Multiple Pulp Stones: A Case Report

Özkalaycı, Nurhat; Zengin, Ayşe Zeynep; Türk, Selma Elekdağ; Sümer, A. Pınar; Bulucu, Bilinç; Kırtıloğlu, Tuğrul

doi:10.1055/s-0039-1698882

Cited by 8 publications

(5 citation statements)

References 2 publications

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“…Similar conclusions were drawn in the study conducted by Ozkalayci et al who had also suggested that a careful radiographic workup and a multidisciplinary approach in patients with an increased prevalence of pulp stones are of utmost significance to predict the possibility of other associated systemic disorders that might have predisposed the subjects to have this kind of a subtle change, seen in the pulp tissues, which is a less critically acclaimed clinical entity. 43 …”

Section: Discussionmentioning

confidence: 99%

Pulp Stones: Diagnostic Significance in Early Diagnosis and Radiographic Correlation with Ischemic Heart Diseases

Subramanian¹,

Chandran²,

Swathika³

et al. 2021

Indian J Radiol Imaging

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Context and Aim Sufficient evidence exists in the literature which indicates that patients with ischemic heart diseases (IHDs) show higher degree of pulp calcifications. The present study was, therefore, planned to estimate the prevalence of pulp stones in patients diagnosed with/or undergoing treatment for IHDs. Materials and Methods The present study, which consisted of 300 subjects within the age range of 25 to 65 years, was divided into two groups: study group comprising 150 patients (113 males and 37 females) and 150 age- and sex-matched healthy controls. Pulp stones were imaged using bitewing radiographs and paralleling technique under standard conditions. Statistical Analysis Used Statistical analysis was done using IBM SPSS Statistics for Windows version 21 (IBM Corp, Armonk, USA), while independent t-test and Chi-square test were done to check the prevalence of pulp stones in the study and control groups, based on gender-, arch-, region- and side-wise distribution. p < 0.05 was considered statistically significant. Results The patients with IHDs exhibited 100% prevalence of pulp stones and the difference was found to be statistically significant, although there was a significant difference in the mean number of pulp stones observed in the study and control groups, with the study group revealing 2217 pulp stones as against 639 pulp stones observed in the control group (p < 0.001). Furthermore, maxillary arch and posterior teeth were predominantly affected in both the groups, although the difference was not found to be statistically significant. Conclusions The findings of the present study suggested a positive correlation between pulp stones and IHDs, highlighting the significance of dental radiographic examination, which may have a possibility for an early detection of IHDs.

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Section: Discussionmentioning

confidence: 99%

Pulp Stones: Diagnostic Significance in Early Diagnosis and Radiographic Correlation with Ischemic Heart Diseases

Subramanian¹,

Chandran²,

Swathika³

et al. 2021

Indian J Radiol Imaging

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“…Pulp stones (PS) are discrete calcified masses found in the dental pulp, in the pulp tissue or become attached to or embedded into the dentine. [ 1 ] Structurally, pulp stones can be classified as true or false, the former being made of dentine and lined by odontoblasts, whereas false pulp stones are formed from degenerating cells of the pulp that gets mineralized. [ 2 ]…”

Section: Introductionmentioning

confidence: 99%

Incidence and distribution of pulp stones found in radiographic dental examination of adult Turkish Dental Patients

