Agresif periodontitis teşhisi konulan hastalarda pulpa taşı varlığının radyografik olarak değerlendirilmesi

Yıl 2019, Cilt: 36 Sayı: 1, 1 - 6, 02.01.2019

Zeliha Uğur Aydın , Sevim Koşumcu Gülbahar Ustaoğlu , Seval Bayrak , Hasan Oruçoğlu

https://doi.org/10.17214/gaziaot.427182

Cited By: 1

Öz

Amaç: Bu çalışmanın amacı
agresif periodontitis (AP) ile pulpa taşı arasındaki ilişkinin radyografik
olarak araştırılmasıdır.

Gereç ve Yöntem: Çalışmaya
AP grubunda 116 bireye (67 kadın ve 49 erkek; yaş ortalaması
26.2 ± 5.3) ve kontrol grubunda 127 periodontal
olarak sağlıklı bireye (72 kadın, 55 erkek; yaş ortalaması 29.8 ± 3.6) ait toplam 243 panoramik radyograf dahil edildi. Maksiller
ve mandibular 1. ve 2. premolar dişler ile 1. ve 2. molar dişlerdeki pulpa taşı
varlığı tek bir gözlemci tarafından değerlendirildi. Değerlendirme sonucunda
elde edilen veriler ki-kare testi kullanılarak analiz edildi.

Bulgular: AP grubunda,
hasta bazında pulpa taşı görülme sıklığı (29/116 birey; %25) kontrol grubuna
göre (12/127 birey; %9.4) anlamlı derecede fazla bulundu (p<0.05). Diş bazında, pulpa taşı görülme insidansı AP grubundaki
molar dişlerde (60/251; %23.9) ve premolar dişlerde (10/344; %2.9) kontrol
grubundaki molar dişlere (11/457; %2.4) ve premolar dişlere (2/499; %0.4) göre
anlamlı derecede
daha fazla bulundu (p<0.05). Her iki grupta da
cinsiyete göre pulpa taşı görülme sıklığında anlamlı fark bulunmadı
(p>0.05).

Sonuç: Bu çalışmanın sınırları
dahilinde, AP'ye sahip bireylerde pulpa taşı görülme sıklığı sağlıklı
periodontal dokuya sahip bireylere göre daha yüksek bulundu. Klinik açıdan, AP'li
bireylerde endodontik tedavide kök kanallarına erişimde güçlük oluşturma riski
taşıyan pulpa taşı varlığı kapsamlı şekilde değerlendirilmelidir.

Anahtar Kelimeler

Agresif periodontit, pulpa taşı, diş, radyografi

Radiographic evaluation of the presence of pulp stone in aggressive periodontitis patients

Öz

Objective: The aim of this study was to investigate
the association between aggressive periodontitis (AP) and pulp stone by
radiography.

Materials and Method: A total of 243
panoramic radiographs of 116 patients (67 female and 49 male;
mean
age: 26.2 ± 5.3 years) in the AP group and 127
periodontally healthy subjects (72 female and 55 male;
mean
age: 29.8 ± 3.6 years) in the control group were included to the study. The
presence of the pulp stones on the 1st and 2nd premolar teeth and the 1st and
2nd molar teeth in the maxilla and mandible were evaluated by a single
observer. The data were analyzed using the chi-square test.

Results: Considering the findings on patient basis,
the presence of pulp stone in the AP group (29/116 subject; 25%) was more
frequent than the control group (12/127 subject; 9.4%) (p<0.05). As for the findings on tooth basis,
the incidence of pulp stone was more frequent in the molar teeth (60/251;
23.9%) and premolar teeth (10/344; 2.9%) of the AP group compared with the molar
teeth (11/457; 2.4%) and premolar teeth (2/499; 0.4%) of the control group (p<0.05). Regarding the gender, there was no statistically
significant difference in the frequency of the pulp stone presence in both
groups (p>0.05).

Conclusion: Within the limitations of
this study, the frequency of pulp stone was greater in the subjects with AP
compared to the subjects with healthy periodontal tissues. From a clinical
standpoint, in the subjects with AP, the presence of pulp stones should be evaluated
comprehensively before commencing endodontic treatment as they may lead to
difficulties during access to root canals.

