“…Furthermore, digital panoramic images may be examined using an enhancing software that enhances detection. Recently, cone-beam computed tomography (CBCT) has been used to assess the prevalence of pulp stones as this technique provides accurate anatomical details in three dimensions, thereby offering the possibility to view a individual tooth in axial, sagittal and coronal views (23,24).…”
To determine the prevalence and distribution of pulp stones in the posterior teeth of a sample of adult Yemeni dental patients using digital panoramic radiographs. Methods: In total, 913 panoramic radiographs from patients attending the hospital dental clinics of at University of Sciences and Technology, Sana'a, Yemen, from January 2013 to December 2014 were examined. The occurrence of pulp stones in the posterior teeth of adult subjects was recorded. Associations between pulp stones and gender, age, arch, side and tooth type were studied. Results: The overall prevalence of pulp stones was 18.6% for individuals (170 out of 913 subjects) and 3.99% for examined teeth (351 out of 8802 teeth). The pulp stone occurrence was significantly higher in the maxilla than in the mandible for each tooth type and location (P<0.001). Pulp stones occurred more often on the right side (P<0.001). First molars represented 71% of the affected teeth with the maxillary right first molar showing the highest occurrence. Fifty-six percent of the affected subjects had pulp stones in more than one tooth. No significant difference in the occurrence of pulp stones was detected between genders or among age groups (P>0.05). Conclusion: The prevalence of pulp stones is different among populations. Pulp stones were found in approximately one-fifth of subjects in the Yemeni population, where up to 90% of the population have a Qat-chewing habit. This habit usually causes mechanical and chemical irritation and results in pulp calcification.
“…Furthermore, digital panoramic images may be examined using an enhancing software that enhances detection. Recently, cone-beam computed tomography (CBCT) has been used to assess the prevalence of pulp stones as this technique provides accurate anatomical details in three dimensions, thereby offering the possibility to view a individual tooth in axial, sagittal and coronal views (23,24).…”
To determine the prevalence and distribution of pulp stones in the posterior teeth of a sample of adult Yemeni dental patients using digital panoramic radiographs. Methods: In total, 913 panoramic radiographs from patients attending the hospital dental clinics of at University of Sciences and Technology, Sana'a, Yemen, from January 2013 to December 2014 were examined. The occurrence of pulp stones in the posterior teeth of adult subjects was recorded. Associations between pulp stones and gender, age, arch, side and tooth type were studied. Results: The overall prevalence of pulp stones was 18.6% for individuals (170 out of 913 subjects) and 3.99% for examined teeth (351 out of 8802 teeth). The pulp stone occurrence was significantly higher in the maxilla than in the mandible for each tooth type and location (P<0.001). Pulp stones occurred more often on the right side (P<0.001). First molars represented 71% of the affected teeth with the maxillary right first molar showing the highest occurrence. Fifty-six percent of the affected subjects had pulp stones in more than one tooth. No significant difference in the occurrence of pulp stones was detected between genders or among age groups (P>0.05). Conclusion: The prevalence of pulp stones is different among populations. Pulp stones were found in approximately one-fifth of subjects in the Yemeni population, where up to 90% of the population have a Qat-chewing habit. This habit usually causes mechanical and chemical irritation and results in pulp calcification.
“…Los resultados de esta investigación son similares al estudio de Hsieh en la que halló un 31.3% en piezas dentales y en un 83,3% de la población (8,16,20,21). Existen posibles explicaciones a la falta de uniformidad que pueden incluir la presencia de estas calcificaciones de acuerdo con la etnia y antecedentes geográficos (7,10,21). Mediante el uso de radiografías periapicales se reporta entre un 15.7% a 22% de prevalencia de calcificaciones pulpares, con el uso de radiografía panorámica esta cifra se reduce a un 1.45% (6,15,27).…”
Section: Discussionunclassified
“…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). Esto no es consistente a estudios previos en los cuales refieren que la mayor prevalencia la hallaron en el grupo de la quinta década de vida y reportan que las calcificaciones podrían deberse al incremento de la edad (6,21,24).…”
Section: Discussionunclassified
“…Asimismo, se clasifican histológicamente como i) verdaderos cuando contienen dentina con túbulos dentinarios revestidos por odontoblastos y los ii) falsos cuando son capas concéntricas de tejido mineralizado (5,6). En la dentición permanente la pieza más afectada es la primera molar superior 12.8% seguida de la segunda molar superior un 10.3% en una población brasileña; mientras que, en una población taiwanesa se encontró un 50% para la primera molar superior (7,8).…”
Section: Introductionunclassified
“…Estudios recientes en la población de Brasil y de Taiwán usando la tomografía de haz cónico volumétrico encontraron una prevalencia de 31.9% y 83.3% de cálculos pulpares en pacientes (20,8). Estudios previos han demostrado una discrepancia en la prevalencia de cálculos pulpares en diferentes poblaciones (7,16,20) por la diversidad de las etnias (8,20,21). Sin embargo, no se ha estudiado la prevalencia de cálculos pulpares en la población peruana, siendo estas de mucha dificultad en el acceso endodóntico para la localización de entrada de conductos y la permeabilización de estos.…”
The aim of this study was to evaluate the prevalence and distribution of pulp stones in a group of Peruvian adults using cone beam tomography (CBCT). Materials and methods: 60 randomly selected CBCT from a tomographic center in Lima, Peru were analyzed. A total of 1263 images of teeth using the Point 3D Combi 500 S tomograph were evaluated. Images analysis was performed with Real Scan software and all teeth were evaluated in sagittal, axial and coronal views. All measurements were subjected to a chi square test. (p<0.05). Results: Of the 1263 teeth, 30.8% presented pulp calcifications through the CBCT. The prevalence of calcifications was higher in women than in men. The maxillary and mandibular molars were the groups of teeth with the highest frequency of pulp stones. There was significance between the pulp stones and the gender, age range, type and state of the tooth. Conclusions: The maxillary first molars had a higher prevalence of pulp calcifications than the mandibular ones. The presence of caries increased the possibility of the appearance of these calcifications, specifically in the maxillary teeth. CBCT could be a sensitive tool to detect pulp stones. Knowledge of the distribution of pulp stones can help dentists in the clinical treatment of endodontics.
Background/purpose
Presence of pulp stones increase the difficulty of locating canal orifice during endodontic treatment. This study aims to determine the prevalence of pulp stones in a northern Taiwanese population through analysis of cone beam computed tomography (CBCT).
Materials and methods
A total of 144 patients and 2554 teeth were used in the present study which were collected from a CBCT image archive. To determine the presence of pulp stones, images of pulp chamber and root canals were analyzed in the sagittal, axial and coronal planes and from the occlusal to apical direction. Correlations between pulp stones and gender, age, tooth type, dental arch or side were also examined.
Results
Of the 144 patients, 120 patients (83.3%) and 800 (31.3%) teeth were found to have one or more pulp stones through CBCT examination. Prevalence of pulp stones between dental arches and tooth types were significantly different (
P
< 0.001). Pulp stones were found to be the most prevalent in first molars (50.0%) and most scarce in first premolars (18.8%). There was no significant correlation between pulp stones and gender, increasing age, or dental sides.
Conclusion
Pulp stones are more frequent in maxillary teeth compared to mandibular teeth. Pulp stones in molar teeth were significantly more common than premolars and incisors. CBCT could be a sensitive tool to detect pulp stones, especially simplifying identification of pulp stones in radicular pulp. Knowledge of pulp stones distribution can aid dentists in clinical endodontic treatment.
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