Review Article

Four-Rooted Maxillary First Molars: A Systematic Review and Meta-Analysis

Table 2

Analysis of the case reports.

AuthorCountryAgeSexTooth numberRoot canalsChristies’s radicular type [12, 13]Versiani’s pulpal floor type [14]Additional information
MBDBMPDP

Thews et al. 1979 [11]USA21Mn.m.1111n.m. (I)Single, enlarged lingual cusp
Stabholz and Friedman 1983 [69]Israel13F162111n.m. (III)BUnusual configuration of the crown
Wong et al. 1991 [70]USA22M262121n.m. (III)
Christie et al. 1991 [12]Canadan.m.F161111IB
Jacobsen and Nii 1994 [71]USA25M262111n.m. (III)Presented case 3
Di Fiore 1999 [72]USA31M161111IIB
Baratto-Filho et al. 2002 [13]Japan38F161111IPresented case 1
Maggiore et al. 2002 [73]USA19M262121n.m. (III)Third palatal canal
Barbizam et al. 2004 [5]Brazil35M261111IPresented case 1
Nahmias and Bery 2006 [74]Canada58F261111n.m. (I)
Adanir 2007 [75]Turkey31M162211n.m. (II)A
Ravishanker and Prashanthi 2008 [76]India25F261111n.m. (I)
Gandhi and Madan 2009 [77]India50M261111n.m. (II)B
Tomazinho et al. 2010 [78]Brazil32M262211IBMB and DB RC : Vertucci Class II
Salapoor and Mollashahi 2010 [79]Iran40Fn.m.1111n.m. (II)
He et al. 2010 [80]China35M161111n.m. (II)A
Chakradhar Raju et al. 2010 [81]India24M261111IB
India21M161111I
Moghaddas and Tabari 2010 [82]Iran41F261111n.m. (I)Enamel pearl, hemisection
Kottoor et al. 2011 [83]India42M161111n.m. (III)A2 fused palatal roots
Singh et al. 2011 [84]India21F161111n.m. (I)APresented case 1
Reddy et al. 2011 [85]India45M161111n.m. (I)B
Du et al. 2011 [86]China21F262111n.m. (III)B
Madhuram et al. 2012 [87]India27Fn.m.1111n.m. (III)Pronounced Carabelli tubercle
Kottoor et al. 2012 [88]India23M261111n.d.ASecond mesiobuccal root, 16 with identical morphology
India23M16n.mn.m.n.m.n.m.n.d.
Mathew et al. 2013 [89]India35M161111I
Rajalbandi et al. 2013 [90]India42M261111IB
Yesidal Yeter et al. 2013 [91]Turkey28M162211n.d.ASecond mesiobuccal root
Aggarwal et al. 2013 [92]India24M261111IA
Ghani et al. 2013 [93]India34F161111IBEnd. retreatment, both teeth fused MB&MP roots
India34F261111IB
Sharma et al. 2014 [94]India31F161211n.d.DFused MB&MP and DB&DP roots
Kararia et al. 2014 [95]India20F261211IBEndodontic retreatment, DB canal:Vertucci Class II
Shah and Jadhav 2014 [96]India38F161111n.m. (II)BCrown with four palatal cusps
Sánchez-Salas et al. 2014 [97]Mexico31M261111IB
Shrestha 2015 [98]Nepal58F262111IIAPresented case 1, End. Retreatment
Asghari et al. 2015 [99]Iran21F161111IB
Wu and Wu 2015 [100]China29M261111n.m. (II)B
China37M161111n.m. (I)vEnamel pearl, pronounced cusp of Carabelli
Gu et al. 2015 [31]Chinan.a.n.a.161212n.m. (IV)Fused MB&MP roots
Deepa et al. 2016 [101]India41F161111n.m. (I)CBCT after extraction
Indian.m.n.m.n.m.1111IAEnd. Retreatment, DB canal: Vertucci II
Tao et al. 2016 [102]China10F161111n.m. (II)AThree well-developed lobulated palatal cusps
Nayak et al. 2016 [103]India24M161111IA
Barreto and Lins 2016 [104]Brazil28M261111n.m. (I)MB canal: Vertucci Type II
Vázquez and Llácer 2016 [105]Spain46M162111n.m. (I)A
Rodrigues et al. 2016 [106]Brazil23F163211n.m. (III)A
Cao et al. 2017 [107]China30M162111n.m. (II)B
Magnucki et al. 2018 [108]Germany51M262111IA2 enamel pearls, MB RC : Vertucci II
Meena and Hasija 2018 [109]India27F161111n.m. (III)
Schryvers et al. 2018 [110]Belgium44M261111IA
Sriganesh and Priyan 2019 [111]India18F262111n.m. (III)

DB :distobuccal, DP:distopalatal, End.:endodontic, F:female, M: male, MB:mesiobuccal, MP:mesiopalatal, n.d.:not defined, n.m. :not mentioned, RC:root canal.