Prevalence of Pulp Stones in Libyan Subpopulation: A Panoramic Radiographic Study
Keywords:Panoramic radiographs, Pulp stone, Prevalence, Libyan subpopulation
The aims of this study were to evaluate the prevalence of pulp stones in permanent posterior teeth of a group of adult Libyan dental patients using digital panoramic radiographs. Materials and Methods: Panoramic radiographs of 1200 adult patients (600 females and 600 males) were examined retrospectively to determine the prevalence and distribution of the pulp stones. All posterior teeth were investigated except third molars, and the data obtained were recorded as present or absent according to gender, tooth types, dental arches, sides and dental status (intact, restored, or carious). The Chi-square test was used for difference comparisons (P<0.05). Results: Of the 1200 patients, 363 (30.2%) had one or more teeth that contained pulp stones. Pulp stones were detected in 1402 of the 16738 teeth, to give a tooth prevalence of 8.4%. Pulp stones were discovered in 9.2% of females and 7.5% of males, with a highly significant difference between the genders (P<0.0001). Pulp stones were more prevalent in the maxillary arch (10.3%) than in the mandibular arch (6.5%), with a significant difference between arches. Pulp stones were most frequently occurring in right maxillary first molars (24.6%) and least occurring in left maxillary first premolars (0.1%). Pulp stones prevalence was significantly more common in the first molars than second molars, in the molars than premolars in each dental arch, and in the first maxillary molar than first mandibular molars. Pulp stones were detected more frequently in the intact teeth than in carious and restored teeth. Conclusion: The occurrence of pulp stones in this study was significantly higher in females than males, in maxillary teeth than in mandibular teeth, molars than premolars, first maxillary molars than mandibular molars and in intact teeth than restored and carious teeth.
Al-Hadi Hamasha, A., & Darwazeh A. (1998). Prevalence of pulp stones in Jordanian adults. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 86(6):730- 32. DOI: https://doi.org/10.1016/S1079-2104(98)90212-8
Al-Ghurabi, Z. H., & Najm A. A. (2012). Prevalence of pulp stone (Orthopantomographic-based). J Baghdad Coll Dent. 24(2):80-84.
Al-Nazhan, S., & Al-Shammrani S. (1991). Prevalence of pulp stones in Saudi adults.
Alexandria Dental Journal. 16(1):129-142.
Arys, A., Philippart C., & Dourov N. (1993). Microradiography and light microscopy of mineralization in the pulp of undermineralized human primary molars. J Oral Pathol Med. 22:49–53. DOI: https://doi.org/10.1111/j.1600-0714.1993.tb00041.x
Bains, S. K., Bhatia A., Singh H. P., Biswal S. S., Kanth S., & Nalla S. (2014). Prevalence of Coronal Pulp Stones and Its Relation with Systemic Disorders in Northern Indian Central Punjabi Population. ISRN Dent. 22:75-79. DOI: https://doi.org/10.1155/2014/617590
Baghdady, V. S., Ghose L. J. & Nahoom H. Y. (1988). Prevalence of pulp stones in a teenage Iraqi group. J Endod. 14(6):309-11. DOI: https://doi.org/10.1016/S0099-2399(88)80032-3
Colak, H., Celebi A. A., Hamidi M. M., Bayraktar Y., Colak T., & Uzgur R. (2012). Assessment of the prevalence of pulp stones in a sample of Turkish Central Anatolian population. Scientific World Journal. 3:1-7. DOI: https://doi.org/10.1100/2012/804278
Da Silva, E. J., Prado M. C., Queiroz P. M., Nejaim Y., Brasil D. M., Groppo F. C., & Haiter N. F. (2017). Assessing pulp stones by cone-beam computed tomography. Clin Oral Invest. 21:2327-33. DOI: https://doi.org/10.1007/s00784-016-2027-5
Edds, A. C., Walden J. E., Scheetz J.P., Goldsmith L. J., Drisko C. L., & Eleazer P. D. (2005). Pilot study of correlation of pulp stones with cardiovascular disease. J Endod. 31: 504 6. DOI: https://doi.org/10.1097/01.don.0000168890.42903.2b
Goga, R., Chandler N. P., & Oginni A. O. (2008). Pulp stones: A review. Int Endod J. 41:457-68. DOI: https://doi.org/10.1111/j.1365-2591.2008.01374.x
Gulsahi, A., Cebeci A. I., & Ozden S. (2009). A radiographic assessment of the prevalence of pulp stones in a group of Turkish dental patients. Int Endod J. 42(8):735-39. DOI: https://doi.org/10.1111/j.1365-2591.2009.01580.x
Gutmann, J. L. (1997). Problem Solving in Endodontics: Prevention, Identification, and Management, Mosby, St. Louis, Miss, USA, 3rd edition.
