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The Relationship between Additional Mesiopalatal Roots of Maxillary Primary Second Molars and Premolars

  • Journal of the Korean academy of pediatric dentistry
  • Abbr : J Korean Acad Pediatr Dent
  • 2020, 47(4), pp.368-376
  • DOI : 10.5933/JKAPD.2020.47.4.368
  • Publisher : The Korean Academy Of Pediatric Dentistry
  • Research Area : Medicine and Pharmacy > Dentistry
  • Received : March 30, 2020
  • Accepted : May 13, 2020
  • Published : November 30, 2020

Woobum Jung ORD ID 1 Lee Ko Eun ORD ID 2 Kim Mi Sun ORD ID 2 NAM OK HYUNG ORD ID 2 Chul Choi Sung ORD ID 2 KIM, KWANG CHUL ORD ID 2 Lee Hyo-Seol ORD ID 2

1경희의료원
2경희대학교

Accredited

ABSTRACT

The primary maxillary second molars usually have three roots. However, an additional root located mesiopalatally is occasionally observed. This study aimed to determine the relationship between a mesiopalatal root of primary maxillary second molars and an abnormal eruption pattern of maxillary second premolars. The study was performed on cone beam computed tomography images taken from 916 children who visited the Dental Hospital of Kyung Hee University from 2010 to 2018. 744 serial cross-sectional cone beam computed tomography images were evaluated. The overall incidence of the mesiopalatal root of primary maxillary second molars was 3.2% (n = 24) and the abnormal eruption pattern of maxillary second premolars was 19.2% (n = 143). Especially, patients with the mesiopalatal root of primary maxillary second molars were significantly more likely to have the abnormal eruption pattern on maxillary second premolars (p = 0.000). The odds of the abnormal eruption pattern of maxillary second premolars with the mesiopalatal root of primary maxillary second molars was about 13 times higher than those without. The eruption pattern of the permanent successor should be carefully observed and treated if the mesiopalatal root of primary maxillary second molar is existent.

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