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Ren HY, Kum KY, Zhao YS, Yoo YJ, Jeong JS, Perinpanayagam H, Wang XY, Li GJ, Wang F, Fang H, Gu Y. Maxillary molar root and canal morphology of Neolithic and modern Chinese. Arch Oral Biol 2021; 131:105272. [PMID: 34600333 DOI: 10.1016/j.archoralbio.2021.105272] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2021] [Revised: 09/12/2021] [Accepted: 09/21/2021] [Indexed: 01/17/2023]
Abstract
OBJECTIVE This study aimed to characterize Neolithic human maxillary molars from archeological remains at the Jiaojia site, Shandong, China, and compare their ultrastructural features with sex and age-matched modern locals. DESIGN Maxillary first (n = 86) and second (n = 80) molars in 5000-year-old individuals (n = 50) from the Jiaojia site were scanned by cone-beam computed tomography (CBCT). Sex and age-matched control groups were assigned from oral surgical patients at Shandong University. Images were analyzed for crown size, root length, root morphology, canal inter-orifice distances, mesiobuccal canal morphology, and second mesiobuccal (MB2) canal prevalence and location. Neolithic and modern values were compared statistically using Chi-squared and Mann-Whitney test at p < .05. RESULTS Crown and root size were smaller, and canal inter-orifice distances were shorter in Neolithic maxillary molars than their modern counterparts. For mesiobuccal roots, Weine's Type I single canals were the most prevalent in Neolithic and modern first and second molars. MB2 canal prevalence were not significantly different (p > .05) in Neolithic (53.3%) or modern (60.5%) first molars, and Neolithic (11.3%) or modern (21.3%) second molars. But, MB2 prevalence was significantly higher for modern than ancient male first (p = .032) and second (p = .005) molars. Additionally, MB2 were located more mesially and closer to MB1 in Neolithic than modern molars. CONCLUSIONS Maxillary molar root and canal morphology of ancient 5000-year-old remains at the Jiaojia site resemble that of local patients. A trend towards larger tooth size, and more dispersed MB2 canals over this short evolutionary period warrants additional investigation.
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Affiliation(s)
- H Y Ren
- School and Hospital of Stomatology, Cheeloo College of Medicine, Shandong University & Shandong Key Laboratory of Oral Tissue Regeneration & Shandong Engineering Laboratory for Dental Materials and Oral Tissue Regeneration, Shandong Province, PR China
| | - K Y Kum
- Department of Conservative Dentistry, Dental Research Institute, National Dental Care Center for Persons with Special Needs, Seoul National University Dental Hospital, Seoul National University School of Dentistry, Seoul, Republic of Korea
| | - Y S Zhao
- Institute of Cultural and Heritage, Shandong University, Qingdao, PR China
| | - Y J Yoo
- Department of Conservative Dentistry, Dental Research Institute, National Dental Care Center for Persons with Special Needs, Seoul National University Dental Hospital, Seoul National University School of Dentistry, Seoul, Republic of Korea
| | - J S Jeong
- School of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong University, Shandong Province, PR China
| | - Hiran Perinpanayagam
- Division of Restorative Dentistry, Schulich School of Medicine & Dentistry, University of Western Ontario, London, Canada
| | - X Y Wang
- Department of Endodontics, School and Hospital of Stomatology, Cheeloo College of Medicine, Shandong University & Shandong Key Laboratory of Oral Tissue Regeneration & Shandong Engineering Laboratory for Dental Materials and Oral Tissue Regeneration, Shandong Province, PR China
| | - G J Li
- Department of Radiology, School and Hospital of Stomatology, Cheeloo College of Medicine, Shandong University & Shandong Key Laboratory of Oral Tissue Regeneration & Shandong Engineering Laboratory for Dental Materials and Oral Tissue Regeneration, Shandong Province, PR China
| | - F Wang
- Department of Radiology, School and Hospital of Stomatology, Cheeloo College of Medicine, Shandong University & Shandong Key Laboratory of Oral Tissue Regeneration & Shandong Engineering Laboratory for Dental Materials and Oral Tissue Regeneration, Shandong Province, PR China
| | - H Fang
- School of History and Culture, Shandong University, Jinan, PR China
| | - Y Gu
- Department of Endodontics, School and Hospital of Stomatology, Cheeloo College of Medicine, Shandong University & Shandong Key Laboratory of Oral Tissue Regeneration & Shandong Engineering Laboratory for Dental Materials and Oral Tissue Regeneration, Shandong Province, PR China.
