Document Type : Original Article

Authors

1 Dept. Endodontic, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran.

2 Dept. of Endodontics, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran.

3 Postgraduate Student, Dept. of Endodontics, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran.

4 Oral and Maxillofacial Radiologist, Shiraz University of Medical Sciences, Shiraz, Iran.

5 Dentist, School of Dentistry, Shiraz University of Medical Science, Shiraz, Iran.

10.30476/dentjods.2023.98244.2067

Abstract

Statement of the Problem: As a developmental disorder characterized by an abnormal bend and angle in the longitudinal axis of the tooth root, dilaceration can cause complications in routine dental procedures such as endodontics, orthodontics, and surgical treatments.
Purpose: The purpose of this study was to investigate the prevalence of dilaceration in maxillary and mandibular premolar teeth in a population of Shiraz city based on cone-beam computed tomography (CBCT).
Materials and Method: This is a retrospective cross-sectional study on 927 premolar teeth and 132 CBCT radiographs of patients obtained from four private radiology clinics in Shiraz (Iran). In this study, the presence, location, direction, and severity of dilaceration in premolar roots as well as its relationship with gender were investigated. Chi-square and Fisher tests were used to analyze the data.
Results: The results showed that 17% of the studied 927 teeth had dilaceration. The prevalence of dilaceration was significantly higher in women than in men (20.3% vs. 13.6%, p= 0.005). The dilaceration rates were significantly higher in the mandibular first and second premolar teeth (31.6% and 26%, p= 0.002) than in the other teeth. In addition, the highest prevalence was in the distal direction with mild severity in the apical third of the root (p< 0.001).
Conclusion: According to the results of this study, the prevalence of dilaceration was relatively high in mandibular premolar teeth especially in women.

