RESEARCH ARTICLE


Prevalence of Third Root in the Permanent Lower First Molar (in vivo study)



Othman Husham Abdulhameed1, Hanaa Abduljabbar Saleh2, *, Nuha Agab Hamed3
1 Department of Conservative Dentistry, College of Dentistry, University of Anbar, Ramadi, Iraq
2 Department of Periodontics Dentistry, College of Dentistry, University of Anbar, Ramadi, Iraq
3 Department of Conservative Dentistry, Specialized Dental Center in Ramadi, Ramadi, Iraq


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Creative Commons License
© 2023 Abdulhameed et al.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address Correspondence to this Author at the Department of Conservative Dentistry, College of Dentistry, University of Anbar, Postal Address: Ta’ameem, Ramadi, Iraq; Tel: 07713004061; E-mail: den.hanaa.abduljabbar@uoanbar.edu.iq


Abstract

Introduction:

Successful endodontic treatment requires complete information about the morphology of the tooth’s root canals. Our research aims to assess the prevalence of a third root in permanent mandibular first molars among Iraqi people.

Methods:

Two hundred fifty-seven patients (161 females and 96 males) were involved. All patients required endodontic treatment of the permanent mandibular first molar. Regular teeth examinations were performed by two experienced Endodontists over a period of 18 months. Digital radiography and CBCT were used to investigate the presence of radix entomolaris (RE). The prevalence of a third root between males and females was compared. Statistical evaluation of the data obtained was conducted using a chi-square test with SPSS version 20, P ≤ 0.05 indicates a significant difference.

Results:

The total prevalence of RE was five teeth among 257 patients or 1.9%. Statistical analysis revealed a non significant difference (P > 0.05) in the prevalence of a third root between females (2/161) and males (3/96) (1.2% and 3.1% respectively).

Conclusion:

Third roots in mandibular first molars among Iraqi people are not rare; therefore endodontists should keep attention to detect such morphological variations when performing endodontic treatment.

Keywords: Digital radiograph, Distolingual root, Endodontic treatment, Radix entomolaris, Mandibular first molar, Morphology.