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Lozano M, Gamarra B, Hernando R, Ceperuelo D. Microscopic and virtual approaches to oral pathology: A case study from El Mirador Cave (Sierra de Atapuerca, Spain). Ann Anat 2021; 239:151827. [PMID: 34481939 DOI: 10.1016/j.aanat.2021.151827] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2021] [Revised: 08/18/2021] [Accepted: 08/20/2021] [Indexed: 10/20/2022]
Abstract
BACKGROUND The analysis and diagnosis of ancient oral pathologies have been improved with the application of new techniques such as microscopy and scanning methods over the past few decades. However, the enhancement of the diagnosis implies a prior knowledge of the availability and suitability of such equipments. METHODS In this work we examined 3D digital and scanning electron microscopy and two computed tomography systems (CBCT and microCT) in order to assess dental and oral disease of the individuals of a Chalcolithic collective burial from El Mirador cave (Sierra de Atapuerca, Spain). RESULTS AND CONCLUSIONS 3D Digital microscopy and CBCT are excellent options to analyze dental pathologies as they are more frequently available, sample preparation is not required, easy to operate, offer excellent images and the possibility of measurements and 3D reconstructions.
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Affiliation(s)
- Marina Lozano
- Institut Català de Paleoecologia Humana i Evolució Social (IPHES-CERCA), Zona Educacional 4, Campus Sescelades URV (Edifici W3), 43007 Tarragona, Spain; Universitat Rovira i Virgili, Departament d'Història i Història de l'Art, Avinguda de Catalunya 35, 43002 Tarragona, Spain.
| | - Beatriz Gamarra
- Institut Català de Paleoecologia Humana i Evolució Social (IPHES-CERCA), Zona Educacional 4, Campus Sescelades URV (Edifici W3), 43007 Tarragona, Spain; Universitat Rovira i Virgili, Departament d'Història i Història de l'Art, Avinguda de Catalunya 35, 43002 Tarragona, Spain
| | - Raquel Hernando
- Institut Català de Paleoecologia Humana i Evolució Social (IPHES-CERCA), Zona Educacional 4, Campus Sescelades URV (Edifici W3), 43007 Tarragona, Spain; Universitat Rovira i Virgili, Departament d'Història i Història de l'Art, Avinguda de Catalunya 35, 43002 Tarragona, Spain
| | - Dolors Ceperuelo
- Department of Restorative Dentistry and Endodontics, Universitat Internacional de Catalunya, C/Josep Trueta s/n, Sant Cugat del Vallès, 08195 Barcelona, Spain
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Mehta V, Joshi P, Shetty R, Sarode G, Chakraborty D. Root anatomy and canal configuration of human permanent mandibular second molar: A systematic review. J Conserv Dent 2021; 24:298-306. [PMID: 35282577 PMCID: PMC8896125 DOI: 10.4103/jcd.jcd_642_20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2020] [Revised: 02/10/2021] [Accepted: 02/10/2021] [Indexed: 11/17/2022] Open
Abstract
The objective of the study was to review the literature on root anatomy and canal configuration in permanent mandibular second molar based on Vertucci classification. Online electronic databases such as PubMed-Medline, Embase, Scopus, and Cochrane Library were searched using appropriate keywords from the earliest available date till 10th February 2021 restriction on language. Additional sources such as Google Scholar, major journals, unpublished studies, conference proceedings, and cross-references were explored. Information curated for data extraction included methodology, population, sample size (number of teeth), number of root canals, and type of root canal configuration (RCC). Thirty-seven articles were selected with a total of 12,393 permanent mandibular second molar teeth. In the mesial root, Type IV canal configuration with 37.3% was more frequent, having two canals with 70.4%. In the distal roots, one canal was more prevalent with 77% occurrence, and Type I canal configuration was more frequent with 85.2%. Comprehensive knowledge of tooth anatomy and root canal morphology is crucial to root canal treatment. Therefore, an understanding of the canal configuration and anatomy is necessary for the dentist to enhance successful endodontic treatment. Our systematic review findings reveal a wide variety of possible canal configurations among permanent mandibular second molar, while the number of canals ranged from 1 to 5 in number. The evidence is intended to help dental practitioners to avoid mishaps such as perforation and missing canals and anticipation of potential complications during treatment.
