Pulpa Taşlarının Prevalansı Ve Dağılımı: Bir Grup Türk Hastada Konik Işınlı Bilgisayarlı Tomografi Çalışması

Yıl 2024, Cilt: 13 Sayı: 3, 496 - 502, 24.09.2024

Mujgan Firincioglulari , Seçil Aksoy , Melis Gülbeş , Umut Aksoy , Kaan Orhan

https://doi.org/10.54617/adoklinikbilimler.1440767

Öz

Amaç: Bu çalışmanın amacı, bir grup Türk hastasında pulpa taşlarının varlığını konik ışınlı bilgisayarlı tomografi (KIBT) kullanarak değerlendirmek ve prevalansını cinsiyet, yaş, diş arkı ve sağ -sol taraf, diş tipi ve diş restorasyonu ile ilişkilendirmektir.
Yöntem ve Gereçler: 148 hastanın KIBT görüntüleri retrospektif olarak veri tabanından rastgele seçilmiş ve 3910 diş incelenmiştir. Pulpa taşlarının cinsiyet, yaş, diş arkı ve sağ-sol taraf, diş tipi ve diş restorasyonu varlığı ile ilişkileri değerlendirildi.
Bulgular: İncelenen 148 dişin 69'unda (%46,6) ve incelenen 3.910 dişin 230'unda (%5,9) pulpa taşı görüldü. Pulpa taşı prevalansı cinsiyet, yaş ve arklar arasında benzerdi. Pulpa taşları en fazla birinci azı dişlerinde (%21,0), ardından ikinci azı dişlerinde (%12,8) görüldü (p<0,05). Maksilla ve mandibulada sağ tarafta pulpa taşı prevalansı en fazla 1. azı dişlerde olup, bunu 2. azı dişler takip etmektedir (p<0.05).
Sonuç: Bir grup Türk hastada, pulpa taşlarının varlığının cinsiyet, yaş veya maksiller ve mandibular dişler arasındaki dağılımla ilişkili olmadığı bulundu. Sağ taraftaki birinci azı dişleri ve ardından ikinci azı dişleri en fazla pulpa taşı oluşumunu göstermiştir. KIBT, pulpa taşlarının saptanmasında oldukça etkili bir yöntem olabilir ve endodontik tedavi sırasında karar vermede yardımcı olabilir.

Anahtar Kelimeler

Konik-Işınlı Bilgisayarlı Tomografi, pulpa taşları, dental pulpa kalsifikasyonu

Proje Numarası

YDU/2019/73-908

The Prevalence And Distribution Of Pulp Stones: A Cone-Beam Computed Tomography Study İn A Group Of Turkish Patients

Öz

Objective: This study aimed to assess the presence of pulp stones using cone-beam computed tomography (CBCT) and correlate their prevalence with gender, age, dental arch and side, tooth type, and dental restoration in a group of Turkish patients.
Material and methods: CBCT images of 148 patients were randomly selected from the database retrospectively and 3910 teeth are examined. The associations of pulp stones with gender, age, dental arch and side, tooth type, and presence of dental restoration were evaluated.
Results: Pulp stones were observed in 69 of 148 (46.6%) patients and 230 (5.9%) of the 3,910 teeth examined. The prevalence of pulp stones was similar between the genders, age and arches. The most pulp stones were seen in the first molars (21.0%) and then in the second molars (12.8%) (p<0.05). In the maxilla and mandible, the prevalence of pulp stone on the right sides was highest in the first molars, followed by the second molars (p<0.05).
Conclusion: In a group of Turkish patients, the presence of pulp stones was not found to be related to gender, age, or distribution between maxillary and mandibular teeth. The first molars and then the second molars on the right side showed the highest occurrence of pulp stones. CBCT can serve as a highly effective method for detecting pulp stones and assist in making decisions during endodontic treatment.

Anahtar Kelimeler

Cone-Beam Computed Tomography, pulp stones, dental pulp calcification

Proje Numarası

YDU/2019/73-908

Kaynakça

• Tomczyk J, Komarnitki J, Zalewska M, Wiśniewska E, Szopiński 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.
• Ertas ET, Veli I, Akin M, Ertas H, Atici MY. Dental pulp stone formation during orthodontic treatment: A retrospective clinical follow-up study. Niger J Clin Pract 2017;20:37-42.
• 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.
• McCabe PS, Dummer PM. Pulp canal obliteration: an endodontic diagnosis and treatment challenge. Int Endod J 2012;45:177-97.
• Mello-Moura ACV, Santos AMA, Bonini GAVC, Zardetto CGDC, Moura-Netto C, Wanderley MT. Pulp Calcification in Traumatized Primary Teeth - Classification, Clinical And Radiographic Aspects. J Clin Pediatr Dent 2017;41:467-471
• Srivastava KC, Shrivastava D, Nagarajappa AK, Khan ZA, Alzoubi IA, Mousa MA, et al. 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;17:9293.
• Satheeshkumar P, Mohan MP, Saji S, Sadanandan S, George G. Idiopathic dental pulp calcifications in a tertiary care setting in South India. J. Conserv. Dent 2013;16:50–55.
• Kuzekanani M, Haghani J, Walsh LJ, Estabragh MA. Pulp Stones, Prevalence and Distribution in an Iranian Population. J Contemp Dent Pract. 2018;19:60-65.
• Lari SS, Shokri A, Hosseinipanah SM, Rostami S, Sabounchi SS. Comparative Sensitivity Assessment of Cone Beam Computed Tomography and Digital Radiography for detecting Foreign Bodies. J Contemp Dent Pract. 2016;17:224-9.
• Hsieh CY, Wu YC, Su CC, Chung MP, Huang RY, Ting PY, et al. The prevalence and distribution of radiopaque, calcified pulp stones: A cone-beam computed tomography study in a northern Taiwanese population. J Dent Sci 2018;13:138-144.
• Moshfeghi M, Tuyserkani F. Prevalence of pulp stones in an Iranian subpopulation: an assessment using cone beam computed tomography. Gen Dent 2021;69:e1-e5.
• Moss-Salentijn L, Hendricks-Klyvert M. Calcified structures in human dental pulps. J Endod 1988;14:184-9.
• Bevelander G, Johnson PL. Histogenesis and histochemistry of pulpal calcification. J Dent Res 1956;35:714–722.
• Sezgin GP, Sönmez 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:e34.
• da Silva EJNL, Prado MC, Queiroz PM, Nejaim Y, Brasil DM, Groppo FC, et al. Assessing pulp stones by cone-beam computed tomography. Clin Oral Investig 2017;21:2327-2333.
• Patel S, Dawood A, Ford TP, Whaites E. The potential applications of cone beam computed tomography in the management of endodontic problems. Int Endod J 2007;40:818-30.
• 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;48:201-212.
• Kalaji MN, Habib AA, Alwessabi M. Radiographic Assessment of the Prevalence of Pulp Stones in a Yemeni Population Sample. Eur Endod J 2017;2:1-6.
• 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.
• 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. Scientific World Journal 2012:804278.
• 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.
• 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.
• Ranjitkar S, Taylor JA, Townsend GC. A radiographic assessment of the prevalence of pulp stones in Australians. Aust Dent J 2002;47:36-40.
• 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:e212-7.
• Tamse A, Kaffe I, Littner MM, Shani R. Statistical evaluation of radiologic survey of pulp stones. J Endod 1982;8:455-8.
• Sener S, Cobankara FK, Akgünlü F. Calcifications of the pulp chamber: prevalence and implicated factors. Clin Oral Investig 2009;13:209-15.