Restor Dent Endod.  2021 Aug;46(3):e34. 10.5395/rde.2021.46.e34.

Evaluation of the relation between the pulp stones and direct restorations using cone beam computed tomography in a Turkish subpopulation

• Sezgin GP
• Kaplan SS
• Kaplan T

• KMID: 2548078
• DOI: http://doi.org/10.5395/rde.2021.46.e34

Abstract

Objectives
This study aimed to assess the presence of pulp stones through an examination of cone beam computed tomography images and correlate their prevalence with age, sex, dental arch and side, tooth type, and restoration type and depth.
Materials and Methods
Cone beam computed tomography images obtained from 673 patients and archival data on 11,494 teeth were evaluated. The associations of pulp stones with age, sex, dental arch and side, tooth type, and restoration type and depth were noted. All the measurements were subjected to a χ² test and one sample χ² test (p < 0.05).
Results
In the study group, 163 (24.2%) patients and 379 (3.3%) teeth had at least one pulp stone. The pulp stone frequency in those aged 30–39 years was significantly greater than in those aged 18–29 and ≥ 60 years, and the frequency was higher in females than in males (p < 0.05). The highest prevalence of pulp stones was found in maxillary dental arches and molar teeth (p < 0.05). Pulp stones were significantly more common in medium-depth restorations (p < 0.05).
Conclusions
Maxillary molar teeth, medium-depth restorations, individuals aged 30–39 years and females had a greater percentage of pulp stones.

Keyword

Amalgam; Cone-beam computed tomography; Composite; Dental pulp stone; Dental restoration

Figure

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  Figure 1 Teeth with pulp stones on different sections of cone-beam computed tomography (CBCT). (A) Coronal CBCT section of maxillary first molar. (B) Axial CBCT section of mandibular first molar.

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  Figure 2 Sagittal cone-beam computed tomography section of maxillary molars with pulp stones and a mandibular first molar with a pulp stone and medium restoration.

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  Figure 3 Coronal cone-beam computed tomography section of a mandibular first molar with a pulp stone and medium restoration.

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