International Journal For Multidisciplinary Research

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Root Canal Morphology of Maxillary Second Bicuspid using Cone Beam Computed Tomography Analysis in Kutch Population – A Retrospective Study

Author(s) Dr. Shreyansh Sanjay Mehta, Dr. Vathsalya K. Shetty, Dr. Pranay T. Patel, Dr. Deepika C. Mod, Dr. Rohan J. Doshi, Dr. Vivek K. Solanki
Country India
Abstract Context: The success of endodontic root canal therapy hinges on a thorough understanding of the root canal system's minutely intricate anatomy. This complexity presents a challenge for dentists aiming for optimal cleaning, shaping, and filling of the canals. The findings of this study will help dentists to better understand the anatomy of maxillary second bicuspid, allowing dental practitioners to provide more effective root canal treatment.
Aims: To investigate the number of roots and the root canal system anatomy of maxillary second bicuspid in the Kutch district of Gujarat state.
Methods and Material: This cross-sectional study was conducted on 160 CBCT images of the Kutch population. CBCT scans of intact, fully developed maxillary second bicuspids from both genders, aged 18-60 years, were included. The root canal system was assessed using both the Vertucci’s and the Sert & Bayirli classifications.
Statistical analysis used: Statistical analysis was performed using SPSS software (v.21.0). Descriptive and frequency statistics of various parameters were assessed using the Chi-square test.
Results: The mean age of participants was 42.69 years. Females comprised 99 (62.5%) and males 61 (37.5%). The majority of right bicuspids had a Type I canal configuration (38.8%), followed by Type III (20%), Type V (13.8%), and Type II (12.5%). For left bicuspids, the majority had a Type III configuration (33.8%), followed by Type I (31.3%), Type II (11.3%), and Type IV (11.3%). Our study identified two rare root canal systems: Type XIII (1-2-1-3), which is rarely reported, and another configuration (1-2-3), which has not been documented in the literature for maxillary second bicuspids.
Conclusions: This study's findings suggest that maxillary second bicuspids do not always conform to the traditional understanding of having only one root and one or two canals. Individual teeth exhibit diverse root canal morphologies. We identified two aberrant canal configurations: Type XIII (1-2-1-3) and Type ad II (1-2-3). Further research into age and gender variations within different demographics could significantly enhance our understanding and personalize endodontic treatments with the aid of CBCT imaging.
Keywords Root Canal Morphology, Cone Beam Computed Tomography, Maxillary Second Bicuspid, Root Canal Classification, Root Canal Configuration
Published In Volume 7, Issue 5, September-October 2025
Published On 2025-09-02
DOI https://doi.org/10.36948/ijfmr.2025.v07i05.55013
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