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Evaluation of the relation between the pulp stones and direct restorations using cone beam computed tomography in a Turkish subpopulation

  • Received : 2020.12.10
  • Accepted : 2021.03.10
  • Published : 2021.08.31

Abstract

Objectives: This study aimed to assess the presence of pulp stones through an examination of cone beam computed tomography images and correlate their prevalence with age, sex, dental arch and side, tooth type, and restoration type and depth. Materials and Methods: Cone beam computed tomography images obtained from 673 patients and archival data on 11,494 teeth were evaluated. The associations of pulp stones with age, sex, dental arch and side, tooth type, and restoration type and depth were noted. All the measurements were subjected to a χ2 test and one sample χ2 test (p < 0.05). Results: In the study group, 163 (24.2%) patients and 379 (3.3%) teeth had at least one pulp stone. The pulp stone frequency in those aged 30-39 years was significantly greater than in those aged 18-29 and ≥ 60 years, and the frequency was higher in females than in males (p < 0.05). The highest prevalence of pulp stones was found in maxillary dental arches and molar teeth (p < 0.05). Pulp stones were significantly more common in medium-depth restorations (p < 0.05). Conclusions: Maxillary molar teeth, medium-depth restorations, individuals aged 30-39 years and females had a greater percentage of pulp stones.

