December 2011

Volume 28, Issue 4

Association of pulp stones with coronary artery stenosis

Authors: F. Ezoddini-Ardakani S.M. Namayandeh S.M. Sadr-Bafghi F. Fatehi Z. Mohammadi S. Shahrabi-Farahani A.S. Hedayati M.J. Rahmani-Baghemalek
doi: 10.1922/CDH_ 2633Ardakani03


Background: Dental pulp stones are discrete calcifications in the pulp chamber which are often seen in deciduous and permanent teeth. It has been hypothesised that atherosclerosis can be associated with their development. Objective: To determine whether a higher prevalence of dental pulp stones is correlated with coronary artery stenosis. Clinical setting: Sixty-one patients aged 20-55 years referred to Afshar Heart Center for invasive coronary angiography were invited to undergo panoramic dental radiography. The panoramic radiographs were independently examined for the presence of pulp stones. Results: Pulp stones were present in 82% (31/38) of patients with at least one clinically significant coronary artery stenosis and in 48% (11/23) of patients with normal coronary angiography. They were present in 13% of the teeth in the former group and in 5% of the teeth in the latter. The findings show a statistically significant association between coronary artery stenosis and presence of pulp stones (odds ratio 4.83, 95% confidence interval 1.5-15.4). Conclusion: Coronary artery stenosis and dental pulp calcification are significantly associated. Dental radiography has the potential to be used as a rapid screening method for the early detection of coronary artery stenosis. Key words: dental pulp calcification, coronary stenosis, panoramic radiography


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Editorial - Early Childhood Caries: a complex problem requiring a complex intervention 254-254 Download
Why has oral health promotion and prevention failed children requiring general anaesthesia for dental extractions? 255-258 Download
The relationship between dental care and perceived oral health impacts 259-264 Download
Is the shortened dental arch an underused treatment strategy in the Republic of Ireland? 265-268 Download
Predictors of utilisation of dental care services in a nationally representative sample of adults 269-273 Download
Applicability of both dentist and patient perceptions of dentists’ explanations to the evaluation of dentist–patient communication 274-279 Download
Oral health behaviour of urban and semi-urban schoolchildren in the Lao PDR 280-285 Download
Evaluation of a preventive program based on caries risk among mentally challenged children using the Cariogram model 286-291 Download
The effect of a modified fluoride toothpaste technique on buccal enamel caries in adults with high caries prevalence: a 2-year clinical trial 292-296 Download
Association of clinical oral health status with self-rated oral health and GOHAI in Japanese adults 297-300 Download
Prevalence of periodontopathogens in a black Brazilian secluded community matched with a black urban population 301-304 Download
Association of pulp stones with coronary artery stenosis 305-307 Download
Incisor trauma in a Turkish preschool population: Prevalence and socio-economic risk factors 308-312 Download
Malocclusion and orthodontic treatment need measured by the Dental Aesthetic Index and its association with dental caries in Indian schoolchildren 313-316 Download


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