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Multinational cross-sectional study and meta-analysis on radicular grooves, C-shaped canals, and taurodontism in mandibular first premolars across 20 countries

Fatma Pertek HatipoğluDepartment of Endodontics, Recep Tayyip Erdogan University, Rize, TurkeyGüldane MağatDepartment of Oral Radiology, Faculty of Dentistry, Necmettin Erbakan University, Konya, TurkeyMohmed Isaqali KarobariDepartment of Conservative Dentistry and Endodontics, Saveetha Institute of Medical and Technical Sciences, Saveetha Dental College and Hospital, Saveetha University, Chennai, 600077, Tamil Nadu, IndiaGlynn Dale BuchananDepartment of Odontology, School of Dentistry, Faculty of Health Sciences, University of Pretoria, Pretoria, South AfricaMaira KopbayevaSchool of Dentistry, Department of Therapeutics Dentistry. Almaty, Kazakh National Medical University named after S.D.Asfendiyarov, Almaty, KazakhstanNessrin A. TahaDepartment of Conservative Dentistry, Jordan University of Science and Technology Irbid, Irbid, JordanRafael Fernández‐GrisalesDepartment of Endodontics, School of Dentistry, CES University, Medellín, ColombiaO.E. BekjanovaFaculty of Dentistry, Tashkent State Dental Institute, Tashkent, UzbekistanPeter LuuFaculty of Medicine and Health, Sydney Dental School, The University of Sydney, Sydney, AustraliaSebastian BürkleinCentral Interdisciplinary Ambulance in the School of Dentistry, University of Münster, Münster, GermanyAbdulbaset A. MufadhalDepartment of Restorative and Aesthetic Dentistry, Faculty of Dentistry, Sana'a University, Sana'a, YemenXenos PetridisDepartment of Endodontics, Section of Dental Pathology and Therapeutics, School of Dentistry, National and Kapodistrian University of Athens, Athens, GreeceMaría Fernanda MoraEndodontic department of Dentistry, Universidad Central del Ecuador Quito, Quito, EcuadorSurendar SugumaranDepartment of Conservative dentistry and Endodontics, Saveetha Institute of Medical and Technical Sciences, Saveetha Dental College and Hospitals, Saveetha University, Chennai, IndiaSafaa AllawiDepartment of Endodontic and Operative Dentistry, Faculty of Dentistry, Damascus University, Damascus, SyriaAnja IvicaUniversity of Zagreb School of Dental Medicine, Zagreb, CroatiaWen Yi LimDepartment of Restorative Dentistry, National Dental Centre, Singapore, SingaporeAbdulrahman FadagEndodontics Department, Faculty of Dentistry, Ibb University, Ibb, YemenRohan JagtapDivision of Oral and Maxillofacial Radiology, Department of Care Planning and Restorative Sciences, University of Mississippi Medical Center School of Dentistry, Jackson, MI, 39216, USATomasz KulczykDept.of Diagnostics, Poznan University of Medical Sciences, Poznan, PolandSuha AlfirjaniDepartment of Conservative Dentistry and Endodontics, University of Benghazi, Benghazi, LibyaPaulo PalmaCenter for Innovation and Research in Oral Sciences (CIROS), Faculty of Medicine, University of Coimbra, Coimbra, PortugalÖmer HatipoğluDepartment of Restorative Dentistry, Recep Tayyip Erdogan University, Rize, Turkey. [email protected]
Scientific Reportsjournal2025en
ABI

Аннотация

The success of root canal therapy is fully predicated upon a complete understanding of root and canal morphology and all the anatomical variations that can complicate the endodontic treatment. Of these morphological variations, taurodontism, RGs, and C-shaped canals are of note due to their implications on diagnosis, treatment planning, and endodontic success. This study aimed to investigate the prevalence and regional variations of C-shaped canals, RGs, and taurodontism across 20 countries using CBCT imaging and meta-analytic methods. A multicenter, cross-sectional study analyzed CBCT datasets from 6,000 participants (12,000 teeth) distributed equally across 20 countries. Standardized evaluation arrangements were utilized to identify RGs (RG), taurodontism, and C-shaped canals with their prevalence stratified by region, gender, and age. Statistical analyses cover subgroup comparisons, correlation studies, and sensitivity analysis using Cramer's V. RGs had a pooled global prevalence of 20%, with high-rised rates in Africa. C-shaped canals reported a 10% global prevalence, mainly in Asia, On the Other hand taurodontism was lowest prevalent at 7%, with markable regional variability. Prominent bilateral symmetry was noticed for all features, and taurodontism showed the highest rate (98.33%). Important correlations existed among C-shaped canals, grooves, and taurodontism showing shared developmental pathways. The current study points out the significant prevalence, including anatomical variations of RGs, taurodontism, and C-shaped canals in mandibular 1st premolars, with substantial demographic and regional differences. The findings highlight the importance of perception of these features' morphological interrelationships along with bilateral symmetry to increase diagnostic accuracy, clinical outcomes, and treatment planning.

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