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Ren HY, Zhao YS, Yoo YJ, Zhang XW, Fang H, Wang F, Perinpanayagam H, Kum KY, Gu Y. Mandibular molar C-shaped root canals in 5th millennium BC China. Arch Oral Biol 2020; 117:104773. [PMID: 32512259 DOI: 10.1016/j.archoralbio.2020.104773] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2020] [Revised: 05/14/2020] [Accepted: 05/16/2020] [Indexed: 01/07/2023]
Abstract
OBJECTIVE The aim of this study was to analyze the occurrence and variations in C-shaped canals in ancient Chinese teeth and compare the differences of these features between ancient and age-matched modern populations. DESIGN Approximately 5000-year-old craniofacial bone remains were collected from the fossils of 38 individuals (total: 68 mandibular second molars) excavated from the Jiaojia site. The control group comprised of an equal number of randomly selected modern samples. We used cone-beam computed tomography to scan the mandible along the apex-crown axis and analyzed the canal morphology, based on Fan's categorization criterion, at 2 mm, 5 mm, and 8 mm to the apical level. Grooves on the lingual and buccal sides were also recorded. RESULTS The proportion of C-shaped roots among ancient samples on the left and right sides were 48.57 % (17/35 teeth) and 54.55 % (18/33 teeth), respectively, and 51.47 % (35/68 teeth) in the total sample. Conversely, in the control group, 44.12 % (15/34) and 38.24 % (13/34) occurred on the left and right sides, respectively, and 41.18 % (28/68) in the total sample. Among the C-shaped canals from the Jiaojia site samples, the classification type changed between two adjacent levels in 84.31 % of samples. Approximately 35 (51.5 %) teeth had a fused root, 20 (29.41 %) had one shallow buccal and one deep lingual groove. The occurrence of C-shape variation was not significantly correlated with time (p>0.05). CONCLUSIONS This study identified a high rate of C-shaped root canals among individuals of Jiaojia who lived approximately 5000 years ago.
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Affiliation(s)
- Hui Ying Ren
- School and Hospital of Stomatology, Cheeloo College of Medicine, Shandong University & Shandong Key Laboratory of Oral Tissue Regeneration & Shandong Engineering Laboratory for Dental Materials and Oral Tissue Regeneration, Shandong Province, PR China
| | - Yong Sheng Zhao
- Institute of Cultural and Heritage, Shandong University, Qingdao, PR China
| | - Yeon-Jee Yoo
- Department of Conservative Dentistry, Dental Research Institute, National Dental Care Center for Persons with Special Needs, Seoul National University Dental Hospital, Seoul National University School of Dentistry, Seoul, Republic of Korea
| | - Xiao Wen Zhang
- School of History and Culture, Shandong University, Jinan, PR China
| | - Hui Fang
- School of History and Culture, Shandong University, Jinan, PR China
| | - Fen Wang
- School of History and Culture, Shandong University, Jinan, PR China
| | - Hiran Perinpanayagam
- Division of Restorative Dentistry, Schulich School of Medicine & Dentistry, University of Western Ontario, London, Canada
| | - Kee-Yeon Kum
- Department of Conservative Dentistry, Dental Research Institute, National Dental Care Center for Persons with Special Needs, Seoul National University Dental Hospital, Seoul National University School of Dentistry, Seoul, Republic of Korea
| | - Yu Gu
- Department of Endodontics, School and Hospital of Stomatology, Cheeloo College of Medicine, Shandong University & Shandong Key Laboratory of Oral Tissue Regeneration & Shandong Engineering Laboratory for Dental Materials and Oral Tissue Regeneration, Shandong Province, PR China.
