Incidence and distribution of pulp stones among Southern Saudi Arabian sub-population

Abstract

Purpose: To assess the incidence of pulp stones in molar and premolar teeth of Southern Saudi Arabian adult sub-population. Materials and Methods: Six hundred patient files were randomly selected from the database (records) of the College of Dentistry outpatient department screened by Oral Medicine and Radiology division. Orthopantomogram and bitewing radiographs using radiovisiographs of first and second maxillary and mandibular molars and premolars were interpreted by three examiners. Pulp stones were identified as definite radiopaque masses and scored as present or absent. Data were subjected to statistical analysis using SPSS version 19. Results: Out of total 600 patients, pulp stones were found in 88 (14.7%) patients. Females showed statistically significant higher presence of pulp stones in mandibular molars than males. The patients belonging to middle age group (31–40 years) showed statistically significant higher presence of pulp stones than the other two groups in all first and second molar teeth in both arches. The presence of pulp stones was observed to be higher in maxillary arch than mandibular arch with left side having more frequency than the right side of the arch. Conclusion: The prevalence of pulp stones in the study population was found to be 14.7%, and it was higher in molars than premolars. It is quite significant to know the frequency distribution of pulp stones especially for an endodontist or a dentist to plan the root canal treatment of such teeth accordingly.

Effects of Orthodontic Treatment on Pulp Stone Formation: A Retrospective Study

“…In this study, the incidence of pulp stones before orthodontic treatment initiation was 17%. The prevalence of pulp stones has been reported to be dissimilar among various nations due to ethnic variation [24]; however, another study in Iran asserted that 46.9% of patients had a tooth or teeth with pulp stones [18]. They used bite-wing and periapical radiographs as their observation means; however, we used panoramic radiographs, as they are more common in orthodontic treatments, and we were able to analyze both jaws simultaneously.…”

Denticles: study diagnostic and perspectives of treatment (a review, part II)

“…Для диагностики дентиклей чаще всего используют внутриротовую рентгенографию, ортопантомограмму и конусно-лучевую компьютерную томографию (КЛКТ). Рентгенологические исследования показали распространенность камней в пульпе от 8 до 90%, в зависимости от типа исследования, дизайна и используемой рентгенографической техники [ 7,10,11 ] . На рентгенограмме дентикли идентифицируются в виде круглой или овальной рентгеноконтрастной структуры и чаще встречаются в пульповой камере, а не в корешковом пространстве корневого канала.…”

“…Дентикли большого размера изменяют внутреннюю анатомию зуба, отклоняя наконечник инструментов и препятствуя обработке корневого канала, что приводит к неадекватному удалению ткани пульпы. Для преодоления препятствий, создаваемых камнями пульпы при лечении корневых каналов, необходимо надлежащее оборудования, такое как ультразвуковые наконечники, пилочки C-pilot и увеличительные устройства [ 1,11,41 ] .…”

Evaluation of Radiopaque Jaw Lesions in a Turkish Population: A Retrospective Study

“…But, the etiology of pulp stones is not clear. Pulp irritations such as long-term mastication forces, occlusal trauma, bruxism, periodontal pathology, orthodontic forces, and chronic pulp inflammation can be accounted for in the etiology (35). According to a systematic review, the frequency of pulp stones is about 36.5% (36), however its frequency in the Turkish population was found to be 7.4%.…”