Keywords

  • Jafarzadeh H, Abbott PV. Dilaceration: review of an endodontic challenge. J Endod. 2007; 33: 1025-1030.
  • Chohayeb AA. Dilaceration of permanent upper lateral incisors: frequency, direction, and endodontic treatment implications. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1983; 55: 519-520.
  • Hamasha A, Al-Khateeb T, Darwazeh A. Prevalence of dilaceration in Jordanian adults. Int Endod J. 2002; 35: 910-912.
  • Malčić A, Jukić S, Brzović V, Miletić I, Pelivan I, Anić I. Prevalence of root dilaceration in adult dental patients in Croatia. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006; 102: 104-109.
  • Nagpal DI, Gurharikar AS. Traumatic dilaceration of permanent central incisor. Pan Afr Med J. 2022; 41: 296.
  • Standerwick RG. A possible etiology for the dilaceration and flexion of permanent tooth roots relative to bone remodeling gradients in alveolar bone. Dent Hypotheses. 2014; 5: 7.
  • Kuzekanani M, Sadeghi MT. Prevalence and distribution of dilacerations in the permanent dentition of an Iranian population. Eur J Anat. 2019; 23: 273-277.
  • Shi X, Sun X, Wang X, Zhang C, Liu Y, Quan J, et al. The effect of the root dilaceration on the treatment duration and prognosis of unilateral impacted immature maxillary central incisors. Am J Orthod Dentofacial Orthop. 2023; 163: 79-86.
  • Kottoor J, Albuquerque D, Velmurugan N, Kuruvilla J. Root anatomy and root canal configuration of human permanent mandibular premolars: a systematic review. Anat Res Int. 2013;‌ 2013: 254250.
  • Thimmegowda U, Venkatahanumaiah S, Chikkanarasaiah N, Krishnamurthy NH. Mesiodens with supernumerary root in a non syndromic child: A rare case with unusual morphology and its management. J Clin Diagn Res. 2022; 16: ZD04-ZD06.
  • Enache AM, Feștilă D, Boboc F, Nagy EB, Ghergie M, Dorobanțu M. Root dilaceration and dentigerous cyst- A cause–effect relationship? Case-series study. Appl Sci. 2022; 12: 9854.
  • Koenig LJ, Tamimi DF, Perschbacher SE. Diagnostic Imaging: Oral and Maxillofacial. 2th ed. Elsevier: Philadelphia, PA; p.588.
  • Shayan AM, Behroozian A, Sadrhaghighi A, Moghaddam SF, Moghanlou AS, Amanabi M. Prevalence of dental anomalies in different facial patterns and malocclusions in an Iranian population. J Oral Biol Craniofac Res. 2022; 12: 525-528.
  • Ardakani FE, Sheikhha M, Ahmadi H. Prevalence of dental developmental anomalies: a radiographic study. Community Dent Health. 2007; 24: 140.
  • Jain A, Sisodia S, Rana KS, Gupta C, Ansari I, Dholakia PP. The study of prevalence and distribution of shape anomalies of teeth in Indian population on the basis of age and gender. Cureus. 2022; 14:
  • Benitha G, Krishnan RP, Ramani P. Prevalence of root dilaceration in permanent incisors among chennai population-a retrospective disease. JPSP. 2022; 6: 931-938.
  • Drenski*Balija N, Aurer B, Meštrović S, Lapter*Varga M. Prevalence of Dental Anomalies in Orthodontic Patients. Acta Stomatol Croat. 2022; 56: 61-68.
  • Asheghi B, Momtahan N, Sahebi S, Booshehri MZ. Morphological evaluation of maxillary premolar canals in Iranian population: a cone-beam computed tomography study. J Dent (Shiraz).2020; 21: 215.
  • Fournier G, Maret D, Duchesne S, Telmon N, Diemer F, Savall F. Root and canal morphology of the permanent teeth in medieval and current French population. Arch Oral Biol. 2022; 140: 105452.
  • Asheghi B, Sahebi S, Zangooei*Booshehri M, Sheybanifard F. Evaluation of root dilaceration by cone beam computed tomography in Iranian south subpopulation: Part Ι permanent molars. J Dent (Shiraz). 2022; 23(2 Suppl): 369-376.
  • Patel S. New dimensions in endodontic imaging: Part 2. Cone beam computed tomography. Int Endod J. 2009; 42: 463-475.
  • Sahebi S, Razavian A, Maddahi N, Asheghi B, Zangooei*Booshehri M. Evaluation of root dilaceration in permanent anterior and canine teeth in the southern subpopulation of Iran using cone-beam computed tomography. J Dent Shiraz Univ Med Sci. 2023; 24: 320-327.
  • Nabavizadeh M, Shamsi MS, Moazami F, Abbaszadegan A. Prevalence of root dilaceration in adult patients referred to Shiraz dental school (2005-2010). J Dent (Shiraz). 2013; 14: 160-164.
  • Santana EJBd, Consolaro A, Tavano O. Determinação da prevalência e estudo morfológico da dilaceração radicular. Rev fac odontol Univ Fed Bahia. 1993:40-52.
  • Schneider SW. A comparison of canal preparations in straight and curved root canals. Oral Surg Oral Med Oral Pathol. 1971; 32: 271-275.
  • Ahmed H, Versiani M, De‐Deus G, Dummer P. A new system for classifying root and root canal morphology. Int Endod J. 2017; 50: 761-70.
  • Neelakantan P, Subbarao C, Ahuja R, Subbarao CV. Root and canal morphology of Indian maxillary premolars by a modified root canal staining technique. Odontology. 2011; 99: 18-21.
  • Ledesma-Montes C, Hernández-Guerrero JC, Jiménez-Farfán MD. Frequency of dilaceration in a Mexican school-based population. J Clin Exp Dent. 2018; 10: e665.
  • Asheghi B, Sahebi S, Zangooei Booshehri M, Sheybanifard F. Evaluation of root dilaceration by cone beam computed tomography in Iranian south subpopulation: Part Ι permanent molars. J Dent (Shiraz). 2022; 23 (2 Suppl): 369-376.
  • Udoye CI, Jafarzadeh H. Dilaceration among Nigerians: prevalence, distribution, and its relationship with trauma. Dent Traumatol. 2009; 25: 439-441.
  • Miloglu O, Cakici F, Caglayan F, Yilmaz AB, Demirkaya F. The prevalence of root dilacerations in a Turkish population. Med Oral Patol Oral Cir Bucal. 2010; 15: e441-e444.
  • Colak H, Bayraktar Y, Hamidi M, Tan E, Colak T. Prevalence of root dilacerations in Central Anatolian Turkish dental patients. West Indian Med J. 2012; 61: 635-639.
  • Gupta SK, Saxena P, Jain S, Jain D. Prevalence and distribution of selected developmental dental anomalies in an Indian population. J Oral Sci. 2011; 53: 231-238.
  • Karadaş M, Tahan E, Arslan H, Erdogan S. Prevalence of root dilaceration in a subpopulation of Northeast Turkey. J Dent Sci. 2015; 21: 71-76.
  • Karatas E, Topçuoglu HS, Arslan H, Erdogan S, Ezmeci EB. Prevalence of root dilacerations in an east anatolian endodontic patient population/bir dogu anadolu endodontik hasta populasyonunda dilaserasyon yayginligi. Turkiye Klinikleri J Dent Sci. 2012; 18: 28-32.
  • Silva BFd, Costa LED, Beltrão RV, Rodrigues TL, Farias RLd, Beltrão RTS. Prevalence assessment of root dilaceration in permanent incisors. Dental Press J Orthod. 2012; 17: 97-102.
  • Moreau JL. Scorpion tooth or dilaceration of the central incisor. Chir Dent Fr. 1985; 55: 53-55.
  • Aminsobhani M, Sadegh M, Meraji N, Razmi H, Kharazifard MJ. Evaluation of the root and canal morphology of mandibular permanent anterior teeth in an Iranian population by cone-beam computed tomography. J Dent (Tehran). 2013; 10: 358.