Occurrence of Extra Roots in Permanent Mandibular Molars: A Cone Beam Computed Topography Study

Authors

  • Anil Chakradhar Kathmandu University School of Medical Sciences, Dhulikhel, Kavrepalanchok, Nepal
  • Manisha Nepal Kathmandu University School of Medical Sciences, Dhulikhel, Kavrepalanchok, Nepal
  • Siras Pradhan Kathmandu University School of Medical Sciences, Dhulikhel, Kavrepalanchok, Nepal
  • Nisha Acharya Institute of Medicine (IOM), Maharajgunj Campus, Dental Teaching Hospital; Maharajgunj, Kathmandu, Nepal
  • Pratibha Poudel Kathmandu University School of Medical Sciences, Dhulikhel, Kavrepalanchok, Nepal

DOI:

https://doi.org/10.3126/jnspoi.v5i1.38180

Keywords:

Cone beam computed tomography, radix entomolaris, radix paramolaris

Abstract

Introduction: Permanent mandibular first and second molars may display extra roots namely radix entomolaris and radix paramolaris which may have implications in endodontic treatment outcome, if missed.

Objective: To evaluate the occurrence of extra roots in permanent mandibular first and second molars in a sample of Nepalese population.

Methods: This analytical cross-sectional study was done at Dhulikhel hospital. Convenience sampling technique was utilised for data collection of 773 CBCT images. Images from June 2018 to June 2020 were retrospectively screened for presence of fully erupted bilateral mandibular first and second molars. Presence of extra roots were recorded and laterality, gender, and racial variations were analysed by Fisher’s exact test and Chi-square test using SPSS v.20.

Results: For mandibular first molars, out of 517 patients, 65 (11.38%) had radix entomolaris: 38 (13.2%) female and 27 (9.54%) male. Among 38 females; occurrence was 21 (7.3%) bilateral, 16 (5.56%) unilateral right and 1 (0.34%) unilateral left side. Likewise, among 27 males, the occurrence was 15 (5.3%) bilateral, 6 (2.1%) unilateral right and 6 (2.1%) unilateral left side. Regarding races, 50 (14.6%) were Mongoloids and 15 (6.6%) were Aryans. No radix paramolaris was found in mandibular first molars. For mandibular second molars, out of 623 patients, radix entomolaris and paramolaris were observed in 0.8% and 0.48% respectively.

Conclusion: The overall occurrence of radix entomolaris in mandibular first and second molars was found to be 11.38% and 0.8%, respectively. Practitioners should be aware of these unusual variations to avoid iatrogenic mishap due to missed canal.  

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Author Biographies

Anil Chakradhar, Kathmandu University School of Medical Sciences, Dhulikhel, Kavrepalanchok, Nepal

Department of Conservative Dentistry and Endodontics

Manisha Nepal, Kathmandu University School of Medical Sciences, Dhulikhel, Kavrepalanchok, Nepal

Department of Conservative Dentistry and Endodontics

Siras Pradhan, Kathmandu University School of Medical Sciences, Dhulikhel, Kavrepalanchok, Nepal

Department of Conservative Dentistry and Endodontics

Nisha Acharya, Institute of Medicine (IOM), Maharajgunj Campus, Dental Teaching Hospital; Maharajgunj, Kathmandu, Nepal

Department of Conservative Dentistry and Endodontics

Pratibha Poudel, Kathmandu University School of Medical Sciences, Dhulikhel, Kavrepalanchok, Nepal

Department of Oral and Maxillofacial Pathology

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Published

2021-07-01

How to Cite

Chakradhar, A., Nepal, M., Pradhan, S., Acharya, N., & Poudel, P. (2021). Occurrence of Extra Roots in Permanent Mandibular Molars: A Cone Beam Computed Topography Study. Journal of Nepalese Society of Periodontology and Oral Implantology, 5(1), 29–33. https://doi.org/10.3126/jnspoi.v5i1.38180

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