Resumen de Root Curvature: Differences Among Dental Morphotypes and Modifications After Mechanical Instrumentation
Dr. Giovan Paolo Pini Prato, Daniele Saletta, Carlo Baldi, Paolo Ceppatelli, Michele Nieri, Debora Franceschi, Roberto Rotundo, Francesco Cairo
Root Curvature: Differences Among Dental Morphotypes and Modifications After Mechanical Instrumentation Daniele Saletta Private practice, Florence, Italy.
Carlo Baldi Private practice, Prato, Italy.
Michele Nieri Department of Periodontology, Periodontology Dental School, University of Florence, Florence, Italy.
Paolo Ceppatelli Leone Orthodontics and Implants, Florence, Italy.
Debora Franceschi Department of Periodontology, Periodontology Dental School, University of Florence, Florence, Italy.
Roberto Rotundo Department of Periodontology, Periodontology Dental School, University of Florence, Florence, Italy.
Francesco Cairo Department of Periodontology, Periodontology Dental School, University of Florence, Florence, Italy.
Dr. Giovan Paolo Pini Prato Department of Periodontology, Periodontology Dental School, University of Florence, Florence, Italy.
Background: This study was designed to describe a method for measuring root curvature of extracted teeth, compare root curvature of four different dental morphotypes before mechanical instrumentation, and measure root curvature after mechanical instrumentation.
Methods: Fifty-five maxillary (14 central incisors, 13 lateral incisors, 14 cuspids, 14 premolars) extracted teeth were analyzed. Measurements were recorded on the horizontal plane at the most apical point of the cemento-enamel junction (CEJ). A 4 mm wide root portion on the buccal aspect was selected and recorded on this plane. A digital scanner traced the circle coinciding with the profile of this root portion and calculated its radius, arc, chord, and arrow (i.e., the perpendicular bisector of the chord). Since root curvature is the inverse of the radius (1/r), the radius was related to root curvature; the arc to the mesio-distal dimension of the root portion; and the reduction of the arrow to root flattening after mechanical instrumentation. The measurements were recorded four times: before treatment (baseline), after polishing, after a first root planing, and after a second root planing. The radii of each dental morphotype (upper central incisors, upper lateral incisors, upper canines, upper premolars) recorded in the first measurement were calculated and used for the statistical analyses: one-way analysis of variance (ANOVA) test and the Tukey multiple comparison method were used to study the curvature. The measurements of the radius, the arc, and the arrow at the four times were used for the statistical analyses: the two-way ANOVA test and the Tukey multiple comparison method were applied in the study of the root modifications after mechanical instrumentation. The accuracy and reliability of the method were also evaluated.
Results: The mean radii of the four dental morphotypes were: central incisors: 3.613 ± 0.258 mm; lateral incisors: 2.558 ± 0.256 mm; canines: 2.822 ± 0.238 mm; and premolars: 2.321 ± 0.179 mm. The statistical analyses revealed differences among central incisors, canines, lateral incisors, and premolars. There was no statistically significant difference between lateral incisors and premolars. Regarding the root modifications after mechanical treatment, the radius did not show statistically significant differences in any of the comparisons. The arc and the arrow did not show significant differences between baseline and polishing, while they did show significant differences after the second root planing.
Conclusions: This study indicates that: 1) the method of measuring is accurate and reliable; 2) there are statistically significant differences among the root curvatures of different dental morphotypes; and 3) polishing did not modify the root. A vigorous root planing did not modify root curvature, but it did reduce the mesio-distal dimension and flatten the root surface slightly. J Periodontol 2005;76:723-730.
KEYWORDS: Measurements , tooth root/anatomy , tooth root/convexity , tooth root/instrumentation