Anahtar Kelimeler

Aggressive periodontitis, pulp stone, dental, radiography

Kaynakça

• Wan L, Lu HB, Xuan DY, Yan YX, Zhang JC. Histological changes within dental pulps in teeth with moderate-to-severe chronic periodontitis. Int Endod J 2015;48:95-102.
• Ghoddusi J. Ultrastructural changes in feline dental pulp with periodontal disease. Microsc Res Tech 2003;61:423-7.
• Giovanella LB, Barletta FB, Felippe WT, Bruno KF, de Alencar AH, Estrela C. Assessment of oxygen saturation in dental pulp of permanent teeth with periodontal disease. J Endod 2014;40:1927-31.
• Heasman PA. An endodontic conundrum: the association between pulpal infection and periodontal disease. Br Dent J 2014;216:275-9.
• Aguiar TR, Tristao GC, Mandarino D, Zarranz L, Ferreira VF, Barboza EP. Histopathologic changes in dental pulp of teeth with chronic periodontitis. Compend Contin Educ Dent 2014;35:344; 346; 348; 350-1.
• Lantelme RL, Handelman SL, Herbison RJ. Dentin formation in periodontally diseased teeth. J Dent Res 1976;55:48-51.
• Beres F, Isaac J, Mouton L, Rouziere S, Berdal A, Simon S, Dessombz A. Comparative Physicochemical Analysis of Pulp Stone and Dentin. J Endod 2016;42:432-8.
• 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;31:504-6.
• Inagaki Y, Yoshida K, Ohba H, Seto H, Kido J-i, Haneji T, Nagata T. High glucose levels increase osteopontin production and pathologic calcification in rat dental pulp tissues. J Endod 2010;36:1014-20.
• Kansu O, Ozbek M, Avcu N, Aslan U, Kansu H, Genctoy G. Can dental pulp calcification serve as a diagnostic marker for carotid artery calcification in patients with renal diseases? Dentomaxillofac Radiol 2009;38:542-5.
• Boughman JA, Astemborski JA, Suzuki JB. Phenotypic assessment of early onset periodontitis in sibships. J Clin Periodontol 1992;19:233-9.
• Pinchback JS, Taylor BA, Gibbins JR, Hunter N. Microvascular angiopathy in advanced periodontal disease. J Pathol 1996;179:204-9.
• Zehnder M, Gold SI, Hasselgren G. Pathologic interactions in pulpal and periodontal tissues. J Clin Periodontol 2002;29:663-71.
• Hirsch RS, Clarke NG. Pulpal disease and bursts of periodontal attachment loss. Int Endod J 1993;26:362-8.
• Maranhao de Moura AA, de Paiva JG. Pulpal calcifications in patients with coronary atherosclerosis. Endod Dent Traumatol 1987;3:307-9.
• Deva V, Mogoantă L, Manolea H, Pancă O-A, Vătu M, Vătăman M. Radiological and microscopic aspects of the denticles. Rom J Morphol Embryol 2006;47:263-8.
• Bevelander G, Johnson PL. Histogenesis and histochemistry of pulpal calcification. J Dent Res 1956;35:714-22.
• Lazzaretti DN, Bortoluzzi GS, Torres Fernandes LF, Rodriguez R, Grehs RA, Martins Hartmann MS. Histologic evaluation of human pulp tissue after orthodontic intrusion. J Endod 2014;40:1537-40.
• da Silva E, Prado MC, Queiroz PM, Nejaim Y, Brasil DM, Groppo FC, Haiter-Neto F. Assessing pulp stones by cone-beam computed tomography. Clin Oral Investig 2017;21:2327-33.
• 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.
• Goga R, Chandler NP, Oginni AO. Pulp stones: a review. Int Endod J 2008;41:457-68.
• Martin AP. A radiographic assessment of the prevalence of pulp stones. Aust Dent J 2002;47:355-6; author reply 6.
• McCabe PS, Dummer PM. Pulp canal obliteration: an endodontic diagnosis and treatment challenge. Int Endod J 2012;45:177-97.
• Armitage GC. Development of a classification system for periodontal diseases and conditions. Ann Periodontol 1999;4:1-6.
• Gautam S, Galgali SR, Sheethal HS, Priya NS. Pulpal changes associated with advanced periodontal disease: A histopathological study. J Oral Maxillofac Pathol 2017;21:58-63.
• Sheykhrezaee M, Eshghyar N, Khoshkhounejad AKM. Evaluation of histopathologic changes of dental pulp in advanced periodontal diseases. Acta Medica Iranica 2007;45:51-7.
• Torabinejad M, Kiger RD. A histologic evaluation of dental pulp tissue of a patient with periodontal disease. Oral Surg Oral Med Oral Pathol 1985;59:198-200.
• Pettiette MT, Zhong S, Moretti AJ, Khan AA. Potential correlation between statins and pulp chamber calcification. J Endod 2013;39:1119-23.
• Bauss O, Neter D, Rahman A. Prevalence of pulp calcifications in patients with Marfan syndrome. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2008;106:e56-61.
• Tamse A, Kaffe I, Littner MM, Shani R. Statistical evaluation of radiologic survey of pulp stones. J Endod 1982;8:455-8.
• Ramazanzadeh BA, Sahhafian AA, Mohtasham N, Hassanzadeh N, Jahanbin A, Shakeri MT. Histological changes in human dental pulp following application of intrusive and extrusive orthodontic forces. J Oral Sci 2009;51:109-15.
• Kannan S, Kannepady SK, Muthu K, Jeevan MB, Thapasum A. Radiographic assessment of the prevalence of pulp stones in Malaysians. J Endod 2015;41:333-7.
• Ranjitkar S, Taylor JA, Townsend GC. A radiographic assessment of the prevalence of pulp stones in Australians. Aust Dent J 2002;47:36-40.
• Uslu O, Akcam MO, Evirgen S, Cebeci I. Prevalence of dental anomalies in various malocclusions. Am J Orthod Dentofacial Orthop 2009;135:328-35.
• Sener S, Cobankara FK, Akgunlu F. Calcifications of the pulp chamber: prevalence and implicated factors. Clin Oral Investig 2009;13:209-15.
• 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:e212-7.
• 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.
• Fatemi K, Disfani R, Zare R, Moeintaghavi A, Ali SA, Boostani HR. Influence of moderate to severe chronic periodontitis on dental pulp. J Indian Soc Periodontol 2012;16:558-61.