RADIX IN MANDIBULAR DECIDUOUS MOLARS: SYSTEMATIC REVIEW WITH META-ANALYSIS
DOI:
https://doi.org/10.5335/rfo.v28i1.15489Keywords:
Anomaly, Extra root, Radix, Supernumerary rootAbstract
Objective: To estimate the prevalence of three roots in deciduous mandibular molars. Methodology: Electronic searches were carried out in PubMed and Scopus to identify cross-sectional studies published up to September 2023. The Joanna Briggs Institute tool was used to critically appraise the studies. STATA 16.0 was used to generate risk of bias figures and perform the meta-analysis. Results: Eighteen studies evaluating 9,067 patients (8,969 first molars and 10,765 second molars) were included in this review. The overall prevalence of radix in mandibular deciduous molars was 9.61% (3.67% for first molars and 18.72% for second molars). The prevalence rate of teeth diagnosed using Cone Beam Computed Tomography (CBCT) was similar to the diagnoses made using conventional radiographic techniques together (periapical, interproximal and panoramic). Final considerations: Lower deciduous molars with three roots have a prevalence of almost 10%, with a higher prevalence in second molars. The diagnosis of this morphological alteration can be made using conventional radiographic techniques, but the use of CBCT is recommended.
Downloads
References
Sim D, Mah Y. A study of root canals morphology in primary molars using computerized tomography. Journal of the Korean Academy of Pedtatric Dentistry 2019;46(4):400-408.
Khosrozadeh M, Mostafavi M, Hamrah MH, Niknejad E. Prevalence of Three-Rooted Deciduous Mandibular Molars in the Children of Northwestern Iran. International Journal of Dentistry 2021. 2021: 5643668.
Nino-Barrera J, Alzate-Mendoza D, Olaya-Abril C, Gamboa-Martinez LF, Guamán-Laverde M, Lagos-Rosero N... Vanegas-Hoyose L. Atypical Radicular Anatomy in Permanent Human Teeth: A Systematic Review. Critical Reviews™ in Biomedical Engineering 2022. 50(1).
Rahmati A, Khoshbin E, Shokri A, Yalfani H. Cone-beam computed tomography assessment of the root canal morphology of primary molars. BMC Oral Health 2023. 23:692-697.
Harinkhere CK, Pandey SH, Patni PM, Jain P, Raghuwanshi S, Ali S, Bilaiya S. Radix entomolaris and radix paramolaris in mandibular molars: a case series and literature review. General Dentistry 2021.69(3):61-67.
Tu MG, Liu JF, Dai PW, Chen SY, Hsu JT, Huang HL. Prevalence of three-rooted primary mandibular first molars in Taiwan. Journal of the Formosan Medical Association 2010.109(1):69-74.
Ozcan G, Sekerci AE, Cantekin K, Aydinbelge M, Dogan S. Evaluation of root canal morphology of human primary molars by using CBCT and comprehensive review of the literature. Acta Odontologica Scandinavica 2016.74(4):250-258.
Dongmei G, Fang S, Qi X. Cone beam computed tomography to evaluate the root number and root canal morphological changes and distribution of the first mandibular first molar in children. Chinese Tissue Engineering Research 2019.23(27):4265.
Jiang C, Pei F, Wu Y, Shen Y, Tang Y, Feng X, Gu Y. Investigation of three-rooted deciduous mandibular second molars in a Chinese population using cone-beam computed tomography. BMC Oral Health 2022.22(1):1-9.
Nagaveni NB, Umashankara KV. Radix entomolaris and paramolaris in children: A review of the literature. Journal of Indian Society of Pedodontics and Preventive Dentistry 2012.30(2):94-102.
Song JS, Kim SO, Choi BJ, Choi HJ, Son HK, Lee JH. Incidence and relationship of an additional root in the mandibular first permanent molar and primary molars. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology 2009.107(1):e56-e60.
