EVALUATION OF C-SHAPED ROOT CANAL PREVALENCE, PATTERNS, AND ASSOCIATED ORAL PATHOLOGIES IN MANDIBULAR SECOND MOLARS
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Keywords
C-shaped root canals, endodontic treatment, mandibular second molars, oral pathologies, prevalence
Abstract
Background: C-shaped root canals are a unique anatomical feature often found in mandibular second molars, which can complicate endodontic treatment. Understanding their prevalence and associated oral pathologies is essential for effective management
Objective: This study aimed to evaluate the prevalence and patterns of C-shaped root canals in mandibular second molars and to investigate any associated oral pathologies.
Study Design and Setting: A cross-sectional study was conducted at Department of Oral Pathology, Azra Naheed Dental College.
Methodology: The patients underwent thorough clinical and radiographic examinations. The root canal configurations were classified based on established classifications, and associated oral pathologies were recorded. Statistical analysis was performed to determine the prevalence rates and any correlations with demographic variables.
Results: Out of the 130 patients, C-shaped root canals were found in 40 (30.8%) cases. The distribution of C-shaped configurations included Type I (30%), Type II (37.5%), Type III (20%), and Type IV (12.5%). Associated oral pathologies included periapical lesions (30%), periodontal disease (25%), and pulp inflammation (15%).
Conclusion: The study revealed a considerable prevalence of C-shaped root canals in mandibular second molars, highlighting the importance of recognizing these variations during endodontic procedures to enhance treatment outcomes.
References
2. Al‑Zubaidi SM, Almansour MI, Al Mansour NN, Alshammari AS, Alshammari AF, Altamimi YS, Madfa AA. Assessment of root morphology and canal configuration of maxillary premolars in a Saudi subpopulation: a cone-beam computed tomographic study. BMC Oral Health. 2021 Dec;21:1-1.
3. Gulabivala K, Ng YL. Factors that affect the outcomes of root canal treatment and retreatment—A reframing of the principles. International Endodontic Journal. 2023 Mar;56:82-115.
4. Karobari MI, Arshad S, Noorani TY, Ahmed N, Basheer SN, Peeran SW, Marya A, Marya CM, Messina P, Scardina GA. Root and root canal configuration characterization using microcomputed tomography: a systematic review. Journal of Clinical Medicine. 2022 Apr 20;11(9):2287.
5. Versiani MA, Silva EJ, Souza E, De Deus G, Zuolo M. Managing canal anatomies in the context of shaping for cleaning proposal. Shaping for Cleaning the Root Canals: A Clinical-Based Strategy. 2022:295-370.
6. Gazzaneo I, Amoroso-Silva P, Pacheco-Yanes J, Alves FR, Marceliano-Alves M, Olivares P, Meto A, Mdala I, Siqueira Jr JF, Rôças IN. Disinfecting and Shaping Type I C-shaped Root Canals: A Correlative Micro–computed Tomographic and Molecular Microbiology Study. Journal of Endodontics. 2021 Apr 1;47(4):621-30.
7. Moreno JO, Duarte ML, Marceliano-Alves MF, Alves FR, Siqueira Jr JF, Provenzano JC. Micro-computed tomographic evaluation of root canal morphology in mandibular first premolars from a Colombian population. Acta Odontológica Latinoamericana. 2021 Apr;34(1):50-5.
8. De Deus G, Silva EJ, Souza E, Versiani MA, Zehnder M, Zuolo M. Shaping for cleaning: reconsidering root canal debridement. Shaping for Cleaning the Root Canals: A Clinical-Based Strategy. 2022:11-72.
9. Khorasani M, Nabavi S, Hamedi A, Jafarzadeh H. Endodontic treatment of C-shaped mandibular premolars: a case report and review of literature. Iranian Endodontic Journal. 2021;16(4):244.
10. D'Souza JL, Patil SR, Mala K. Endodontic management of variations in root canal morphology: case series. International Journal of Clinical Dentistry. 2022 Oct 1;15(4).
11. Raghu R, Krishan G, Goyal A, Kapur A, Singh SK, Jaiswal MA. Conservative Management of Infraorbital Space Infection Secondary to Type III B Dens Invaginatus: A Case Report. Journal of Postgraduate Medicine, Education and Research. 2022 Dec 31;56(4):192-6.
12. Sibal A, Patel A, Singi SR, Bagde A. Two rooted mandibular second premolar: An unusual finding. Cureus. 2022 May;14(5).
13. Shah M, Jat SA, Akhtar H, Moorpani P, Aziz M. Analysis of C-Shaped Root Canal Morphology in Mandibular Second Molar using Cone Beam Computed Tomography. Pakistan Armed Forces Medical Journal. 2022;73(4):1149-52.
14. Ladeira DBS, Cruz AD, Freitas DQ, Almeida SM. Prevalence of C-shaped root canal in a Brazilian subpopulation: a cone-beam computed tomography analysis. Braz Oral Res 2014;28(1):39-45
15. Al-Fouzan K. C-shaped root canals in mandibular second molars in a Saudi Arabian population. Int Endod J 2002;35(6):499-504
16. Pawar AM, Pawar M, Kfir A, Singh S, Salve P, Thakur B, et al. Root canal morphology and variations in mandibular second molar teeth of an Indian population: an in vivo cone-beam computed tomography analysis. Clin Oral Invest 2017;21(9):2801-2809
17. Rahimi S, Shahi S, Lotfi M, Zand V, Abdolrahimi M, Es' haghi R. Root canal configuration and the prevalence of C-shaped canals in mandibular second molars in an Iranian population. Journal of oral science. 2008;50(1):9-13.
18. Rana MA, Akram A, Shah SA, Tahir M, Gilani SB, Nadeem K. In Mandibular Second Molars, Prevalence of C-Shaped Root Canals. Pakistan Journal of Medical & Health Sciences. 2022 Apr 29;17(03):413-20.
19. Nouroloyouni A, Moradi N, Salem Milani A, Noorolouny S, Ghoreishi Amin N. Prevalence and Morphology of C‐Shaped Canals in Mandibular First and Second Molars of an Iranian Population: A Cone‐Beam Computed Tomography Assessment. Scanning. 2023;2023(1):5628707.
20. Shubham S, Shrestha K, Ahmad S, Gautam V. Prevalence of C-Shaped Root Canal Systems in Mandibular Second Molars in Nepalese Population. Nepal Journal of Health Sciences. 2022 Aug 3;2(1):85-90.
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Mariyah Javed
Assistant Professor Department of Oral Pathology, Azra Naheed Dental College, the Superior university, Lahore
Ammara Anwar
Assistant Professor Sharif Medical and Dental College, Lahore
Atiq Ur Rahman
Assistant professor, Department of Maxillofacial Gomal medical college, Dera Ismail Khan
Ayesha Atique
Assistant Professor Peadodontics, Faryal Dental College
Kashif Haroon
Assistant Professor Orthodontic Department Azra Naheed Dental College/ Superior university
Sarah Shami
Assistant Professor Operative Dentistry department, HBS Medical and Dental College, Islamabad