Turkiye Klinikleri Journal of Dental Sciences

.: ORIGINAL RESEARCH
Daimî Anterior Kesici Dişlerde Pulpa Kalsifikasyonu İnsidansı: Bir Konik Işınlı Bilgisayarlı Tomografi Kesitsel Çalışması
Incidence of Pulp Calcification in Permanent Anterior Incisors: A Cone Beam Computed Tomography Cross-Sectional Study
Sadullah KAYAa , Merve DOĞANa , Nihal Firdevs ÖZFİDAN ARIKANa
aDicle Üniversitesi Diş Hekimliği Fakültesi, Endodonti ABD, Diyarbakır, Türkiye
Turkiye Klinikleri J Dental Sci. 2023;29(3):440-5
doi: 10.5336/dentalsci.2022-92493
Article Language: TR
Full Text
ÖZET
 Amaç: Kalsifiye dişlerde kanal tedavisi yapmak zordur. Kalsifikasyon tam veya kısmi olabilir. Genellikle Pulpa kalsifikasyonu 200 μm'den küçük olduğunda ve yeterli mineralizasyon göstermediğinde radyolojik olarak tespit etmek mümkün değildir. Bu çalışmada, retrospektif konik ışınlı bilgisayarlı tomografi görüntülerinin değerlendirilmesiyle alt ve üst çene kesici dişlerde pulpa kalsifikasyon sıklığının saptanması ve kalsifikasyon ile yaş, cinsiyet, diş grubu ve yer aldığı çeneye göre aralarındaki ilişkinin incelenmesi amaçlanmıştır. Gereç ve Yöntemler: Dicle Üniversitesi Oral Diagnoz ve Radyoloji Ana Bilim Dalına başvuran rastgele seçilmiş 501 hastanın tomografisi incelendi. Değerlendirme 2 tekrarlı olarak 2 endodontist tarafından bağımsız olarak yapıldı ve ortak fikir birliğine göre sınıflandırıldı. Hastaların demografik bilgilerini içermeyen, artefaktlı ve görüntü kalitesi düşük tomografiler çalışmaya dâhil edilmedi. Değerlendirmeye alınan hastaların yaş aralığı Grup 1: 16-30, Grup 2: 31-50 ve Grup 3: 51 ve üzeri olarak sınıflandırıldı. Gruplar arasındaki farklar incelenirken değişkenler normal dağılımdan gelmiyorsa grupların ikili karşılaştırmalarında Mann-Whitney U testi uygulandı. Nominal değişkenlerin grupları arasındaki ilişkileri incelenirken ki-kare analizi uygulandı. Bulgular: 501 hastanın 26'sında kalsifiye dişe rastlandı. Diş bazında ise incelenen 3.228 dişten 57'sinde kalsifikasyon görüldü. Kalsifikasyon görülme sıklığı bakımından çene ve yaş grubu arasında anlamlı fark bulunurken (p0,05). Sonuç: Dişler arasında kalsifikasyon en çok mandibular santral kesici dişlerde saptandı.

Anahtar Kelimeler: Pulpa kalsifikasyonu; kesici dişler; konik ışınlı bilgisayarlı tomografi
ABSTRACT
 Objective: Root canal treatment in calcified teeth is difficult. Calcification can be complete or partial. Generally, it is not possible to detect radiologically when pulp calcification is less than 200 μm and does not show sufficient mineralization. In this retrospective study, it was aimed to determine the frequency of pulp calcification in the lower and upper incisors by evaluating cone beam computed tomography images and to examine the relationship between calcification and age, gender, tooth group and jaw. Material and Methods: The tomography of 501 randomly selected patients who applied to Dicle University Oral Diagnosis and Radiology Department were analyzed. Evaluation was carried out in 2 replicates independently by 2 endodontists and classified according to common consensus. Artifacts and low image quality tomographies that did not include the demographic information of the patients were not included in the study. The age range of the patients included in the evaluation was classified as Group 1: 16-30, Group 2: 31-50, and Group 3: 51 and above. MannWhitney U test was used for pairwise comparisons of the groups. Chisquare analysis was applied when examining the relationships between groups of nominal variables. Results: Calcified teeth were found in 26 of 501 patients. On the basis of teeth, calcification was observed in 57 of 3,228 teeth examined. While there was a significant difference between the jaws and age groups in terms of the incidence of calcification (p0.05). Conclusion: Among the teeth, calcification was found mostly in the mandibular central incisors.

