Influence of moderate to severe chronic periodontitis on dental pulp

Fatemi, Kazem; Disfani, Reza; Zare, Reza; Moeintaghavi, Amir; Ali, Saadat A; Boostani, HR

doi:10.4103/0972-124x.106911

Cited by 24 publications

(16 citation statements)

References 18 publications

(32 reference statements)

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“…We found that teeth with severe periodontitis with a hopeless clinical prognosis could result in fibrosis, apical inflammation and internal/external resorption but did not lead to pulpal necrosis. This study was a case-control investigation and reaffirmed the previous studies’ findings that inflammation and degenerative pulpal alterations such as fibrosis are the most frequent impact of periodontal disease on pulpal tissue ( 5 , 22 , 23 ). However, the previous studies utilised cross-sectional histological sections, whereas this study used longitudinal histological sections.…”

Section: Discussionsupporting

confidence: 88%

Histopathological investigation of dental pulp reactions related to periodontitis

Sabeti

Tayeed

Kurtzman³

et al. 2021

Eur Endod J

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Objective: Since the 1960s, there has been contradictory evidence regarding the association between periodontal pathology and the status of the pulp. The purpose of this study was to evaluate the histopathological changes of pulp tissue with severe periodontal disease, including vertical bone loss involving the major apical foramen, and compared them with the histological pulpal status of teeth with healthy periodontium. Methods: This case-controlled study included 35 intact teeth with severe periodontitis of hopeless prognosis (test group) and 35 teeth without periodontitis extracted for orthodontic reasons (control group). For each tooth, periodontal and endodontic parameters such as probing depth and pulpal vitality were recorded, and the pulp tissue was evaluated histologically. The data were analysed with a significance level of 0.05. Results: Vital pulp was observed in all specimens of both groups (P=1). Pulpal inflammation in the apical portion was observed in 81.71% of the severe periodontitis group, whereas all teeth in the control group demonstrated no signs of pulpal inflammation. Dystrophic calcification and pulp stones were observed in 7.5% of the periodontitis group and 5.7% of the healthy group (P>0.05). Pulp fibrosis was observed in 22.8% of the periodontitis group and 2.8% of the control group (P=0.012). Pulpal necrosis was not noted in either group. In the periodontitis group, internal resorption was present in 22.8% of cases (P=0.005) and external resorption was present in 80% of cases (P<0.001). In the control group, no internal or external resorption was observed in any of the specimens. No differences were noted in the study patients with regard to sex or age. Conclusion: Periodontal disease does not significantly affect pulp vitality and pulpal calcifications. However internal and/or external resorption was significantly different between the two groups as well as apical inflammation and pulp fibrosis.

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Section: Discussionsupporting

confidence: 88%

Histopathological investigation of dental pulp reactions related to periodontitis

Sabeti

Tayeed

Kurtzman³

et al. 2021

Eur Endod J

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“…In our study, 46.8% of patients and 8.1% of teeth had pulp stones, and pulp stones were most common in group 4 (79.2%) and the least common in group 1 (20.8%). Our results support the hypothesis that pulp degeneration is associated with periodontal disease (2,18,19). The variance between the studies can be ascribed to differences in populations, radiography methods, evaluated teeth, and the experience of the examiner.…”

Section: Discussionsupporting

confidence: 80%

Assessment of Periodontal Disease and the Presence of Pulp Stone: Retrospective Radiologic Study

et al. 2023

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Objective: To evaluate the relationship between the severity of periodontal disease and the presence of pulp stones using radiography. Materials and Methods: The study included 96 individuals aged 18-45 years. The patients were divided into four groups as control (periodontally healthy), gingivitis, stage 1-2 periodontitis and stage 3-4 periodontitis. The patients' panoramic radiographs and dental examination records were evaluated retrospectively and any pulp stones were recorded. The Chi-square test was used to determine the relationship between the presence of pulp stones and other parameters. Results: Evaluating the findings on a patient basis, the highest pulp stones were seen in the stage 3-4 (79.2%) group, and the least pulp stones were observed in the control group (20.8%). There was a statistically significant difference between the control group and the gingivitis group (p=0.017), the control group and the stage 3-4 group (p

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“…The most common pulpal changes reported in literature are inflammatory and degenerative changes in the form of fibrosis and calcifications and the results of our study are in agreement with earlier studies. [ 7 12 13 ] These studies, however, employed cross-sectional specimens whereas we employed longitudinal sections. Although the chances of developing an artifact are more in longitudinal section, it allows to view the pulp entirely and also its relations to accessory and lateral canals.…”

Section: Discussionmentioning

confidence: 99%

Pulpal changes associated with advanced periodontal disease: A histopathological study

Gautam

Galgali²,

Sheethal

et al. 2017

J Oral Maxillofac Pathol

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Introduction:Over the past century, the dental literature has consistently reflected a controversy related to the effect of periodontal disease on the dental pulp. Nonetheless, practitioners are of the opinion that teeth having deep periodontal pockets show variable pulpal response, which may necessitate root canal treatment. Thus, this study aimed to evaluate the changes in pulp due to advanced periodontal disease.Materials and Methods:Forty caries-free teeth affected with severe periodontitis were collected from patients aged between 18 and 55 years. The collected teeth were stored in formalin for 24 h and were then decalcified and examined histologically after staining with hematoxylin and eosin to note the changes that occurred in pulp.Results:Pulpal calcification (52.62%) and partial necrosis of pulp (52.62%) were found to be the most common findings. Inflammation, which was found in 47.38% of the cases, ranged from mild to severe in most sections and was always chronic. Pulp with complete necrosis was seen in 26.32% of cases. Fibrosis and pulpal edema were seen in 36.84% of cases.Conclusion:In the presence of moderate to severe chronic periodontitis, degenerative changes such as inflammation, fibrosis, edema, calcification and necrosis were observed to variable degree.

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Influence of moderate to severe chronic periodontitis on dental pulp

Cited by 24 publications

References 18 publications

Histopathological investigation of dental pulp reactions related to periodontitis

Histopathological investigation of dental pulp reactions related to periodontitis

Assessment of Periodontal Disease and the Presence of Pulp Stone: Retrospective Radiologic Study

Pulpal changes associated with advanced periodontal disease: A histopathological study

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