Prevalence of pulp stones in a selected population in South-east Iran

Document Type : Original Article

Authors

1 Social Determinants on Oral Health Research Center, Kerman University of Medical Sciences, Kerman, Iran

2 Endodontology Research Center, Kerman University of Medical Sciences, Kerman, Iran

3 Department of Radiology, School of Dentistry, Kerman University of Medical Sciences, Kerman, Iran

4 Neuroscience Research Center, Kerman University of Medical Sciences, Kerman, Iran

5 Dentist, DMD, Private Practice, Kerman, Iran

Abstract

Background: Pulp stones are calcified masses with unknown etiology in the dental pulp complicating access to the pulp and root canals during root canal therapy. Aim of this study is to determine the prevalence of pulp stones in patients referring to Kerman University School of Dentistry.
Methods: This cross-sectional study was undertaken on 4413 teeth in 852 patients and 1052 bitewing and periapical radiographs. The patients were 3–60 years old and had been referred to the Kerman School of Dentistry for various reasons. Data were collected by radiographic evaluations and the use of a checklist and were then analyzed using SPSS version 19 and the chi-square test with the significance level set at 0.05.
Results: The prevalence of pulp stones was estimated at 13.4% in the patients, significantly increasing with age (P = 0.001). Most pulp stones were 12.2% in the maxilla and 10.4% in the mandible, indicating a significant difference between the two jaws (P = 0.001). The highest prevalence of pulp stones was related to the permanent first molars. Most pulp stones were significantly higher in female subjects than in males (P = 0.004), with no major difference between the left and right sides (P = 0.07). No significant relationship was found between the prevalence of pulp stones with tooth restoration and dental caries (P = 0.130).
Conclusion: The prevalence of pulp stones increased significantly with age. In this study, the youngest participant was a 4-year-old male, and the oldest was a 60-year-old female.

Keywords


  1. Javadzadeh A, Mohtavipour ST, Dalili Z, Nemati S, Vosooghi Y, Pourhabibi Z. Prevalence of pulp stones in radiographs of patients, referred to Guilan school of dentistry in 2011. J Mashhad Dent Sch. 2014;38(2):99-106.
  2. Raj AC, Anekar J, Anand M, Darshan DD, Seema M, Ayilliath A. Correlation of pulp stone prevalence with dietary habits-a pilot study. Health Sci. 2012;1(3):JS003C.
  3. Yeluri G, Kumar CA, Raghav N. Correlation of dental pulp stones, carotid artery and renal calcifications using digital panoramic radiography and ultrasonography. Contemp Clin Dent. 2015;6(Suppl 1):S147-51. doi:10.4103/0976-237x.166837.
  4. Zeng J, Yang F, Zhang W, Gong Q, Du Y, Ling J. Association between dental pulp stones and calcifying nanoparticles. Int J Nanomedicine. 2011;6:109-18. doi:10.2147/ijn.s13267.
  5. Sisman Y, Aktan AM, Tarim-Ertas E, Ciftçi ME, Sekerci AE. The prevalence of pulp stones in a Turkish population. A radiographic survey. Med Oral Patol Oral Cir Bucal. 2012;17(2):e212-7. doi:10.4317/medoral.17400.
  6. Gaddalay S, Pathan M, Kale A, Ahhirao Y. Prevalence of pulp stones in urban and rural population of Latur Maharashtra and the challenges encountered: an endodontic perspective. IOSR J Dent Med Sci. 2015;14(9):5-8. doi:10.9790/0853-14930508.
  7. Ezoddini-Ardakani F, Namayandeh SM, Sadr-Bafghi SM, Fatehi F, Mohammadi Z, Shahrabi-Farahani S, et al. Association of pulp stones with coronary artery stenosis. Community Dent Health. 2011;28(4):305-7. doi:10.1922/CDH_ 2633Ardakani03.
  8. 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):e474-8. doi:10.4317/jced.51518.
  9. Bains SK, Bhatia A, Singh HP, Biswal SS, Kanth S, Nalla S. Prevalence of coronal pulp stones and its relation with systemic disorders in northern Indian Central Punjabi population. ISRN Dent. 2014;2014:617590. doi:10.1155/2014/617590.
  10. Movahhedian N, Haghnegahdar A, Owji F. How the prevalence of pulp stone in a population predicts the risk for kidney stone. Iran Endod J. 2018;13(2):246-50. doi:10.22037/iej.v13i2.18181.
  11. Stenvik A, Mjör IA. Epithelial remnants and denticle formation in the human dental pulp. Acta Odontol Scand. 1970;28(5):721-8. doi:10.3109/00016357009058593.
  12. 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. ScientificWorldJournal. 2012;2012:804278. doi:10.1100/2012/804278.
  13. Sener S, Cobankara FK, Akgünlü F. Calcifications of the pulp chamber: prevalence and implicated factors. Clin Oral Investig. 2009;13(2):209-15. doi:10.1007/s00784-008-0212-x.
  14. Udoye C, Sede M. Prevalence and analysis of factors related to ooccurrence of pulp stone in adult restorative patients. Ann Med Health Sci Res. 2011;1(1):9-14.
  15. Dalili Kajan Z, Nemati S, Dolatabadi N, Javadzadeh AS, Mohtavipour ST. Prevalence of developmental and acquired dental anomalies on digital panoramic radiography in patients attending the dental faculty of Rasht, Iran. J Dentomaxillofac Radiol Pathol Surg. 2013;1(2):24-32. doi:10.18869/acadpub.3dj.1.2.24.
  16. 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.
  17. 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.
  18. Ravanshad S, Khayat S, Freidonpour N. The prevalence of pulp stones in adult patients of Shiraz Dental School, a radiographic assessment. J Dent (Shiraz). 2015;16(4):356-61.
  19. 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.
  20. Kazemizadeh Z, Zargarpoor R, Ahmadi Kohanali J. A radiographic assessment of the prevalence of pulp stones in patients referred to Rafsanjan faculty of dentistry in 2008. Qom Univ Med Sci J. 2011;5(2):28-32. [Persian].
  21. 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. doi:10.1016/s1079-2104(98)90212-8.
  22. 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(8):735-9. doi:10.1111/j.1365-2591.2009.01580.x.
  23. Baghdady VS, Ghose LJ, Nahoom HY. Prevalence of pulp stones in a teenage Iraqi group. J Endod. 1988;14(6):309-11. doi:10.1016/s0099-2399(88)80032-3.
  24. Malhotra S, Bal RK, Bal CS, Kaur K. Prevalence of pulp stones in North Indian population and its correlation with renal stones: a clinical/radiographic study. Indian J Compr Dent Care. 2012;2:127-33.
  25. Horsley SH, Beckstrom B, Clark SJ, Scheetz JP, Khan Z, Farman AG. Prevalence of carotid and pulp calcifications: a correlation using digital panoramic radiographs. Int J Comput Assist Radiol Surg. 2009;4(2):169-73. doi:10.1007/s11548-008-0277-7.
  26. 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(7):504-6. doi:10.1097/01.don.0000168890.42903.2b.
  27. Nayak M, Kumar J, Prasad LK. A radiographic correlation between systemic disorders and pulp stones. Indian J Dent Res. 2010;21(3):369-73. doi:10.4103/0970-9290.70806.