Keywords: Pulp calcification; incisor teeth; cone beam computed tomography
REFERENCES:
  1. Goga R, Chandler NP, Oginni AO. Pulp stones: a review. Int Endod J. 2008;41(6):457-68. [Crossref]  [PubMed] 
  2. Sezgin B, Cakan E, Erdem T. Pulpa kalsifikasyonlarının sıklığı ve dağılımının radyografik inceleme yöntemiyle değerlendirilmesi [A radiographic assessment of the prevalence and distribution of pulp calcification]. İst Üni Diş Hek Fak Derg. 2011;45(2):49-55. [Link] 
  3. Kannan S, Kannepady SK, Muthu K, Jeevan MB, Thapasum A. Radiographic assessment of the prevalence of pulp stones in Malaysians. J Endod. 2015;41(3):333-7. [Crossref]  [PubMed] 
  4. Sener S, Cobankara FK, Akgünlü F. Calcifications of the pulp chamber: prevalence and implicated factors. Clin Oral Investig. 2009;13(2):209-15. [Crossref]  [PubMed] 
  5. Ivanauskaitė D, Kubiliūtė D, Janavičienė D, Brukienė V. Prevalence of pulp stones in molars based on bitewing and periapical radiographs. Stomatologija. 2021;23(1):9-15. [PubMed] 
  6. Nayak M, Kumar J, Prasad LK. A radiographic correlation between systemic disorders and pulp stones. Indian J Dent Res. 2010;21(3):369-73. [Crossref]  [PubMed] 
  7. Bauss O, Neter D, Rahman A. Prevalence of pulp calcifications in patients with Marfan syndrome. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008;106(6):e56-61. [Crossref]  [PubMed] 
  8. Nagaraj T, Sinha P, Goswami RD, Veerabasaviah BT. A radiographic assessment of the prevalence of idiopathic pulp calcifications in permanent teeth: A retrospective radiographic study. J Indi Acad Oral Med Radiol. 2014;26(3):248-52. [Crossref] 
  9. Fonseca Tavares WL, Diniz Viana AC, de Carvalho Machado V, Feitosa Henriques LC, Ribeiro Sobrinho AP. Guided endodontic access of calcified anterior teeth. J Endod. 2018;44(7):1195-9. [Crossref]  [PubMed] 
  10. Jain SD, Saunders MW, Carrico CK, Jadhav A, Deeb JG, Myers GL. Dynamically navigated versus freehand access cavity preparation: a comparative study on substance loss using simulated calcified canals. J Endod. 2020;46(11):1745-51. [Crossref]  [PubMed] 
  11. Venskutonis T, Plotino G, Juodzbalys G, Mickevičienė L. The importance of cone-beam computed tomography in the management of endodontic problems: a review of the literature. J Endod. 2014;40(12):1895-901. [Crossref]  [PubMed] 
  12. Keleş A, Keskin C, Versiani MA. Micro-CT assessment of radicular pulp calcifications in extracted maxillary first molar teeth. Clin Oral Investig. 2022;26(2):1353-60. [Crossref]  [PubMed] 
  13. Sisman Y, Aktan AM, Tarim-Ertas E, Ciftçi ME, Sekerci AE. The prevalence of pulp stones in a Turkish population. A radiographic survey. Med Oral Patol Oral Cir Bucal. 2012;17(2):e212-7. [Crossref]  [PubMed]  [PMC] 
  14. Gulsahi A, Cebeci AI, Ozden S. A radiographic assessment of the prevalence of pulp stones in a group of Turkish dental patients. Int Endod J. 2009;42(8):735-9. [Crossref]  [PubMed] 
  15. Çolak H, Çelebi AA, Hamidi MM, Bayraktar Y, Çolak T, Uzgur R. Assessment of the prevalence of pulp stones in a sample of Turkish Central Anatolian population. ScientificWorldJournal. 2012;2012:804278. [Crossref]  [PubMed]  [PMC] 
