Prevalence of pulp calcifications in posterior teeth assessed by cone-beam computed tomography in patients treated at a radiology center
DOI:
https://doi.org/10.20453/reh.v36i1.6655Keywords:
prevalence, dental pulp calcifications, endodontics, dental pulp calculiAbstract
Objective: To determine the prevalence of pulp calcifications in permanent posterior teeth using cone-beam computed tomography (CBCT) at a radiology center in Tacna during the 2020–2023 period. Materials and methods: A non-experimental, retrospective, cross-sectional study. Training was provided by a specialist in oral and maxillofacial radiology, with whom 15 CTC scans were reviewed using agreed-upon criteria. A total of 163 CTC scans (FOV: 16 × 10 mm) involving 2,060 teeth, selected at random, were analyzed. The analysis was performed using NNT Viewer software, which evaluated each tooth in the sagittal, axial, and coronal planes. The chi-square statistical test was used to evaluate the relationship between the condition of the tooth and the presence of pulp calcifications, as well as between the patients’ age and the occurrence of such calcifications. Results: Of the 163 CT scans evaluated, 26.2% of the 2,060 teeth exhibited pulp calcifications. The prevalence was higher in women and in the 17–36 age group, although the difference was not statistically significant. The category with the highest prevalence was “intact teeth.” A significant relationship was found between the condition of the tooth and the presence of pulp calcifications. Conclusions: Pulp calcifications are a relatively common condition in permanent posterior teeth. Their presence is more closely related to the structural condition of the tooth than to factors such as age or sex.
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Chalikkandy SN, Bhandi S, Shawkani HA, et al. A systematic review assessing the dental pulp stone prevalence in the Saudi Arabian population. Saudi Dent J. 2023;35(7):803-11. doi:10.1016/j.sdentj.2023.07.012
Kumar P, Duraisamy A, Patnana A, et al. Prevalence of pulp stones in the population of Rajasthan: a cross-sectional study in a tertiary care hospital. Cureus. 2024;16(1):e51623. doi:10.7759/cureus.51623
Zhang W, Wang Y, Ye L, et al. Distribution and influencing factors of pulp stones based on CBCT: a retrospective observational study from southwest China. BMC Oral Health. 2024;24(1):947. doi:10.1186/s12903-024-04727-3
Fairozekhan AT, Ahmed SZ, Mohammed F, et al. Prevalence of pulp stones in patients visiting the dental hospital of Imam Abdulrahman Bin Faisal University: a correlative retrospective study. Cureus. 2025;17(1):e77765. doi:10.7759/cureus.77765
Calero-Hinostroza GG, Tinedo-López PL, García-Rupaya CR. Prevalencia y distribución de cálculos pulpares en un grupo de adultos peruanos: un estudio mediante tomografías de haz cónico. Odovtos. 2021;23(2):161-70. doi:10.15517/ijds.2021.44468
Sanz JL, Callado L, Mantale S, et al. Cone-beam computed tomography assessment of the prevalence and association of pulp calcification with dental and periodontal pathology: a descriptive study. J Clin Med. 2025;14(4):1373. doi:10.3390/jcm14041373
Movahhedian N, Haghnegahdar A, Owji F. How the prevalence of pulp stone in a population predicts the risk for kidney stone. Iran Endod J. 2018;13(2):246-50. doi:10.22037/iej.v13i2.18181
Gonçalves P, Candemil A, Petean I, et al. Identification and classification of pulp calcifications in posterior teeth according to dental condition using digital panoramic radiography and CBCT. Dentomaxillofac Radiol. 2024;53(5):308-15. doi:10.1093/dmfr/twae015
Chan F, Brown LF, Parashos P. CBCT in contemporary endodontics. Aust Dent J. 2023;68(S1):S39-55. doi:10.1111/adj.12995
Sanz JL, Callado L, Mantale S, et al. Cone-Beam Computed Tomography assessment of the prevalence and association of pulp calcification with dental and periodontal pathology: a descriptive study. J Clin Med. 2025;14(4):1373. doi:10.3390/jcm14041373
Kaabi HH, Riyahi AM, Al-Maflehi NS, et al. Three-dimensional analysis for detection of pulp stones in a Saudi population using cone beam computed tomography. J Oral Sci. 2023;65(4):257-60. doi:10.2334/josnusd.23-0091
Ravanshad S, Khayat S, Freidonpour N. The prevalence of pulp stones in adult patients of Shiraz Dental School, a radiographic assessment. J Dent. 2015;16(4):356-61. PMID:26636125
Kalaji MN, Habib AA, Alwessabi M. Radiographic assessment of the prevalence of pulp stones in a Yemeni population sample. Eur Endod J. 2017;2(1):25. doi:10.5152/eej.2017.17024
Mirah MA, Bafail A, Shaheen S, et al. Assessment of pulp stones among Western Saudi populations: a cross-sectional study. Cureus. 2023;15(9):e46056. doi:10.7759/cureus.46056
Sezgin GP, Sönmez 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. doi:10.5395/rde.2021.46.e34
Srivastava KC, Shrivastava D, Nagarajappa AK, 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. doi:10.3390/ijerph17249293
Bains SK, Bhatia A, Singh HP, et al. Prevalence of coronal pulp stones and its relation with systemic disorders in northern Indian central Punjabi Population. ISRN Dent. 2014;2014(1);2014:617590. doi:10.1155/2014/617590
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. doi:10.5624/isd.2018.48.3.201
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Copyright (c) 2026 Mayra Isaura Lavado García, Jacqueline Judith Adasme Zeballos, Sandra Giuliana Concori Ticona, Mario George Casaretto Gamonal, Santos Francisco Pinto Tejada, John Paul Torres Navarro

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