A Cone Beam Computed Tomography Study of the Prevalence of Pulp Stones in a Saudi Arabian Adolescent Population

Santosh R Patil, Kazuyuki Araki, Huwaina Abd Ghani, Ibrahim A Al-Zoub, Mohammed G. Sghaireen, Ravi Kumar Gudipaneni, Mohammad Khursheed Alam

Abstract


Objective: To assess the prevalence of pulp stones using Cone Beam Computed Tomography (CBCT) in a Saudi Arabian adolescent population. Material and Methods: CBCT scans of 237 individuals compromising of 1018 teeth were examined. All teeth were analyzed in three dimensions and the presence of pulp stones were identified as a round or oval shaped dense structures in the pulp space. The location of involved tooth in terms of arch, side involved and the status of the tooth were documented. Statistical analysis was carried out by applying Chi-square test. The level of significance was set at 5%. Results: Pulp stones were observed in 119 out of the 237 participants, and in 118 teeth out of 1018 teeth examined, with the patient prevalence of 50.2% and tooth prevalence 10.6%. Pulp stones were observed in 76 (51.3%) of males and 43 (48.3%) of females, with no significant difference (p>0.05). A nonsignificant difference was also noted when maxillary and mandibular arches and the left and right sides were compared. Pulp stones were observed more frequently observed in molars and in carious (8.8%) and restored teeth (17.1%). Conclusion: The prevalence of pulp stones was high in molars and in carious and restored teeth. No significant difference was noticed between gender, arch and side of tooth involved with pulp stones.

Keywords


Cone-Beam Computed Tomography; Dental Pulp Calcification; Prevalence.

Full Text:

PDF

References


Patil SR. Prevalence of and relationship between pulp and renal stones: A radiographic study. J Oral Biol Craniofac Res 2015; 5(3):189-92. doi: 10.1016/j.jobcr.2015.06.010.

Kaswan S, Patil S, Maheshwari S, Rahman F, Khandelwal S. The relationship between pulp calcifications and salivary gland calcifications. J Clin Exp Dent 2014; 6(5):e474-e478. doi: 10.4317/jced.51518.

Patil S, Sinha N. Pulp stone, haemodialysis, end-stage renal disease, carotid atherosclerosis. J Clin Diagn Res 2013; 7(6):1228-31. doi: 10.7860/JCDR/2013/5087.3042.

Berès F, Isaac J, Mouton L, Rouzière S, Berdal A, Simon S, et al. Comparative physicochemical analysis of pulp stone and dentin. J Endod 2016; 42(3):432-8. doi: 10.1016/j.joen.2015.11.007.

Ertas E T, Veli I, Akin M, Ertas H, Atici M Y. Dental pulp stone formation during orthodontic treatment: A retrospective clinical follow-up study. Niger J Clin Pract 2017; 20(1):37-42. doi: 10.4103/1119-3077.164357.

Sharma S, Mahajan N, Kotwal N, Gupta R, Kharyal S, Tomar V. Incidence and distribution of pulp stones found in radiographic dental examination of adult Jammu dental patients. Int J Sci Stud 2017; 5(7):121-3. doi: 10.17354/ijss/2017/508.

Kannan S, Kannepady SK, Muthu K, Jeevan MB, Thapasum A. Radiographic assessment of the prevalence of pulp stones in Malaysians. J Endod 2015; 41(3):333-7. doi: 10.1016/j.joen.2014.10.015.

da Silva EJNL, Prado MC, Queiroz PM. Nejaim Y, Brasil DM, Groppo FC et al. Assessing pulp stones by cone-beam computed tomography. Clin Oral Investig 2017; 21(7):2327-33. doi: 10.1007/s00784-016-2027-5.

Baghdady VS, Ghose LJ, Nahoom HY. Prevalence of pulp stones in a teenage Iraqui group. J Endod 1988; 14(6):309-11. doi: 10.1016/S0099-2399(88)80032-3.

Çolak H, Çelebi AA, Hamidi MM, Bayraktar Y, Çolak T, Uzgur R. Assessment of the prevalence of pulp stones in a sample of Turkish central Anatolian population. Sci World J 2012; 2012: 804278. doi: 10.1100/2012/804278.

Al-Hadi Hamasha A, Darwazeh A. Prevalence of pulp stones in Jordanian adults. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1998; 86(6):730-2.

Tamse A, Kaffe I, Littner MM, Shani R. Statistical evaluation of radiologic survey of pulp stones. J Endod 1982; 8(10):455-8. doi: 10.1016/S0099-2399(82)80150-7.

Ravanshad S, Khayat S, Freidonpour N. The prevalence of pulp stones in adult patients of Shiraz Dental School: A radiographic assessment. J Dent 2015; 16(4):356-61.

Yaacob HB, Hamid JA. Pulpal calcifications in primary teeth: A light microscope study. J Pedod 1986; 10(3):254-64.

Chandler NP, Pitt Ford TR, Monteith BD. Coronal pulp size in molars: A study of bitewing radiographs. Int Endod J 2003; 36(11):757-63. doi: 10.1046/j.1365-2591.2003.00726.x.

Hillmann G, Geurtsen W. Light-microscopical investigation of the distribution of extracellular matrix molecules and calcifications in human dental pulps of various ages. Cell Tissue Res 1997; 289(1):145-54.

Ranjitkar S, Taylor JA, Townsend GC. A radiographic assessment of the prevalence of pulp stones in Australians. Aust Dent J 2002; 47(1):36-40. doi: 10.1111/j.1834-7819.2002.tb00301.x.

Sisman Y, Aktan AM, TarimErtas E, Ciftci ME, Sekerci AE. The prevalence of pulp stones in a Turkish population. A radiographic survey. Med Oral Patol Oral Cir Bucal 2012; 17(2):212-7. doi: 10.4317/medoral.17400.




DOI: http://dx.doi.org/10.4034/PBOCI.2018.181.45

PBOCI IS A MEMBER OF CROSSREF AND ALL THE CONTENT OF ITS JOURNALS ARE LINKED BY DOIS THROUGH CROSSREF.