The prevalence of pulp stones in a Hazaribagh population: a radiographic survey

Background: The goal of this retrospective study was to determine the prevalence of pulp stones in a Hazaribagh population. Any possible associations between pulp stones tooth type and dental arch were also evaluated.Methods: A total of 4625 teeth of 500 patients were examined in our department who came for diagnostic radiograph of posterior teeth. The presence or absences of pulp stones were recorded.Results: Pulp stones were found in 834 (18.03%) of 4625 teeth detected. The occurrence of pulp stones was most significant in among the age groups of 31-50 years of age. The pulp stones were significantly higher in permanent maxillary first and second molars.Conclusions: Pulp stones are not only incidental radiographic findings of the pulp tissue but may also be an indicator of some serious underlying disease. On the other hand, they may provide useful information to predict about the susceptibility of patients for other dystrophic soft tissue calcifications such as urinary calculi and calcified atheromas.

Dentin dysplasia type 1d: A rare case.

Dentin dysplasia is a rare hereditary disturbance of dentin formation characterized by a defective dentin development with clinically normal‑appearing crowns, severe hypermobility of teeth and spontaneous dental abscesses or cysts. Radiographic analysis shows obliteration of all pulp chambers by pulp stones, short, blunted and malformed or absent roots, peri‑apical radiolucencies of noncarious teeth. We present a case of dentin dysplasia type 1d in a 19‑year‑old boy along with the clinical, radiographic findings of this condition and treatment. There are still many inconclusive issues in the diagnosis and management of patients with dentin dysplasia. The diagnostic features of this rare disturbance will remain incompletely defined until additional cases have been described.

A biochemical and histopathological evaluation of generalized pulp calcification in young permanent teeth.

Pulp calcifications are a frequent finding on bitewing and periapical radiographs in older age-groups but their occurrence in the entire dentition in young subjects is unusual. We report such an unusual occurrence of generalized pulp calcification in a 13-year-old Indian female. Radiographic examination of the dentition revealed pulp calcifications in all permanent teeth, located mostly in the pulp chamber but with some in the root canals. The patient's dental, medical, and family history was noncontributory. Biochemical analysis of the removed pulp calcification from one of the teeth during endodontic treatment showed large amounts of calcium, phosphorus, and carbonate. However, metabolic evaluation of patient through liver and kidney function tests and other blood investigations did not reveal any metabolic disorder. The patient was also evaluated for any systemic, syndromic, or genetic involvement but this was also noncontributory. Therefore, we propose that this unusual case of generalized pulp calcification is of idiopathic origin. In this work, histopathological and biochemical evaluations of the pulp calcification was done to try and understand the initiation and progress of calcifications in pulpal tissue.