Turkal¹,

Tan²,

Uzgur³

et al. 2013

Ann Med Health Sci Res

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Background:Pulp stones (PS) are discrete calcified masses found in the dental pulp, in the pulp tissue or become attached to or embedded into the dentine. The formation of pulp stones is still something of an enigma, leading to existence of some epidemiological gaps.Aim:To determine the prevalence and distribution of pulp stones in posterior tooth group by using panoramic radiograph.Materials and Methods:Panoramic radiographs from 6912 patients attending Kirikkale University Dental Faculty Hospital, Kirikkale, Turkey during the period from July 2009 to August 2011 were reviewed for the presence of pulp stones. The overall incidence of pulp stones in the patients and their correlations between female and male patients and between the right-side and left-side occurrences were analyzed by computer program, SPSS 15. (SPSS Inc. Chicago, USA) with using the χ2 test. Differences were considered as significant when P < 0.05.Results:Pulp stones were detected in 879 out of 6912 patients (person prevalence 12.7%). Pulp stones were detected in 2009 teeth out of a total of 96240 teeth to give a tooth prevalence of 2.1%. Their occurrence was higher in the maxilla than in the mandible for each tooth type. Pulp stones were found to involve the right side more (1224/2009) (61%) than the left side (785/2009)(39%) and they were significantly more common in females than males (P < 0.001).Conclusions:Attention should be paid to the presence of pulp stones and the treatment problems associated with them.

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“…A correlation between the presence of denticles presence and bruxism or genetic disorders has been observed [7]. Denticles have been diagnosed in patients with dentin dysplasia, dentinogenesis imperfecta, Albright hereditary osteodystrophy, and Vander Woude syndrome [8,9]. Morover, Sayegh and Reed report that hypercalcemia, gout, and Po ocenie wystawionej na podstawie zdjęcia radiologicznego (ryc.…”

Section: Discussionmentioning

confidence: 99%

“…Dodatkowo stwierdzono korelację pomiędzy występowaniem zębiniaków a bruksizmem i chorobami o podłożu genetycznym [7]. Kamienie miazgowe diagnozowano u pacjentów z zespołami genetycznymi, takimi jak: dysplazja zębiny, dentinogenesis imperfecta, dziedziczna osteodystrofia Albrighta czy syndrom Vander Woude [8,9]. Natomiast Sayegh i Reed podają, że hiperkalcemia, dna moczanowa i kamica nerkowa mogą być czynnikami predysponującymi do pojawienia się zębiniaków [10].…”

Section: Dyskusjaunclassified

Denticles of the pulp chamber – diagnostics and management. Case studies

Palatyńska-Ulatowska

Pietrzycka

Koprowicz

2019

Pomeranian Journal of Life Sciences

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Introduction: Denticles are mineralized formations found in the dental pulp of deciduous and permanent dentition. Topographically, they can be classified as free, adjacent, or intratissular. Denticles rarely occur; however, their presence is considered clinically relevant due to the difficulties they cause during endodontic treatment.The aim of this study was to describe clinical cases of denticles located in the tooth pulp chamber. Various methods for their removal are also discussed. Emphasis was placed on the diverse appearance of pulp stones in microscope-captured images and on the necessity of maintaining appropriate clinical proceduresfor highly specialized endodontic treatment, such as working with rubber dams and magnification, to avoid serious complications.Materials and methods: Four cases of molar teeth with suspected intraventricular denticles were subjected to specialised endodontic treatment. Removal procedures were performed in aseptic conditions after dental dam placement and with the use of a dental operative microscope. To remove denticles, carbide long shank rose burs, Munce Discovery Burs, and an ultrasonic device with tips for finishing canal access and locating their orifices were used. Following preparation of a straight line access, the canals were chemically and mechanically cleaned and shaped according to accepted standards of modern endodontics. After obturation of the canal system, control radiographs were performed. Results: During all treatments, the denticles were removed completely, allowing further preparation and obturation of the entire canal system.Conclusions: Removal of denticles from the pulp chamber is a complicated, difficult procedure, requiring knowledge of the anatomy of the root canal system, professional operation skills, magnification of the operating site, and appropriate equipment. Such preparation allows clinicians to avoid potential complications such as perforation and/or excessive weakening of the tooth structure due to excessive removal of hard tissues.

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Multiple Pulp Stones: A Case Report

Cited by 8 publications

References 2 publications

Pulp Stones: Diagnostic Significance in Early Diagnosis and Radiographic Correlation with Ischemic Heart Diseases

Pulp Stones: Diagnostic Significance in Early Diagnosis and Radiographic Correlation with Ischemic Heart Diseases

Incidence and distribution of pulp stones found in radiographic dental examination of adult Turkish Dental Patients

Denticles of the pulp chamber – diagnostics and management. Case studies

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