y
Wang
D063405:Anatomic Variation; D001641:Bicuspid / Q000000981:diagnostic imaging*; D002681:China; D054893:Cone-Beam Computed Tomography / Q000379:methods*; D003786:Dental Pulp Cavity / Q000000981:diagnostic imaging*; D005260:Female; D006801:Humans; D008297:Male; D008437:Maxilla / Q000000981:diagnostic imaging; D019227:Tooth Apex / Q000000981:diagnostic imaging; D014092:Tooth Root / Q000000981:diagnostic imaging
Cone-beam computed tomographic imaging; maxillary second premolars; root canal system