Evaluation of the Periodontal Disease Effect on Pulp Volume

Terlemez, Arslan; Alan, Raif; Gezgin, Onur

doi:10.1016/j.joen.2017.09.005

Cited by 12 publications

(9 citation statements)

References 15 publications

(19 reference statements)

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“…Further studies could be conducted to determine the possible effects on age estimation in adolescent age. Other possible explanations of variable pulp volumes in middle age groups are periodontitis, estrogen receptors present in pulp thus enhancing dentine formation, tooth shape and size, gene expression in odontoblasts, hormonal homeostasis, and occlusal stress [23, 35–37]. One of the most notable differences observed in pulp volumes occur in those over 55 years of age, who demonstrate a rapid reduction in pulp volume this study contrary to other studies [30, 31].…”

Section: Discussioncontrasting

confidence: 60%

Age estimation using canine pulp volumes in adults: a CBCT image analysis

et al. 2019

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Secondary dentine deposition is responsible for the decrease in the volume of the pulp cavity with age. Therefore, the volume of the pulp cavity can be considered as a predictor for estimating age. The aims of this study were to investigate the relationship strength between canine pulp volumes and chronological age from homogenous (approximately equal numbers of individuals in each age range) age distribution and to assess the effect of sex as predictor in age estimation. This study was performed on 719 subjects of Pakistani origin. Cone beam computed tomography images of 521 left maxillary and 681 left mandibular canines were collected from 368 females and 349 males aged from 15 to 65 years. Planmeca Romexis® software was used to trace the outline of the pulp cavity and to calculate pulp volumes. Regression analysis was performed to assess the correlation between pulp volumes considering with and without sex as a predictor with chronological age. The obtained results showed that mandibular canine pulp volume and sex have the highest predictive power (R2 = 0.33). The relationship between mandibular canine pulp volume and sex with chronological age demonstrates an odd S-shaped non-linear relationship. A statistically significant difference in volumes of pulp was found (p = 0.000) between males and females. The conclusion was that predictions using the pulp volume of the mandibular canine and sex produced the best estimates of chronological age.Electronic supplementary materialThe online version of this article (10.1007/s00414-019-02147-5) contains supplementary material, which is available to authorized users.

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Section: Discussioncontrasting

confidence: 60%

Age estimation using canine pulp volumes in adults: a CBCT image analysis

et al. 2019

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“…Dentinal tubules, lateral/accessory canals, and apical foramen contribute to the invasion of infectious factors during the progress of chronic periodontitis. Pulp volume was also reported to be decreased by 20% . Thus, in this study, we confirmed the microstructural damage of cementum by SEM and detected increased levels of inflammatory factors IL‐1β and IL‐17 in the pulp of teeth with periodontitis.…”

Section: Discussionsupporting

confidence: 85%

“…Pulp volume was also reported to be decreased by 20%. 32 Thus, in this study, we F I G U R E 6 Change of autophagy in dental pulp. The LC3B and P62 levels were checked by IF; both markers were significantly increased in the pulp of teeth with periodontitis (A through D).…”

Section: Discussionmentioning

confidence: 96%

Severe periodontitis may influence cementum and dental pulp through inflammation, oxidative stress, and apoptosis

et al. 2019

Journal of Periodontology

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Background The relationship between chronic periodontitis and pulpal/cemental changes is seldom reported. This study aimed to report on the microstructural changes of cementum and histopathological features of the dental pulp in teeth with severe chronic periodontitis. Methods Eighty molar teeth with severe chronic periodontitis and 50 extracted third molars (as normal controls) were collected. The microstructure of cementum was evaluated by scanning electron microscopy, and the pulp was stained with hematoxylin and eosin. Interleukin (IL)‐17 and IL‐1β levels were examined by immunohistochemistry/western blotting. Reactive oxygen species (ROS) and superoxide dismutase 1 (SOD 1) levels were also checked. Caspase 3 expression and terminal‐deoxynucleotidyl transferase dUTP nick‐end labeling (TUNEL) staining were used as apoptotic indices, and LC3B and P62 were detected to demonstrate the level of autophagy. Results The surface of cementum showed irregularities; the dental pulp was inflamed and under oxidative stress. IL‐17 and IL‐1β levels were increased in the pulp of teeth with periodontitis. ROS and apoptosis levels were higher than in normal dental pulp, while SOD 1 level was reduced. Intriguingly, autophagy markers LC3B and P62 were upregulated in the pulp obtained from teeth with periodontitis. Conclusions Severe chronic periodontitis influenced the microstructure of both cementum and dental pulp. The dental pulp collected from teeth with periodontitis was inflamed, under oxidative stress, and presented increased levels of apoptosis and autophagy relative to normal dental pulp.

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“…Healthy teeth that do not have a pathological history can be used for age estimation in forensic medicine. 1,2 Periapical radiographs are not suitable for evaluating the pretreatment pulp cavity or endodontic treatment effect on the pulp cavity because superimposing the shadows of the structures causes misinterpretation of the periapical radiograph. 3 Cone-beam computed tomography (CBCT), a three-dimensional (3D) radiographic technique, is the most suitable method for evaluating pulp volume.…”

Section: Introductionmentioning

confidence: 99%

“…In cases where the clinical presentation of pathological components, such as trauma and caries, affects the pulp, pulp volume is an important indicator, especially for the treatment areas of dentistry. Healthy teeth that do not have a pathological history can be used for age estimation in forensic medicine 1,2 …”

Section: Introductionmentioning

confidence: 99%

A potential novel technique for measurement of pulp volume on periapical radiography: A pilot study

Şatır,

Özel,

Orhan

2024

The Kaohsiung J of Med Scie

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Pulp volume can be assessed during dental treatment. Three‐dimensional imaging techniques are not routinely used for this purpose because of high radiation doses. This study aimed to develop a novel method to measure pulp volume using periapical radiography. In this study, cone‐beam computed tomography (CBCT) was used as a reference method. Periapical radiography and CBCTs obtained from the same patients (n = 32) were recorded. Pulp volume was determined by observing the density differences between the pulp and peripheral structures using ImageJ. A method of graph and volume calculation was developed for each tooth. The Shapiro–Wilk test and Mann–Whitney U test were used to show normality and non‐normal distributions. The Bland–Altman plot was used to show the scattering of the mean versus difference values of the measurements of the two methods used to calculate the pulp volume. Normality was evaluated using the Shapiro–Wilk test. CBCT measurements are normally distributed (p = 0.307), while ImageJ is not normally distributed (p = 0.027). Therefore, the mean difference between the two groups was analyzed using the nonparametric Mann–Whitney U test. There was a statistically significant difference between the CBCT and ImageJ measurements (p = 0.01). According to Spearman's correlation analysis, the results obtained from the novel method were moderately correlated with those obtained from the reference method (r = 0.444). The results of this study indicated that a novel method‐based Java software can be used to calculate pulp volume using low‐dose radiation containing periapical radiography.

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Evaluation of the Periodontal Disease Effect on Pulp Volume

Cited by 12 publications

References 15 publications

Age estimation using canine pulp volumes in adults: a CBCT image analysis

Age estimation using canine pulp volumes in adults: a CBCT image analysis

Severe periodontitis may influence cementum and dental pulp through inflammation, oxidative stress, and apoptosis

A potential novel technique for measurement of pulp volume on periapical radiography: A pilot study

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