Evaluation of root and canal morphology of mandibular molar teeth by cone beam computed tomography: cross-sectional study

Abstract Objectives The objective of the research was to analyze the differences in root structure found in mandibular molars through cone beam computed tomography (CBCT) and to highlight their morphological features. Materials and methods This study retrospectively examined CBCT images of 200 patie...

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Main Authors: Rümeysa Şendişçi Gök, Hümeyra Tercanlı, Ali Ekinci
Format: Article
Language:English
Published: BMC 2025-05-01
Series:BMC Oral Health
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Online Access:https://doi.org/10.1186/s12903-025-06144-6
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author Rümeysa Şendişçi Gök
Hümeyra Tercanlı
Ali Ekinci
author_facet Rümeysa Şendişçi Gök
Hümeyra Tercanlı
Ali Ekinci
author_sort Rümeysa Şendişçi Gök
collection DOAJ
description Abstract Objectives The objective of the research was to analyze the differences in root structure found in mandibular molars through cone beam computed tomography (CBCT) and to highlight their morphological features. Materials and methods This study retrospectively examined CBCT images of 200 patients, encompassing a total of 496 molars in the study group. The frequency of radix entomolaris (RE), radix paramolaris (RP), and C-shaped canals was assessed based on molar type, side, and gender. The data are presented as frequencies and percentages, and the Chi-square test was employed to analyze potential differences between groups. A significance level of p < 0.05 was set for all tests. The normality of the data was assessed using the Shapiro-Wilk test. Results The study included 91 males (47%) and 109 females (53%), with a mean age of 32.49 ± 14.29 years. The frequency of RE was 4.2% (n = 21), RP was 0.8% (n = 4) and C-shaped canal was 7.1% (n = 35) in 496 molars (first molars n = 247, second molars n = 249). RE, RP and C-shaped canal were found in 3.4%, 0.2% and 0.2% of the mandibular first molars, respectively; RE, RP and C-shaped canal were found in 0.8%, 0.6% and 6.8% of the second molars, respectively. There was no statistically significant difference between the root variations examined and gender and lateralisation (p > 0.05). Conclusions Identifying anatomical variations in mandibular molars holds clinical importance, as it can improve endodontic treatment outcomes and provide insight into existing failures. Early detection of C-shaped canals and additional root structures can provide more effective cleaning and disinfection processes by more customizing treatment plans.
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spelling doaj-art-7bdb149d2e6b4e24b866ec3c8843b0052025-08-20T02:03:39ZengBMCBMC Oral Health1472-68312025-05-012511910.1186/s12903-025-06144-6Evaluation of root and canal morphology of mandibular molar teeth by cone beam computed tomography: cross-sectional studyRümeysa Şendişçi Gök0Hümeyra Tercanlı1Ali Ekinci2Faculty of Dentistry, Departmant of Oral and Maxillofacial Radiology , Antalya Bilim UniversityFaculty of Dentistry, Departmant of Oral and Maxillofacial Radiology , Akdeniz UniversityFaculty of Dentistry, Departmant of Oral and Maxillofacial Radiology , Akdeniz UniversityAbstract Objectives The objective of the research was to analyze the differences in root structure found in mandibular molars through cone beam computed tomography (CBCT) and to highlight their morphological features. Materials and methods This study retrospectively examined CBCT images of 200 patients, encompassing a total of 496 molars in the study group. The frequency of radix entomolaris (RE), radix paramolaris (RP), and C-shaped canals was assessed based on molar type, side, and gender. The data are presented as frequencies and percentages, and the Chi-square test was employed to analyze potential differences between groups. A significance level of p < 0.05 was set for all tests. The normality of the data was assessed using the Shapiro-Wilk test. Results The study included 91 males (47%) and 109 females (53%), with a mean age of 32.49 ± 14.29 years. The frequency of RE was 4.2% (n = 21), RP was 0.8% (n = 4) and C-shaped canal was 7.1% (n = 35) in 496 molars (first molars n = 247, second molars n = 249). RE, RP and C-shaped canal were found in 3.4%, 0.2% and 0.2% of the mandibular first molars, respectively; RE, RP and C-shaped canal were found in 0.8%, 0.6% and 6.8% of the second molars, respectively. There was no statistically significant difference between the root variations examined and gender and lateralisation (p > 0.05). Conclusions Identifying anatomical variations in mandibular molars holds clinical importance, as it can improve endodontic treatment outcomes and provide insight into existing failures. Early detection of C-shaped canals and additional root structures can provide more effective cleaning and disinfection processes by more customizing treatment plans.https://doi.org/10.1186/s12903-025-06144-6Cone beam computed tomographyMandibular molarsC-shaped CanalRadix entomolarisRadix paramolaris
spellingShingle Rümeysa Şendişçi Gök
Hümeyra Tercanlı
Ali Ekinci
Evaluation of root and canal morphology of mandibular molar teeth by cone beam computed tomography: cross-sectional study
BMC Oral Health
Cone beam computed tomography
Mandibular molars
C-shaped Canal
Radix entomolaris
Radix paramolaris
title Evaluation of root and canal morphology of mandibular molar teeth by cone beam computed tomography: cross-sectional study
title_full Evaluation of root and canal morphology of mandibular molar teeth by cone beam computed tomography: cross-sectional study
title_fullStr Evaluation of root and canal morphology of mandibular molar teeth by cone beam computed tomography: cross-sectional study
title_full_unstemmed Evaluation of root and canal morphology of mandibular molar teeth by cone beam computed tomography: cross-sectional study
title_short Evaluation of root and canal morphology of mandibular molar teeth by cone beam computed tomography: cross-sectional study
title_sort evaluation of root and canal morphology of mandibular molar teeth by cone beam computed tomography cross sectional study
topic Cone beam computed tomography
Mandibular molars
C-shaped Canal
Radix entomolaris
Radix paramolaris
url https://doi.org/10.1186/s12903-025-06144-6
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AT humeyratercanlı evaluationofrootandcanalmorphologyofmandibularmolarteethbyconebeamcomputedtomographycrosssectionalstudy
AT aliekinci evaluationofrootandcanalmorphologyofmandibularmolarteethbyconebeamcomputedtomographycrosssectionalstudy