Association between Pulp Stone and Renal Stones: A Case-Control Study
DOI:
https://doi.org/10.52206/jsmc.2024.14.3.853Abstract
Background: Pulp stones refer to degenerative alterations occurring within the pulp tissue. Pulp stones are common issue for endodontic treatment. Literature is controversial about the association between pulp stone and renal stone.
Objective: To determine association between pulp stones and kidney stones in patients reporting to Saidu College of Dentistry, Swat.
Materials and Methods: This case-control study conducted at Saidu College of Dentistry in Swat, 70 dental patients were examined between August 1, 2023, and December 5, 2023. The sample size, initially 34, was increased to 70 to enhance study power. Cases included individuals with renal stones, while controls were without renal stones. Panoramic radiographs were taken to identify pulp stones. Exclusions involved medical conditions, and data analysis utilized R software. The chi-square test and logistic regression were employed to assess the association between renal stone and pulp stone, with a significance level set at P=0.05.
Results: The mean age was 36.03 ± 10.08 years, with 39 (55.71%) females and 31 (44.29%) males. A statistically significant difference was observed, with a higher proportion of cases having absent pulp stones (n=18, 51.43%) compared to controls (n=28, 80%) [p= 0.023]. The odds of having a present pulp stone are significantly higher in individuals with renal stones (cases) compared to the normal control group (OR: 3.78, 95% CI: 1.35-11.50, p=0.014). No significant difference is observed in the odds of having a present pulp stone between males and females (OR: 1.18, 95% CI: 0.44-3.25, p=0.750). The odds of having a present pulp stone are significantly higher in the 36-50 age group compared to the 18-35 age group (OR: 3.80, 95% CI: 1.28-13.04, p=0.022).
Conclusion: A statistically significant association was found between pulp stones and kidney stones. Furthermore, our observations indicate that the prevalence of pulp stones tends to increase with advancing age.
Keywords: Dental stone, Kidney stones, Medical conditions, Pulp stones
References
Almadhoon HW, Al-Kafarna M, Asla MM, Gbreel MI, Abd Allah MAE, Almotairy N. The association of dental pulp stones to cardiovascular and renal diseases: a systematic review and meta-analysis. J Endod. 2022;48(7):845-54. DOI: https://doi.org/110.1016/j.joen.2022.02.010
Jannati R, Afshari M, Moosazadeh M, Allahgholipour SZ, Eidy M, Hajihoseini M. Prevalence of pulp stones: A systematic review and meta-analysis. J Evidence-Based Med. 2019;12(2):133-9. DOI: https://doi.org/10.1111/jebm.12331
López Torres RG, Salame Ortiz VA, Sarabia Solis KL. Risk Factors Associated with Pulpal Calculus Formation and Calcifications: An Exploratory Analysis. J Advan Zool 2023.;44. DOI: https://doi.org/10.53555/jaz.v44iS1.490
Alaajam WH, Saleh AA, Alghamdi NS, Ain TS, Algarni YA, Abubaker M. Incidence and distribution of pulp stones among Southern Saudi Arabian sub-population. SAGE Open Med. 2021;9:279-83. DOI: https://doi.org/10.1177/20503121211062796
Chen G, Huang L-G, Yeh PC. Detecting calcified pulp stones in patients with periodontal diseases using digital panoramic and periapical radiographies. J Dent Sci. 2022;17(2):965-72. DOI: https://doi.org/10.1016/j.jds.2021
Ravichandran S, Vadivel JK. Prevalence of pulp stones in IOPA radiographs. J Advance Pharmaceut Technol Res. 2022;13(Suppl 1):S63. DOI: https://doi.org/10.4103/japtr.japtr_126_22
Marshall G, Verdelis K, Peters OA. Morphology of pulpal mineralizations: A scoping review. J Dent. 2023. DOI: https://doi.org/10.1016/j.jdent.2023.104745
Ertas ET, Veli I, Akin M, Ertas H, Atici MY. Dental pulp stone formation during orthodontic treatment: A retrospective clinical follow-up study. Niger J Clin Pract. 2017;20(1):37-42. DOI: https://doi.org/10.1111/j.1365-2591.2008.01374.x
Borshov M, Manjarrés V, Gutmann JL, Endo C. Some Gleanings on the Origin, Etiology, Nature and Development of Pulp Stones100-year Perspective. J Hist Dent 2022;70(3):201-16. PMID: 36480324
Zeng J, Yang F, Zhang W, Gong Q, Du Y, Ling J. Association between dental pulp stones and calcifying nanoparticles. Int J Nanomed. 2011;12:109-18. DOI: https://doi.org/10.2147/IJN.S13267
Galav A, Vyas T, Kaur M, Chauhan M, Satija N. Association of pulp stones & renal stones-a clinical study. J Oral Biol Craniofac Res. 2018;5(3):189-92.
Saeed S, Ullah A, Ahmad J, Hamid S. The prevalence of incidentally detected urolithiasis in subjects undergoing computerized tomography. Cureus. 2020;12(9). DOI: https://doi.org/1010.7759/cureus.10374
Aleksova P, Serafimoski V, Popovska M, Ristovski M. Pulp stones can help in detection of calculus in the kidneys and/or in the bile--fact or fiction? Pril (Makedon Akad Nauk Umet Odd Med Nauki) 2013;34(2). PMID: 24280890
Ertas ET, Inci M, Demirtas A, Ertas H, Yengil E, Sisman Y, et al. A radiographic correlation between renal and pulp stones. West Indian Med J. 2014;63(6):620. DOI: https://doi.org/10.7727/wimj.2013.077
Kumar T, Puri G, Aravinda K. Correlation between prevalence of pulp stones and renal stones in Panchkula region of India. SRM J Res Dent Sci. 2015;6:1504. DOI: https://doi.org/10.4103/0976-433X.162156
Moudi E, Kazemi A, Madani Z. A radiographic correlation between the presence of pulp stones and kidney stones. Casp J Appl Sci Res. 2015;4:17.
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;13:24650. DOI: https://doi.org/10.22037/iej.v13i2.18181
Patil SR. Prevalence of and relationship between pulp and renal stones: A radiographic study. J Oral Biol Craniofac Res. 2015;5:18992. DOI: https://doi.org/10.1016/j.jobcr.2015.06.010
Additional Files
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 The authors retain the copyrights. Authors are permitted and encouraged to post their work online (e.g. in institutional repositories or on their website), as it can lead to productive exchanges, as well as greater citation of published work.

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Readers may “Share-copy and redistribute the material in any medium or format” and “Adapt-remix, transform, and build upon the material”. The readers must give appropriate credit to the source of the material and indicate if changes were made to the material. Readers may not use the material for commercial purpose. The readers may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.