Prevalence and Association of Calcified Pulp Stones with Periodontitis: A Cone-Beam Computed Tomography Study in Saudi Arabian Population

Overview

Journal J Pharm Bioallied Sci

Specialty Pharmacology

Date 2024 Apr 10

PMID 38595488

Authors

Abdullah Saad Alqahtani

Affiliations

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Abstract

This study aimed to identify the prevalence and association of periodontitis and pulp stone (PS) along with the clinical variables. This study assessed the cone-beam computed tomography (CBCT) records to identify the presence of PS and clinical periodontitis records were used to determine the stages of periodontitis. The Chi-square test was used to evaluate the relationship between study parameters. Logistic regression was used to determine the association between PS and periodontitis. A total of 228 CBCT records were conveniently selected for this study based on the inclusion and exclusion criteria. Cohen's kappa analysis showed near to perfect scores for both examiners. The Chi-square test showed that CBCT records from the age range 41-50 years, male patients, and stage II of periodontitis prevalently showed pulp stones; however, there were no significant differences observed between the PS and clinical variables. However, gender, involvement of tooth, and stages of periodontitis showed significant distribution of the PS. Logistic regression showed that the stages of periodontitis showed no significant association with PS in patients with periodontitis. Moreover, multivariate odds ratio adjustment did not alter the outcome. Periodontitis is not associated with the presence of PS in the current population.

References

Alaajam W, Saleh A, Alghamdi N, Ain T, Algarni Y, Abubaker M . Incidence and distribution of pulp stones among Southern Saudi Arabian sub-population. SAGE Open Med. 2022; 9:20503121211062796. PMC: 8721384. DOI: 10.1177/20503121211062796. View

Ranjitkar S, Taylor J, Townsend G . 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. View

Nissrin B, Basma R, Majid S . Association between Periodontitis and Pulp Calcifications: Radiological Study. Int J Dent. 2022; 2022:9599554. PMC: 9424018. DOI: 10.1155/2022/9599554. View

Harrington G, Steiner D, Ammons W . The periodontal-endodontic controversy. Periodontol 2000. 2002; 30:123-30. DOI: 10.1034/j.1600-0757.2002.03012.x. View

Sisman Y, Aktan A, Tarim-Ertas E, Ciftci M, Sekerci A . The prevalence of pulp stones in a Turkish population. A radiographic survey. Med Oral Patol Oral Cir Bucal. 2011; 17(2):e212-7. PMC: 3448315. DOI: 10.4317/medoral.17400. View

Goga R, Chandler N, Oginni A . Pulp stones: a review. Int Endod J. 2008; 41(6):457-68. DOI: 10.1111/j.1365-2591.2008.01374.x. View

Patel S, Durack C, Abella F, Shemesh H, Roig M, Lemberg K . Cone beam computed tomography in Endodontics - a review. Int Endod J. 2014; 48(1):3-15. DOI: 10.1111/iej.12270. View

da Silva E, Prado M, Queiroz P, Nejaim Y, Brasil D, Groppo F . Assessing pulp stones by cone-beam computed tomography. Clin Oral Investig. 2016; 21(7):2327-2333. DOI: 10.1007/s00784-016-2027-5. View

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(3):201-212. PMC: 6148041. DOI: 10.5624/isd.2018.48.3.201. View

10.

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. 2014; 3(4):572-6. PMC: 3868126. DOI: 10.4103/2141-9248.122115. View

11.

Tonetti M, Greenwell H, Kornman K . Staging and grading of periodontitis: Framework and proposal of a new classification and case definition. J Periodontol. 2018; 89 Suppl 1:S159-S172. DOI: 10.1002/JPER.18-0006. View

12.

Badillo F, Brouillet J . [Histological aspects of pulpal lesions of periodontal origin]. J Parodontol. 1988; 7(2):145-53. View

13.

Sezgin G, Sonmez Kaplan S, Kaplan T . Evaluation of the relation between the pulp stones and direct restorations using cone beam computed tomography in a Turkish subpopulation. Restor Dent Endod. 2021; 46(3):e34. PMC: 8410999. DOI: 10.5395/rde.2021.46.e34. View

14.

Chen G, Huang L, Yeh P . Detecting calcified pulp stones in patients with periodontal diseases using digital panoramic and periapical radiographies. J Dent Sci. 2022; 17(2):965-972. PMC: 9201651. DOI: 10.1016/j.jds.2021.12.010. View

15.

Ghoddusi J . Ultrastructural changes in feline dental pulp with periodontal disease. Microsc Res Tech. 2003; 61(5):423-7. DOI: 10.1002/jemt.10307. View

16.

Srivastava K, Shrivastava D, Nagarajappa A, Khan Z, AlZoubi I, Mousa M . Assessing the Prevalence and Association of Pulp Stones with Cardiovascular Diseases and Diabetes Mellitus in the Saudi Arabian Population-A CBCT Based Study. Int J Environ Res Public Health. 2020; 17(24). PMC: 7764339. DOI: 10.3390/ijerph17249293. View

17.

Antonarakis G, Patel R, Tompson B . Oral health-related quality of life in non-syndromic cleft lip and/or palate patients: a systematic review. Community Dent Health. 2013; 30(3):189-95. View

18.

Hsieh C, Wu Y, Su C, Chung M, Huang R, Ting P . The prevalence and distribution of radiopaque, calcified pulp stones: A cone-beam computed tomography study in a northern Taiwanese population. J Dent Sci. 2019; 13(2):138-144. PMC: 6388828. DOI: 10.1016/j.jds.2017.06.005. View

19.

Colak H, Celebi A, Hamidi M, 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. PMC: 3356746. DOI: 10.1100/2012/804278. View

20.

Ravichandran S, Kumar Vadivel J . Prevalence of pulp stones in IOPA radiographs. J Adv Pharm Technol Res. 2023; 13(Suppl 1):S63-S66. PMC: 9836167. DOI: 10.4103/japtr.japtr_126_22. View