ObjectiveTo investigate the root canal morphology of mandibular first and second premolars using Cone-Beam Computed Tomography (CBCT) in a Saudi population.MethodsCBCT images of 707 patients, number of roots and canal configuration were identified and categorized according to Vertucci classification. Bilateral symmetry and association between gender and number of roots, as well as gender and root canal configuration were investigated.ResultsMajority of the patients had one root and type I root canal configuration in mandibular first (96.4%) and second premolar (95.6%). All types of canal configurations were observed except Type VII for the mandibular first premolar, and Types VI and VII for the mandibular second premolar. High degree of bilateral symmetry was seen in both mandibular first and second premolars in terms of the number of roots and canal configuration; 93.8% and 97.8%, respectively. There was an association between gender and number of roots (P = 0.04) and gender and root canal configuration in mandibular first premolar (P = 0.030).ConclusionsSingle-root with type I canal configuration was the most prevalent of mandibular premolars in the Saudi population. However, incidence of more than one root with different canal configurations was detected.

Objective The aim of the study was to investigate the root canal morphology of maxillary first and second premolars in a Saudi population using Cone-Beam Computed Tomography (CBCT). Methods This retrospective cross-sectional study assessed CBCT images of 707 Saudi patients. The number of roots and canal configuration were identified based on Vertucci's classification. Fisher's exact Chi-square tests were performed to analyze the association between sex and number of roots and sex and root canal configuration. Results Most teeth had two roots in maxillary first premolars (75.1%) and one root in maxillary second premolars (85.2%). Type IV was the most prevalent canal configuration in maxillary first premolars (69.1%), while Type I was the most in maxillary second premolars (49.4%). All types of canal configurations were observed in maxillary premolars except Type VII for the maxillary second premolar. Chi-square tests showed no significant association between gender and number of roots and sex and root canal configuration in both maxillary first and second premolars although higher number of roots was seen in men (P > 0.05). Conclusion Most maxillary first premolars had two roots with Type IV being the most predominant canal configuration, while a single root with Type I canal configuration was the most frequently observed morphology in maxillary second premolars. In maxillary first premolars, 21.3% had one canal apically, 75.4% had two canals apically, and 3.3% had three canals apically. In maxillary second premolars, 80.2% had one canal apically, 18.9% had two canals apically, and 0.9% had three canals apically.

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Repair or regeneration of the pulp, following trauma, is a part of the wound healing process. However, pulp necrosis or root resorption, whether partial or complete, might obstruct this process. Because of the neurovascular bundle at the apical foramen and the periodontal ligament, the pulp in this fragment generally remains normal when the apical fragment is not moved. We describe a mature upper left central incisor with a horizontal root fracture in the mid-third of the root and lateral luxation that healed on its own after undergoing a procedure called self-revascularization. The fracture was detected during a routine dental checkup on a tooth that was asymptomatic. Two tooth pieces with trabecular bone between them were discovered using periapical radiography and cone-beam computed tomography (CBCT). Therefore, the endodontic intervention was not needed. Regular follow-up after trauma is mandatory to evaluate any signs of pulp necrosis. CBCT can help assess healing and identify resorption.