Keywords

References

  1. Bevelander G, Johnson PL. Histogenesis and histochemistry of pulpal calcification. J Dent Res 1956;35:714-722. https://doi.org/10.1177/00220345560350050901
  2. Goga R, Chandler NP, Oginni AO. Pulp stones: a review. Int Endod J 2008;41:457-468. https://doi.org/10.1111/j.1365-2591.2008.01374.x
  3. Milcent CPF, da Silva TG, Baika LM, Grassi MT, Carneiro E, Franco A, de Lima AAS. Morphologic, structural, and chemical properties of pulp stones in exracted human teeth. J Endod 2019;45:1504-1512. https://doi.org/10.1016/j.joen.2019.09.009
  4. Beres F, Isaac J, Mouton L, Rouziere S, Berdal A, Simon S, Dessombz A. Comparative physicochemical analysis of pulp stone and dentin. J Endod 2016;42:432-438. https://doi.org/10.1016/j.joen.2015.11.007
  5. Edds AC, Walden JE, Scheetz JP, Goldsmith LJ, Drisko CL, Eleazer PD. Pilot study of correlation of pulp stones with cardiovascular disease. J Endod 2005;31:504-506. https://doi.org/10.1097/01.don.0000168890.42903.2b
  6. VanDenBerghe JM, Panther B, Gound TG. Pulp stones throughout the dentition of monozygotic twins: a case report. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1999;87:749-751. https://doi.org/10.1016/S1079-2104(99)70174-5
  7. Zeng JF, Zhang W, Jiang HW, Ling JQ. Isolation, cultivation and initial identification of Nanobacteria from dental pulp stone. Zhonghua Kou Qiang Yi Xue Za Zhi 2006;41:498-501.
  8. Nayak M, Kumar J, Prasad LK. A radiographic correlation between systemic disorders and pulp stones. Indian J Dent Res 2010;21:369-373. https://doi.org/10.4103/0970-9290.70806
  9. da Silva EJNL, Prado MC, Queiroz PM, Nejaim Y, Brasil DM, Groppo FC, Haiter-Neto F. Assessing pulp stones by cone-beam computed tomography. Clin Oral Investig 2017;21:2327-2333. https://doi.org/10.1007/s00784-016-2027-5
  10. Sener S, Cobankara FK, Akgunlu F. Calcifications of the pulp chamber: prevalence and implicated factors. Clin Oral Investig 2009;13:209-215. https://doi.org/10.1007/s00784-008-0212-x
  11. Hsieh CY, Wu YC, Su CC, Chung MP, Huang RY, Ting PY, Lai CK, Chang KS, Tsai YC, Shieh YS. The prevalence and distribution of radiopaque, calcified pulp stones: a cone-beam computed tomography study in a northern Taiwanese population. J Dent Sci 2018;13:138-144. https://doi.org/10.1016/j.jds.2017.06.005
  12. Chaini K, Georgopoulou MK. General pulp calcification: literature review and case report. Endod Pract Today 2016;10:69-75. 
  13. Kannan S, Kannepady SK, Muthu K, Jeevan MB, Thapasum A. Radiographic assessment of the prevalence of pulp stones in Malaysians. J Endod 2015;41:333-337. https://doi.org/10.1016/j.joen.2014.10.015
  14. Turkal M, Tan E, Uzgur R, Hamidi M, Colak H, Uzgur Z. Incidence and distribution of pulp stones found in radiographic dental examination of adult Turkish dental patients. Ann Med Health Sci Res 2013;3:572-576. https://doi.org/10.4103/2141-9248.122115
  15. Patel S, Durack C, Abella F, Shemesh H, Roig M, Lemberg K. Cone beam computed tomography in Endodontics - a review. Int Endod J 2015;48:3-15. https://doi.org/10.1111/iej.12270
  16. Lari SS, Shokri A, Hosseinipanah SM, Rostami S, Sabounchi SS. Comparative sensitivity assessment of cone beam computed tomography and digital radiography for detecting foreign bodies. J Contemp Dent Pract 2016;17:224-229. https://doi.org/10.5005/jp-journals-10024-1831
  17. Colak H, Celebi AA, Hamidi MM, Bayraktar Y, Colak T, Uzgur R. Assessment of the prevalence of pulp stones in a sample of Turkish Central Anatolian population. ScientificWorldJournal 2012;2012:804278.
  18. Ranjitkar S, Taylor JA, Townsend GC. A radiographic assessment of the prevalence of pulp stones in Australians. Aust Dent J 2002;47:36-40. https://doi.org/10.1111/j.1834-7819.2002.tb00301.x
  19. Verma KG, Juneja S, Randhawa S, Dhebar TM, Raheja A. Retrieval of iatrogenically pushed pulp stone from middle third of root canal in permanent maxillary central incisor: a case report. J Clin Diagn Res 2015;9:ZD06-ZD07.
  20. Ibarrola JL, Knowles KI, Ludlow MO, McKinley IB Jr. Factors affecting the negotiability of second mesiobuccal canals in maxillary molars. J Endod 1997;23:236-238. https://doi.org/10.1016/S0099-2399(97)80054-4
  21. Kayal RA. Distortion of digital panoramic radiographs used for implant site assessment. J Orthod Sci 2016;5:117-120. https://doi.org/10.4103/2278-0203.192113
  22. Moss-Salentijn L, Hendricks-Klyvert M. Calcified structures in human dental pulps. J Endod 1988;14:184-189. https://doi.org/10.1016/S0099-2399(88)80262-0
  23. Tassoker M, Magat G, Sener S. A comparative study of cone-beam computed tomography and digital panoramic radiography for detecting pulp stones. Imaging Sci Dent 2018;48:201-212. https://doi.org/10.5624/isd.2018.48.3.201
  24. Patil SR, Ghani HA, Almuhaiza M, Al-Zoubi IA, Anil KN, Misra N, Raghuram P. Prevalence of pulp stones in a Saudi Arabian subpopulation: a cone-beam computed tomography study. Saudi Endod J 2018;8:93-98. https://doi.org/10.4103/sej.sej_32_17
  25. Arys A, Philippart C, Dourov N. Microradiography and light microscopy of mineralization in the pulp of undemineralized human primary molars. J Oral Pathol Med 1993;22:49-53. https://doi.org/10.1111/j.1600-0714.1993.tb00041.x
  26. Gulsahi A, Cebeci AI, Ozden S. A radiographic assessment of the prevalence of pulp stones in a group of Turkish dental patients. Int Endod J 2009;42:735-739. https://doi.org/10.1111/j.1365-2591.2009.01580.x
  27. Tamse A, Kaffe I, Littner MM, Shani R. Statistical evaluation of radiologic survey of pulp stones. J Endod 1982;8:455-458. https://doi.org/10.1016/S0099-2399(82)80150-7
  28. Alacam T. 31. Geriatrik endodonti. In: Endodonti. Ankara: Ozyurt Matbaacilik; 2012. p1178. 
  29. al-Hadi Hamasha A, Darwazeh A. Prevalence of pulp stones in Jordanian adults. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1998;86:730-732. https://doi.org/10.1016/S1079-2104(98)90212-8
  30. Cunha-Cruz J, Pashova H, Packard JD, Zhou L, Hilton TJfor Northwest PRECEDENT. Tooth wear: prevalence and associated factors in general practice patients. Community Dent Oral Epidemiol 2010;38:228-234. https://doi.org/10.1111/j.1600-0528.2010.00537.x
  31. Elvery MW, Savage NW, Wood WB. Radiographic study of the broadbeach aboriginal dentition. Am J Phys Anthropol 1998;107:211-219. https://doi.org/10.1002/(SICI)1096-8644(199810)107:2<211::AID-AJPA7>3.0.CO;2-X