Hillmann, G., & Geurtsen W. (1997). Light-microscopical investigation of the distribution of extracellular matrix molecules and calcifications in human dental pulps of various ages. Cell Tissue Res. 289:145-54. DOI: https://doi.org/10.1007/s004410050860
Horsley, S. H., Beckstrom B., Clark S. J., Scheetz J. P., Khan Z., & Farman AG. (2009). Prevalence of carotid and pulp calcifications: A correlation using digital panoramic radiographs. Int J Comput Assist Radiol Surg. 4:169-73. DOI: https://doi.org/10.1007/s11548-008-0277-7
Hsieh, C. Y., Wu Y. C., Su C. C., Chung M. P., Huang R. Y., Ting P. Y., Lai C. K., Chang K. S., Tsai Y. W., & Shieh Y. S. (2018). The prevalence and distribution of radiopaque, calcified pulp stones: A cone-beam computed tomography study in a northern Taiwanese population. J Dent Sci. 13:138–144. DOI: https://doi.org/10.1016/j.jds.2017.06.005
Ibarrola, J. L., Knowles K. I., Ludlow M. O., & McKinley I. B. Jr. (1997). Factors affecting the negotiability of second mesiobuccal canals in maxillary molars. J Endod. 23:236-8. DOI: https://doi.org/10.1016/S0099-2399(97)80054-4
Johnson, P. L., & Bevelander G. (1956). Histogenesis and histochemistry of pulpal calcification. J Dent Res. 35:714-22. DOI: https://doi.org/10.1177/00220345560350050901
Kalaji, M. N., Habib A. A., & Alwessabi M. (2017). Radiographic Assessment of the Prevalence of Pulp Stones in a Yemeni Population Sample. Eur Endod J. 2(25): 2-7. DOI: https://doi.org/10.5152/eej.2017.17024
Kannan, S., Kannepady S. K., Muthu K., Jeevan M. B., & Thapasum A. (2015). Radiographic assessment of the prevalence of pulp stones in Malaysians. J Endod. 41(3):333-37. DOI: https://doi.org/10.1016/j.joen.2014.10.015
Langeland, K., Rodrigues H., & Dowden W. (1974). Periodontal disease, bacteria, and pulpal histopathology. Oral Surg Oral Med Oral Pathol. 37(2):257-70. DOI: https://doi.org/10.1016/0030-4220(74)90421-6
Maranhao de Moura, A. A., & de Paiva J. G. (1987). Pulpal calcifications in patients with coronary atherosclerosis. Endod Dent Traumatol. 3(6):307-9. DOI: https://doi.org/10.1111/j.1600-9657.1987.tb00640.x
Moss-Salentijn, L., & Klyvert M. H. (1983). Epithelially induced denticles in the pulps of recently erupted, noncarious human premolars. J Endod. 9:554-60. DOI: https://doi.org/10.1016/S0099-2399(83)80060-0
Moss-Salentijn, L., & Klyvert M. H. (1988). Calcified structures in human dental pulps. J Endod. 14:184–189. DOI: https://doi.org/10.1016/S0099-2399(88)80262-0
Nayak, M., Kumar J. & Prasad L. K. (2010). A radiographic correlation between systemic disorders and pulp stones. Indian J Dent Res. 21(3):369-73. DOI: https://doi.org/10.4103/0970-9290.70806
Patil, S. R., Araki K., Abd Ghani H., Al-Zoubi I. A., Sghaireen M. G., Gudipaneni R. K., & Alam M. K. (2018). A Cone Beam Computed Tomography Study of the Prevalence of Pulp Stones in a Saudi Arabian Adolescent Population. Pesq Bras Odontoped Clin Integr. 18(1):3973. DOI: https://doi.org/10.4034/PBOCI.2018.181.45
Ranjitkar, S., Taylor J. A., &Townsend G. C. (2002). A radiographic assessment of the prevalence of pulp stones in Australians. Aust Dent J. 47:36 40. DOI: https://doi.org/10.1111/j.1834-7819.2002.tb00301.x
Ravanshad, S., Khayat S., & Freidonpour N. (2015). The Prevalence of Pulp stones in Adult Patients of Shiraz Dental School, a Radiographic Assessment. Dent Shiraz Univ Med Sci.16 (4): 356-361.
Rodrigues, V., ScamardI I., Schacht Junior C., Bortolotto M., Manhaes junior L., Tomazinho L., & Boschini S. (2014). Prevalence of pulp stones in cone beam computed tomography. Dental Press Endod. 4(1):57-62. DOI: https://doi.org/10.14436/2178-3713.4.1.057-062.oar
Sener, S., Cobankara F. K., & Akgünlü F. (2009). Calcifications of the pulp chamber: prevalence and implicated factors. Clin Oral Investig. 13: 209-215. DOI: https://doi.org/10.1007/s00784-008-0212-x
Sisman, Y., Aktan A. M., Tarim Ertas E., Ciftci M. E., & Sekerci A. E. (2012). The prevalence of pulp stones in a Turkish population. A radiographic survey. Med Oral Patol Oral Cir Bucal. 17:e212 7. DOI: https://doi.org/10.4317/medoral.17400
Stenvik, A., & Mjör I. A. (1970). Epithelial remnants and denticle formation in the human dental pulp. Acta Odontol Scand. 28:72-8. DOI: https://doi.org/10.3109/00016357009058593
Sundell, J. R., Stanley H. R., & White C. L. (1968). The relationship of coronal pulp stone formation to experimental operative procedures. Oral Surg Oral Med Oral Pathol. 25:579-89. DOI: https://doi.org/10.1016/0030-4220(68)90303-4
Tamse, A., Kaffe I., Littner M. M., & Shani R. (1982). Statistical evaluation of radiologic survey of pulp stones. J Endod. 8:455–458. DOI: https://doi.org/10.1016/S0099-2399(82)80150-7
Turkal, M., Tan E., Uzgur R., Hamidi M. M., Çolak H., & Uzgur Z. (2013). Incidence and distribution of pulp stones found in radiographic dental examination of adult Turkish dental patients. Ann Med Health Sci Res. 3(4):572-76. DOI: https://doi.org/10.4103/2141-9248.122115
Van Den Berghe, J. M., Panther B., & Gound T. G. (1999). Pulp stones throughout the dentition of monozygotic twins: A case report. Oral Surg Oral Med Oral Pathol Oral RadiolEndod.87:749-51. DOI: https://doi.org/10.1016/S1079-2104(99)70174-5
White, S. C., & Pharoah M. J. (2009). Oral Radiology Principles and Interpretation. 6 Th ed. St Lous; Mosby: p. 310-365
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