Evaluation of the relationship between sleep bruxism and pulpal calcifications in young women: A clinico-radiological study

Abstract

Purpose This study was performed to investigate the relationship between sleep bruxism (SB) and pulpal calcifications in young women. Materials and Methods A total of 100 female participants between 20 and 31 years of age who were referred to our radiology clinic for a dental check-up, including 59 SB and 41 non-SB patients, were sampled for the analysis. SB was diagnosed based on the American Academy of Sleep Medicine criteria. All teeth were evaluated on digital panoramic radiographs to detect pulpal calcifications, except third molars, teeth with root canal treatment, and teeth with root resorption. Binary logistic regression analysis was used to determine the risk factors for pulpal calcifications. The Spearman correlation coefficient was applied and the Pearson chi-square test was used for categorical variables. To test intra-examiner reproducibility, Cohen kappa analysis was applied. P values <.05 were considered to indicate statistical significance. Results A total of 2800 teeth were evaluated (1652 teeth from SB patients and 1148 from non-SB patients), and 61% of patients had at least 1 dental pulpal calcification. No statistically significant relationship was found between SB and pulpal calcifications ( P >0.05). In SB patients, the total number of pulpal calcifications was 129, while in non-SB patients, it was 84. Binary logistic analysis showed that SB was not a risk factor for the presence of pulpal calcifications (odds ratio, 1.19; 95% CI, 0.52–2.69, P >.05). Conclusion No relationship was found between SB and pulpal calcifications.

Prevalence and Distribution of Pulp Stones in a Group of Peruvian Adults: a Cone Beam Computed Tomography Study

“…En estudios previos la prevalencia fue mayor en el sexo masculino o no existiendo asociación significativa en el género (8,16,21,27). En el presente estudio existe asociación significativa en el sexo siendo mayor en mujeres, esto podría deberse a una mayor prevalencia de bruxismo en mujeres, que puede conducir irritación a largo plazo de las piezas dentarias; sin embargo, en un estudio reciente no se encontró relación entre bruxismo en mujeres jóvenes y calcificaciones pulpares (3,29). Se observó la mayor prevalencia de calcificaciones en el grupo etario de 39 a 48 años, el estudio más cercano mostró también alta prevalencia en un rango de menor edad (7).…”

Characterization of pulp calcifications and changes in their composition after treatments with citric acid and ethylenediaminetetraacetic acid solutions

“…Calcifications may occlude the pulp chamber and complicate root canal treatment (Bonilla‐Represa et al, 2021; Gabardo et al, 2020; Pietrzycka & Pawlicka, 2020). There are multiple factors related to its appearance, such as the natural aging process, the presence of infections and identification of nanoparticles and nanobacteria (caries and periodontal disease), a response to injuries (traumatic occlusion and orthodontic movement), therapeutic or iatrogenic processes (pulp coatings, dental preparation, revascularization in immature teeth) or genetic causes (Alenazy & Mosadomi, 2013; Bonilla‐Represa et al, 2021; Chen et al, 2020; Gabardo et al, 2020; McCabe & Dummer, 2012; Moura et al, 2017; Movahhedian et al, 2018; Song et al, 2017; Tarim Ertas et al, 2017; Tassoker, 2018).…”

“…Their frequency rates range from 37%, 47%, and 83%, depending on the method of diagnosis employed. Even they can be found in unerupted or impacted teeth in primary and permanent dentition (Bonilla‐Represa et al, 2021; Chen et al, 2020; da Silva et al, 2017; Gabardo et al, 2020; Jena et al, 2018; Mello‐Moura et al, 2017; Movahhedian et al, 2018; Tarim Ertas et al, 2017; Tassoker, 2018). Clinically, pulp stones are asymptomatic and often discovered during routine radiological examinations, which can only be observed like radiopaque structures when the calcification level is sufficiently high.…”

“…Clinically, pulp stones are asymptomatic and often discovered during routine radiological examinations, which can only be observed like radiopaque structures when the calcification level is sufficiently high. They can be identified within the pulp chamber and root canals when they are at least 200 μm in size (Da Silva et al, 2017; Mello‐Moura et al, 2017; Moura et al, 2017; Movahhedian et al, 2018; Pietrzycka & Pawlicka, 2020; Tarim Ertas et al, 2017; Tassoker, 2018). According to their location, pulpal calcifications can be free, attached to, or embedded in dentin (Bonilla‐Represa et al, 2021; Chen et al, 2020; da Silva et al, 2017; Moura et al, 2017; Tassoker, 2018).…”

“…They can be identified within the pulp chamber and root canals when they are at least 200 μm in size (Da Silva et al, 2017; Mello‐Moura et al, 2017; Moura et al, 2017; Movahhedian et al, 2018; Pietrzycka & Pawlicka, 2020; Tarim Ertas et al, 2017; Tassoker, 2018). According to their location, pulpal calcifications can be free, attached to, or embedded in dentin (Bonilla‐Represa et al, 2021; Chen et al, 2020; da Silva et al, 2017; Moura et al, 2017; Tassoker, 2018).…”