Radiographical examination of pulp stone distribution by cone beam computed tomography

Year 2024, , 472 - 476, 30.07.2024

Fatma Tunç , Emre Çulha , Muazzez Naz Baştürk

https://doi.org/10.32322/jhsm.1500635

Abstract

Aims: The present study aimed to ascertain the association between pulp stone production and tooth type, jaw, arch orientation, and dental status in a Turkish subpopulation in the southern region of Turkiye by analyzing cone beam computed tomography images.
Methods: The study included a retrospective examination of cone beam computed tomography images obtained at Gaziantep Private Dental Clinic and Gaziantep University Faculty of Dentistry between 2014 and 2020 for various purposes, and a recording of teeth with pulp calcification in the pulp chamber. The study did not include any teeth that had root canal therapy or porcelain crowns. Data was gathered from radiographs of people in the 19-90 age range. In all, 1676 teeth had pulp stones found in them. To compare proportions, two proportion z-tests were employed.
Results: Male individuals possessed 774 teeth with pulp stones, while female individuals possessed 902 teeth with the same condition. The prevalence of pulp stones in first and second molar teeth (1092, 65.16%) is statistically farther than central and lateral incisors (238, 4.2%), canine (207, 12.35%) and premolar (139, 8.29%). The rate of pulp calcifications is statistically higher; in intact (1065, 63.54%) teeth compared to the teeth with filling materials (443, 26.43%) and teeth with caries (173, 10.32%); in the maxilla (874, 52.15%) compared to mandible (802, 47.85%). Pulp stone occurrence was higher on the right side (888, 52.98%) than on the left side (788, 47.02) (p<0.05).
Conclusion: Our results indicate that the type of tooth, the jaw in which it is situated, and its orientation all influence the incidence of pulp stones. Future researches with a sizable sample size are required to ascertain the impact of pulpal irritations on the development of pulp calcifications.

Keywords

Pulp stone, cone beam computed tomography, Turkish subpopulation

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