Restor Dent Endod.  2024 May;49(2):e17. 10.5395/rde.2024.49.e17.

Pulp stones: any relevance with the levels of serum calcium, parathyroid hormone, vitamin D and uric acid

• Gürhan C
• Saruhan E

• KMID: 2556546
• DOI: http://doi.org/10.5395/rde.2024.49.e17

Abstract

Objectives
This study evaluated the effect of serum calcium, parathyroid hormone (PTH), vitamin D, and uric acid levels on pulp stone formation.
Materials and Methods
Patients who were admitted to the Muğla Sıtkı Koçman University, Faculty of Dentistry, Department of Oral and Maxillofacial Radiology for dental complaints were registered. Among these patients, individuals who had routine biochemical tests at the same period in the Outpatient Clinics of Muğla Sıtkı Koçman University Training and Research Hospital were included in the study. The patients with at least 1 pulp stone on panoramic radiographs recorded as the “pulp stone group” while patients without any pulp stones were the “control group”. Demographic data and serum levels of calcium, PTH, vitamin D, and uric acid were retrospectively evaluated in both groups. Student t-test or Mann-Whitney U test was used to evaluate the differences between the groups.
Results
Among 151 patients, dental pulp stone was detected in 53.6% of patients, and 82.7% of these patients were female. Female sex and pulp stone formation were significantly associated (p = 0.001). The mean age of the pulp stone group was 43.9, while it was 39.9 in the control group, without any significant correlation between age and pulp stone (p > 0.05). Similarly, there were no significant differences in serum levels of PTH, vitamin D, uric acid and calcium between groups (p > 0.05).
Conclusions
According to the present study, the effect of dental factors rather than systemic factors should be considered primarily in pulp stone formation.

Keyword

Calcium; Parathyroid hormone; Pulp stone; Uric acid; Vitamin D

Figure

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  Figure 1 Flowchart diagram showing patient selection criteria.

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  Figure 2 Blue and red boxes on the panoramic image show teeth with or without pulp stone, respectively.

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