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Article ; Online: Risk Factor in Endodontic Treatment: Topographic Evaluation of Mandibular Posterior Teeth and Lingual Cortical Plate Using Cone Beam Computed Tomography (CT).

Aksoy, Umut / Orhan, Kaan

Medical science monitor : international medical journal of experimental and clinical research

2018  Volume 24, Page(s) 7508–7516

Abstract: BACKGROUND Topographic relationships of mandibular posterior teeth with mandibular cortical plate ... posterior teeth and lingual plate of the mandible. MATERIAL AND METHODS CBCT data of 138 patients were ... of each group was calculated. RESULTS In 6.2% of all mandibular posterior teeth, the lingual plate was ...

Abstract BACKGROUND Topographic relationships of mandibular posterior teeth with mandibular cortical plate are extremely important both in terms of infection spread and endodontic and surgical procedures to be performed. The aim of this study was to determine the relationship between root apex of the mandibular posterior teeth and lingual plate of the mandible. MATERIAL AND METHODS CBCT data of 138 patients were retrospectively analyzed. The topographic relationship between root apex and lingual plate was classified as non-contact, contact, or perforation. Morphology of the mandibular lingual plate was classified into the 4 types (convex, parallel, undercut, slanted) and recorded for each tooth region. The prevalence of each group was calculated. RESULTS In 6.2% of all mandibular posterior teeth, the lingual plate was perforated by at least 1 root of the corresponding tooth. The teeth with the highest perforation rate were the third molar tooth (31.6%) and the second molar tooth (14.7%). The most common mandibular lingual plate morphology type was "undercut type" (61.3%) in the molar teeth region, while "parallel type" (55.7%) was most common in the premolar teeth region. CONCLUSIONS In conclusion, a high percentage of mandibular second and third molars root apex have topographically close relationships to the lingual plate of the mandible. Hence, endodontic consultants must be aware by this anatomical relationship and be aware of possible complications during endodontic and surgical procedures using radiographical modalities.
MeSH term(s) Adolescent ; Adult ; Aged ; Bicuspid/diagnostic imaging ; Cone-Beam Computed Tomography/methods ; Endodontics/methods ; Female ; Humans ; Male ; Mandible/anatomy & histology ; Mandible/diagnostic imaging ; Middle Aged ; Molar/diagnostic imaging ; Retrospective Studies ; Risk Factors ; Tongue ; Tooth Root/diagnostic imaging
Language English
Publishing date 2018-10-21
Publishing country United States
Document type Journal Article
ZDB-ID 1439041-3
ISSN 1643-3750 ; 1234-1010
ISSN (online) 1643-3750
ISSN 1234-1010
DOI 10.12659/MSM.908970
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