Almarghlani Ammar, Alsahafi Reem A, Alqahtani Fatimah K, Alnowailaty Yousef, Barayan Mohammed, Aladwani Ameerah, Bokhari Amr
Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia.
General Dentist, King Abdulaziz University, Jeddah, Saudi Arabia.
Front Dent Med. 2025 Jun 19;6:1549281. doi: 10.3389/fdmed.2025.1549281. eCollection 2025.
Evidence suggests that periodontal disease can lead to inflammation and degeneration within dental pulp, highlighting the need for dental professionals to understand this association better.
The objective for this study was to establish a correlation between pulp volume and periodontal disease using Cone-Beam Computed Tomography (CBCT) imaging.
A cross-sectional study design was employed for the collected data from 148 patients aged 39.51 years using dental images obtained by CBCT and analyzed by medical software to create three-dimensional (3D) images. Pulp-volume analysis was performed using Amira software and measurements were derived using bio-models generated from CBCT images. Obtained data was analyzed using SPSS-27 statistical software.
The mean pulp volume between healthy and teeth with periodontitis showed certain differences. The mean low and largest pulp volumes of 9.15 ± 3.3 mm and 15.24 ± 4.2 mm were observed involving teeth # 41 and teeth # 13, respectively. Furthermore, a higher mean of pulp volume was observed in healthy teeth than in periodontitis-diagnosed teeth except for teeth # 33 and 43. The significant difference ( < 0.05) was easily detected involving teeth # 22, 23, 11, and 13. However, the lowest difference, with non-significant difference ( > 0.05), involving teeth # 43, 31, and 33 was observed.
The study's findings underscore a significant correlation between periodontitis and reduced pulp volume, suggesting that periodontal inflammation may influence pupal remodeling.
有证据表明，牙周疾病可导致牙髓内出现炎症和退化，这凸显了牙科专业人员更深入了解这种关联的必要性。
本研究的目的是利用锥形束计算机断层扫描（CBCT）成像技术，建立牙髓体积与牙周疾病之间的相关性。
采用横断面研究设计，收集了148名年龄为39.51岁患者的牙科图像数据，这些图像由CBCT获取，并通过医学软件进行分析以创建三维（3D）图像。使用Amira软件进行牙髓体积分析，并利用从CBCT图像生成的生物模型进行测量。所获数据使用SPSS - 27统计软件进行分析。
健康牙齿与患有牙周炎的牙齿之间的平均牙髓体积存在一定差异。分别观察到41号牙和13号牙的平均最小和最大牙髓体积为9.15 ± 3.3 mm和15.24 ± 4.2 mm。此外，除了33号牙和43号牙外，健康牙齿中的牙髓体积平均值高于被诊断为牙周炎的牙齿。在22号牙、23号牙、11号牙和13号牙中很容易检测到显著差异（< 0.05）。然而，在43号牙、31号牙和33号牙中观察到差异最小，且无显著差异（> 0.05）。
该研究结果强调了牙周炎与牙髓体积减小之间存在显著相关性，表明牙周炎症可能影响牙髓重塑。
