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Assessing the Prevalence and Association of Pulp Stones with Cardiovascular Diseases and Diabetes Mellitus in the Saudi Arabian Population-A CBCT Based Study

Srivastava KC 1 , Shrivastava D 2 , Nagarajappa AK 1 , Khan ZA 3 , Alzoubi IA 2 , Mousa MA 4 Show all authors , Hamza M 4 , David AP 5 , Al-Johani K 6 , Sghaireen MG 4 , Alam MK 7

Affiliations 

  • 1 Oral Medicine & Radiology, Department of Oral and Maxillofacial Surgery & Diagnostic Sciences, College of Dentistry, Jouf University, Sakaka 72345, Saudi Arabia
  • 2 Periodontics, Department of Preventive Dentistry, College of Dentistry, Jouf University, Sakaka 72345, Saudi Arabia
  • 3 Department of Oral and Maxillofacial Surgery & Diagnostic Sciences, Division of Oral Surgery, College of Dentistry, Jouf University, Sakaka 72345, Saudi Arabia
  • 4 Prosthodontics, Prosthetic Dental Sciences, College of Dentistry, Jouf University, Sakaka 72345, Saudi Arabia
  • 5 Registrar at Al-Jouf Specialist Dental Centre, Ministry of Health, Sakaka 72345, Saudi Arabia
  • 6 Department of Oral diagnostic Sciences, Faculty of Dentistry, King Abdulaziz University, Jeddah 80200, Saudi Arabia
  • 7 Orthodontics, Department of Preventive Dentistry, College of Dentistry, Jouf University, Sakakah 72345, Saudi Arabia
Int J Environ Res Public Health, 2020 12 11;17(24).
PMID: 33322604 DOI: 10.3390/ijerph17249293

Abstract

The detection of pulp stone in a patient suffering from undiagnosed systemic diseases can be an early diagnostic indicator. Thus, the aim of the study was to assess the prevalence of pulp stones in the Saudi Arabian population with cardiovascular diseases and diabetes mellitus. In a retrospective study, we included cone-beam computed tomography (CBCT) scans of 73 patients with cardiovascular disease and 76 patients with diabetes mellitus as group I and II, respectively. Group III comprised of CBCT scan of 80 healthy controls. From a total of 229 scans, 4807 teeth were screened for pulp stones throughout the arches. A chi-square test was used for comparing the prevalence of pulp stones among the groups. Univariable and multivariable analysis was done to evaluate the independent risk indicators for pulp stones. The tooth-wise prevalence of pulp stones in group I, II, and III was found to be 16.65%, 9.01%, and 3.86%, respectively. Patient-wise (p < 0.01) and tooth-wise (p < 0.01) prevalence was recorded significantly highest in the cardiovascular group followed by the diabetic group. The control group had the least prevalence. Significantly (p < 0.01) higher number of pulp stones were found in cardiovascular patients with age > 50 years compared to other groups. Similarly, a significantly increased number of pulp stones were seen in the 1st molar (p < 0.05) and the maxillary jaw (p < 0.05) of patients with cardiovascular diseases. Subjects with cardiovascular disease and diabetes were found to have 2.94 times (p < 0.001; CI 1.54-3.10) and 1.81 times (p < 0.01; CI 0.48-2.06) higher risk of having pulp stones in comparison to healthy subjects. The first molar has 2.20 times (p < 0.001; CI 0.84-2.45) increased the risk of having pulp stones compared to other tooth types. Systemic disease such as cardiovascular disease and diabetes mellitus poses a higher risk for the development of pulp stones. Among the systemic disease group, patients in the cardiovascular group showed a higher risk for pulp stones and also reported the maximum number of pulp stones compared to the diabetic and healthy subjects.

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.

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