  16. Altındağ A, Yüksel İB. Pulpa kalsifikasyonları prevelansının radyolojik olarak değerlendirilmesi [Radiological evaluation of the prevalence of pulp calcifications]. NEU Dent J. 2021;3(3):102-7. [Crossref] 
  17. Tassoker M, Magat G, Sener S. A comparative study of cone-beam computed tomography and digital panoramic radiography for detecting pulp stones. Imaging Sci Dent. 2018;48(3):201-12. [Crossref]  [PubMed]  [PMC] 
  18. Turkal M, Tan E, Uzgur R, Hamidi M, Colak H, Uzgur Z. Incidence and distribution of pulp stones found in radiographic dental examination of adult Turkish dental patients. Ann Med Health Sci Res. 2013;3(4):572-6. [Crossref]  [PubMed]  [PMC] 
  19. Karadaş M, Hatipoğlu Ö, Akdağ M, Demirbuğa S. Evaluation of pulp stones in a subpopulation of northeast Turkey. Atatürk Üniv Diş Hek Fak Derg. 2015;25(1):29-34. [Crossref] 
  20. Sezgin GP, Sönmez Kaplan S, Kaplan T. Evaluation of the relation between the pulp stones and direct restorations using cone beam computed tomography in a Turkish subpopulation. Restor Dent Endod. 2021;46(3):e34. [Crossref]  [PubMed]  [PMC] 
  21. al-Hadi Hamasha A, Darwazeh A. Prevalence of pulp stones in Jordanian adults. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1998;86(6):730-2. [Crossref]  [PubMed] 
  22. Gabardo MCL, Wambier LM, Rocha JS, Küchler EC, de Lara RM, Leonardi DP, et al. Association between Pulp Stones and Kidney Stones: A Systematic Review and Meta-analysis. J Endod. 2019;45(9):1099-105.e2. [Crossref]  [PubMed] 
  23. Hoshyari N, Farahbod F, Nabati M, Haddadi A, Mousavi J, Shahsavar N. Association between coronary artery sclerosis and dental pulp calcification in patients attending Sari Touba Clinic, 2019. J Mazan Uni Med Sci. 2022;31(204):157-64. [Link] 
  24. Parashar SR, Kasabwala K, Ulaganathan S, McV A, Khandelwal P, Arockiam S, et al. Association of pulp calcifications and cardiovascular disease: a systematic review and meta-analysis. J Evid Based Dent Pract. 2022;22(2):101707. [Crossref]  [PubMed] 
  25. Pettiette MT, Zhong S, Moretti AJ, Khan AA. Potential correlation between statins and pulp chamber calcification. J Endod. 2013;39(9):1119-23. [Crossref]  [PubMed] 
  26. Srivastava KC, Shrivastava D, Nagarajappa AK, Khan ZA, Alzoubi IA, Mousa MA, et al. Assessing the prevalence and association of pulp stones with cardiovascular diseases and diabetes mellitus in the Saudi Arabian population-A CBCT based study. Int J Environ Res Public Health. 2020;17(24):9293. [Crossref]  [PubMed]  [PMC] 
  27. Vitali FC, Cardoso IV, Mello FW, Flores-Mir C, Andrada AC, Dutra-Horstmann KL, et al. Association between orthodontic force and dental pulp changes: a systematic review of clinical and radiographic outcomes. J Endod. 2022;48(3):298-311. [Crossref]  [PubMed] 
  28. Alghofaily M, Fouad AF. Association of Chronic Systemic Medications with the Incidence, Prevalence, or Healing of Endodontic Disease: A Systematic Review. J Endod 2022;48(12):1458-67. [Crossref]  [PubMed] 
  29. Kaswan S, Patil S, Maheshwari S, Rahman F, Khandelwal S. The relationship between pulp calcifications and salivary gland calcifications. J Clin Exp Dent. 2014;6(5):e474-8. [Crossref]  [PubMed]  [PMC] 

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