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Hiraiwa T, Ariji Y, Fukuda M, Kise Y, Nakata K, Katsumata A, Fujita H, Ariji E. A deep-learning artificial intelligence system for assessment of root morphology of the mandibular first molar on panoramic radiography. Dentomaxillofac Radiol 2018; 48:20180218. [PMID: 30379570 DOI: 10.1259/dmfr.20180218] [Citation(s) in RCA: 120] [Impact Index Per Article: 20.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/02/2023] Open
Abstract
OBJECTIVES: The distal root of the mandibular first molar occasionally has an extra root, which can directly affect the outcome of endodontic therapy. In this study, we examined the diagnostic performance of a deep learning system for classification of the root morphology of mandibular first molars on panoramic radiographs. Dental cone-beam CT (CBCT) was used as the gold standard. METHODS: CBCT images and panoramic radiographs of 760 mandibular first molars from 400 patients who had not undergone root canal treatments were analyzed. Distal roots were examined on CBCT images to determine the presence of a single or extra root. Image patches of the roots were segmented from panoramic radiographs and applied to a deep learning system, and its diagnostic performance in the classification of root morphplogy was examined. RESULTS: Extra roots were observed in 21.4% of distal roots on CBCT images. The deep learning system had diagnostic accuracy of 86.9% for the determination of whether distal roots were single or had extra roots. CONCLUSIONS: The deep learning system showed high accuracy in the differential diagnosis of a single or extra root in the distal roots of mandibular first molars.
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Affiliation(s)
- Teruhiko Hiraiwa
- 1 Department of Oral and Maxillofacial Radiology, Aichi-Gakuin University School of Dentistry , Nagoya , Japan
| | - Yoshiko Ariji
- 1 Department of Oral and Maxillofacial Radiology, Aichi-Gakuin University School of Dentistry , Nagoya , Japan
| | - Motoki Fukuda
- 1 Department of Oral and Maxillofacial Radiology, Aichi-Gakuin University School of Dentistry , Nagoya , Japan
| | - Yoshitaka Kise
- 1 Department of Oral and Maxillofacial Radiology, Aichi-Gakuin University School of Dentistry , Nagoya , Japan
| | - Kazuhiko Nakata
- 2 Department of Endodontics, Aichi-Gakuin University School of Dentistry , Nagoya , Japan
| | - Akitoshi Katsumata
- 3 Department of Oral Radiology, Asahi University School of Dentistry , Mizuho , Japan
| | - Hiroshi Fujita
- 4 Department of Electrical, Electronic and Computer Faculty of Engineering, Gifu University , Gifu , Japan
| | - Eiichiro Ariji
- 1 Department of Oral and Maxillofacial Radiology, Aichi-Gakuin University School of Dentistry , Nagoya , Japan
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A Cone-Beam Computed Tomography Scanning of the Root Canal System of Permanent Teeth among the Moscow Population. Int J Dent 2018; 2018:2615746. [PMID: 30356403 PMCID: PMC6176338 DOI: 10.1155/2018/2615746] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2018] [Accepted: 05/29/2018] [Indexed: 12/15/2022] Open
Abstract
Background Successful endodontic treatment requires a significant knowledge of root canal anatomy. The aim of this study was to evaluate the root and root canal number of permanent teeth among the Moscow population using cone-beam computed tomography (CBCT) scanning. Materials and methods 300 CBCT images of subjects were analyzed to study the anatomy of roots and root canal system of each tooth. The collected data were analyzed using IBM SPSS statistics software 22.0 version. Results The maxillary incisors and canines had one root with one canal in 100%. Maxillary premolars had one root with one or two canals and two roots with two canals, while mandibular premolars were single-rooted with one or two canals. Maxillary first and second molar had three separated roots, and the prevalence of four canals was more often in first molars. Mandibular molars had two roots with different number of canals. Conclusion The root canal system varies greatly among populations and even in different individuals within the same population; thus, using CBCT scanning is an effective technique in investigating the root canal system.
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Przesmycka A, Tomczyk J. Differentiation of root canal morphology – a review of the literature. ANTHROPOLOGICAL REVIEW 2016. [DOI: 10.1515/anre-2016-0018] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022] Open
Abstract
The morphological diversity of the inner anatomy of root canals in human permanent teeth is an issue mainly described in endodontics research. In recent years, it is a relatively new point in anthropological studies because it varies by sex, geographic and ethnic circumstances. An unusual number of root canals or their specific systems can differentiate populations around the world. The multiplicity of available methods for detecting root canal systems helps to better understand their complexity; however, most cannot be applied to anthropology due to limitations that occur in the bioarcheological material. Thorough knowledge of the heterogeneity and internal anatomy of the root canals supplies numerous classification systems proposed and improved over the years by many authors. A limited number of studies in the anthropological literature and future research will shed light onto the internal tooth morphology in historical populations. The aim of this paper is to describe various classification systems of root canals applied in endodontics. However, due to the often poor state of preservation and damage of archaeological derived remains, it seems that the best method is the approach that is the simplest and least complicated.
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