Correlation of pulp stones to hyperlipidemia and hypertension: a clinico pathological hospital-based study

Abstract

Pulp stones signify the calcification of the discrete origin seen in the pulp tissues and are seen either embedded or attached to the dentin. Pulp stones can be a pathological or physiological entity. The pathogenesis of the pulp stone formation is idiopathic. However, various theories have been proposed. Pulp stone frequency is in the range of 8% to 90%. They are more identified on the histopathologic examination than radiographic assessment. The present study aimed to assess and correlate the histopathologic analysis and clinical parameters of the pulp stones to hyperlipidemia and systemic hypertension. The study assessed 140 subjects for the correlation of histopathologic analysis and clinical parameters of the pulp stones to hyperlipidemia and systemic hypertension. After inclusion, detailed case history was recorded for all the participants. This was followed by the radiographic assessment, and the pulp tissue after extirpation was sent for processing. The data gathered was statistically assessed with the Chi-square test and SPSS software. The study showed that on radiographic assessment, pulp stones were seen in 28 subjects and histopathologic assessment in 60 subjects among the total studied 140 subjects. Hyperlipidemia and hypertension were significantly associated with using nonlaminated and uneven varieties of pulp stone. The study concludes that subjects having irregularly shaped and nonlaminated pulp stones on histopathologic analysis should undergo assessment for systemic hypertension and hyperlipidemia.