Root and canal morphology of the maxillary second premolars as indicated by cone beam computed tomography

Aust Endod J. 2023 Apr;49(1):92-103. doi: 10.1111/aej.12624. Epub 2022 May 2.

Abstract

The aim was to evaluate the morphology of maxillary second premolars. The root canal configurations were classified according to Vertucci and a new system by Ahmed et al. based on CBCT images. In addition, the number of roots and the level where they bifurcated were identified, and morphological measurements were performed based on anatomical landmarks. Single-rooted forms were most common. Bifurcation occurred most often in the middle part of the root. The most common canal configuration was type I according to Vertucci and code 1 SP1 according to the new classification. The measurements showing the results were as follows (mm): palatal cusp/buccal cusp/the lowest point of the occlusal surface to pulp chamber ceiling 6.18/6.54/4.77; the ceiling of the pulp chamber was found at the CEJ in 92.28% of the specimens. The maxillary second premolars tended to be single-rooted and with one root canal.

Keywords: anatomical landmarks; cone beam computed tomography; maxillary premolars; morphological measurements; root morphology.

MeSH terms

  • Bicuspid / diagnostic imaging
  • Cone-Beam Computed Tomography / methods
  • Dental Pulp Cavity / anatomy & histology
  • Dental Pulp Cavity / diagnostic imaging
  • Maxilla* / diagnostic imaging
  • Tooth Root* / anatomy & histology
  • Tooth Root* / diagnostic imaging