Carvalho FKD, Arid J, Peixoto IDFLD, Queiroz AMD, Silva RABD, Nelson Filho P. Endodontic management of a primary mandibular three-rooted molar. Revista Odonto Ciência 2015.30(2):56-59.
Munn Z, Moola S, Lisy K, Riitano D, Tufanaru C. Chapter 5: Systematic reviews of prevalence and incidence. Aromataris E, Munn Z, editors. JBI Manual for Evidence Synthesis. JBI; 2020. Available from: https://synthesismanual.jbi.global. https://doi.org/10.46658/JBIMES-20-06
DerSimonian R, Laird N. Meta-analysis in clinical trials (Meta-análise em estudos clínicos). Control Clin. Trials 1986.7:177-188.
Srivathsa SH. Prevalence of three rooted deciduous mandibular molars in Indian children. International Journal of Dental Science and Research 2015.2(1):14-16.
Nagaveni NB, Poornima P, Vilsan A, Mathew MG, Masroor S. Prevalence of three-rooted primary mandibular first molars in children of Davangere, Karnataka, India. CODS-Journal of Dentistry 2017.9(1):7-9.
Nagaveni NB, Poornima P, Valsan A, Mathew MG. Prevalence of three-rooted primary mandibular second molars in Karnataka (South Indian) population. International Journal of Pedodontic Rehabilitation 2018.3(1):33.
Mathew MG, Soni AJ. Prevalence of three-rooted primary mandibular first molars in Karnataka (South Indian) population. International Journal of Pedodontic Rehabilitation 2019.4(1):6-10.
Dhillon JK, Ghosh S, Mathur VP. Root canal morphology of primary molars–A cone beam computed tomography (CBCT) study. Indian Journal of Dental Research 2022.33(1):14-17.
Liu JF, Dai PW, Chen SY, Huang HL, Hsu JT, Chen WL, Tu MG. Prevalence of 3-rooted primary mandibular second molars among Chinese patients. Pediatric Dentistry 2010.32(2):123-126.
Yang R, Yang C, Liu Y, Hu Y, Zou J. Evaluate root and canal morphology of primary mandibular second molars in Chinese individuals by using cone-beam computed tomography. Journal of the Formosan Medical Association 2013.112(7):390-395.
Yang C, Yang R, Zou J. Investigation of root and canal morphology of human primary mandibular second molar by cone-beam CT. Chinese Journal of Stomatology 2013.48(6):325-329.
Moyaho-Bernal MA, Carrasco-Gutiérrez R, Jiménez-Flores R, Juárez-Luna G, López-Del Pino GR, Mendoza-García LV, Teutle-Coyotecatl B. Prevalence of three-rooted primary mandibular first and second molars: Clinical and radiographic findings in a Mexican population. Acta Odontoloógica Latinoamericana 2021.34(2):149-152.
Hsu CL, Huang JE, Chen HL, Tu MG, Liu JF. The relationship of the occurrence between three-rooted deciduous mandibular second molars and three-rooted permanent mandibular first molars in children. Journal of Dental Sciences 2021.16(2):580-585.
Bennett GW. The root of dental anatomy: a case for naming Eustachius the" father of dental anatomy". Journal of the History of Dentistry 2009.57(2):85-89.
Aung NM, Myint KK. Three-rooted permanent mandibular first molars: a meta-analysis of prevalence. International Journal of Dentistry 2022. 2022:9411076.
Mashyakhy M, Altuwaijri N, Alessa R, Alazzam N, Alotaibi B, Almutairi R... Mirza MB. Anatomical evaluation of root and root canal morphology of permanent mandibular dentition among the Saudi Arabian population: a systematic review. BioMed Research International 2022.
Ahmed HMA, Abbott PV. Accessory roots in maxillary molar teeth: a review and endodontic considerations. Australian dental journal 2012.57(2):123-131.
Downloads
Published
Issue
Section
License
Copyright (c) 2024 Revista da Faculdade de Odontologia - UPF

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

This work is licensed under aCreative Commons Atribuição-NãoComercial-SemDerivações 4.0 Internacional.
						