EVALUATION OF PULP STONES IN A SUBPOPULATION OF NORTHEAST TURKEY

Abstract

Aim: To evaluate the prevalence and distribu- tion of pulp stones in posterior teeth by using digital panoramic radiographs in a Turkish subpopulation. Materials and method: Panoramic radiographs of 3,113 patients ranging in age from 15 to 35 (1,836 females and 1,277 males) were retrospectively examined to determine the prevalence and distribution of the pulp stones. All data were obtained from dental records. All posterior teeth were investigated except third molars, and the data obtained were recorded as present or absent according to genders in both arches, in the left and right side according to tooth type in both arches. Pearson’s chi-squared and Fisher’s exact tests were used for difference comparisons (P<0.05). Result: Of the 3,113 patients, 395 (12.6%) had one or more teeth that contained pulp stones. Pulp stones were noted in 14.7% of females and in 9.7% of males, with significant difference between genders (P<0.05). Pulp stones were detected in 1,122 of the 38,225 teeth (2.9%). Pulp stones were more common in the maxilla (4.3%) than in the mandible (1.4% ), with significant difference between arches (P<0.05). The prevalence of pulp stones was more frequent in the first and second molars in each dental arch. Pulp stones were more frequent as the bilateral than unilateral in the maxilla and mandible. Conclusion: The prevalence of pulp stones was found in 12.6% of dental patients, with gender difference. Maxillary first molars were most commonly found to have pulp stones. Pulp stones were more frequent as the bilateral in the maxilla and mandible

Keywords

• Prevalence,Dental Pulp Calcification,Radiography

TÜRKİYE’NİN KUZEY DOĞU POPULASYONUNDA PULPA TAŞLARININ DEĞERLENDİRİLMESİ

Abstract

Amaç: Bu çalıĢmanın amacı bir Türk populasyonunda dijital panoramik radyografiler kullanarak arka grup diĢlerde pulpa taĢlarının sıklık ve dağılımını değerlendirmekti.  Gereç ve Yöntemler: YaĢları 15 ile 35 arasında değiĢen 3113 hastanın panoramik radyografileri pulpa taĢlarının sıklık ve dağılımını belirlemek için retrospektif olarak incelendi. Tüm veriler hastalara ait kayıtlardan elde edildi. Üçüncü büyük azı diĢleri dıĢındaki tüm azı diĢleri incelendi. Elde edilen veriler her iki arkta cinsiyetlere göre kaydedildi ve ayrıca her iki çenede diĢ tipine göre sağ ve sol tarafta var ya da yok olarak kaydedildi. Pearson ki-kare ve Fisher exact testi istatistiksel farklılığı karĢılaĢtırmak için kullanıldı (P<0.05). Bulgular: 3113 hastanın 395’i (%12.6) bir ya da daha fazla pulpa taĢı bulunan diĢe sahipti. Pulpa taĢları kadınların %14.7’sinde ve erkeklerin %9.7’sinde gözlemlendi. Erkekler ve kadınlar arasındaki farklılık önemliydi (P<0.05). 38225 diĢin 1122’sinde (%2.9) pulpa taĢı belirlendi. Pulpa taĢı üst çenede (%4.3) alt çeneden (%1.4) daha fazlaydı ve çeneler arasındaki farklılık önemliydi (P<0.05). Pulpa taĢları her iki çenede birinci ve ikinci azı diĢlerinde çok yaygındı. Pulpa taĢları üst ve alt çenede simetrik olarak daha sık bulundu. Sonuç: Hastaların %12.6’sında pulpa taĢı bulundu ve cinsiyetler arasındaki farklılık istatistiksel olarak önemliydi. Pulpa taĢı üst birinci azı diĢlerinde çok sık bulundu. Pulpa taĢları alt ve üst çenede çoğunlukla simetrik olarak gözlemlendi.

Keywords

• Prevalans,DiĢ pulpası kalsifikasyonu,Radyografi

References

1. 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;3:1-7.
2. Goga R, Chandler NP, Oginni AO. Pulp stones: a review. Int Endod J 2008;41:457-68.
3. White SC, Pharoah MJ. Oral Radiology Principles and Interpretation. 6 th ed. St Lous; Mosby: 2009. p. 310-365.
4. 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;42:735-9.
5. Moss-Salentijn L, Klyvert MH. Epithelially induced denticles in the pulps of recently erupted, noncarious 1983;9:554-60. premolars. J Endod
6. 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;289:145-54.
7. Sundell JR, Stanley HR, White CL. The relationship of coronal pulp stone formation to experimental operative procedures. Oral Surg Oral Med Oral Pathol 1968;25:579-89.
8. Stenvik A, Mjor IA. Epithelial remnants and denticle formation in the human dental pulp. Acta Odontol Scand 1970;28:72-8.

9. Siskos GJ, Georgopoulou M. Unusual case of general pulp calcification (pulp stones) in a young Greek girl. Endod Dent Traumatol 1990;6:282-4.
10. 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;87:749-51.
11. Ranjitkar S, Taylor JA, Townsend GC. A radiographic assessment of the prevalence of pulp stones in Australians. Aust Dent J 2002;47:36-40.
12. Tomczyk J, Komarnitki J, Zalewska M, Wisniewska E, Szopinski K, Olczyk-Kowalczyk D. The prevalence of pulp stones in historical populations from the middle euphrates valley (Syria). Am J Phys Anthropol 2014;153:103-15.
13. Ibarrola JL, Knowles KI, Ludlow MO, McKinley IB, Jr. Factors affecting the negotiability of second mesiobuccal canals in maxillary molars. J Endod 1997;23:236-8.
14. Seven N, Kırzıoğlu Z, Özkaral A. Dentin dysplasia, type II: report of case. Atatürk Univ Diş Hek Fak Derg 1998;8:77-80
15. Baghdady VS, Ghose LJ, Nahoom HY. Prevalence of pulp stones in a teenage Iraqi group. J Endod 1988;14:309-11.
16. al-Hadi Hamasha A, Darwazeh A. Prevalence of pulp stones in Jordanian adults. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1998;86:730-2.
17. Satheeshkumar PS, Mohan MP, Saji S, Sadanandan S, George G. Idiopathic dental pulp calcifications in a tertiary care setting in South India. J Conserv Dent 2013;16:50-5.
18. Syrynska M, Durka-Zajac M, Janiszewska- Olszowska J. Prevalence and location of denticles on panoramic radiographs. Ann Acad Med Stetin 2010;56:55-7.
19. 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;3:572-6.
20. 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;4:169-73.
21. Sisman Y, Aktan AM, Tarim-Ertas E, Ciftci ME, Sekerci AE. The prevalence of pulp stones in a Turkish population. A radiographic survey. Med Oral Patol Oral Cir Bucal 2012;17:212-7.