Letter To The Editor
1
Pilot Study Of Correlation Of Pulp Stones With Cardiovascular Disease Edds AC. Wolden/€. ScheetzlI?Goldsmith 14. Drisko CL. Eleozer PD. 1 Entlod 2005: 3 I ,504 Oh. The aim of this pilot study was to determine if the presence of pulp stones was associated with cardiovascular disease (CVD). The hypothesis was that calcification of pulp microcirculationmay have a similar pathogenesis to atherosclerosis and calcified atheromas in CVD. A total of 55 patients aged 20 to 55 were chosen con- secutively based on the criteria including at least one minimally- restored. non-carious. asymptomatic molar, free from radiographic- ally observable periodontal disease as well as no history of gout. renal lithiasis or renal disease. where pulp dones in teeth with non- inflamed pulps were not expected in this age group A questionnaire was completed regarding their CVD status and that of their parents and siblings. The periapical radiographs of patients’ record were viewed to determine the presence of pulp stones. A significant association was found between pre-existingCVD and pulp stones (odds ratio 4.4 with a 95% confidence interval of I I. 18.7) However, no relationship was found between presence of pulp stones and family history of CVD (odds ratio I 7 with a 95% confidence interval of 0 5. 5.5) Pulp stones were detected in 74% of patients with reported CVD. whereas only 39% of patients with no CVD. The authors concluded that patients with CVD may have an increased incidence of pulp stones compared to patients with no CVD Dental radiographs may be utilized as a potential screening tool for early identification of patients with cardiovasculai-disease. Endodontic Complications After Plastic Restorations In General Practice Whitworth ]M. Myers PM. Smith /. Walls AWG. McCok /F: In[ Endodl 2005; 38:409 16. The purpose of this single-blind randomised controlled study was to assess the effectiveness of conditioning-and-sealing with adhesive resin as compared to calcium hydroxide lining for dentine and pulp protection. A total of 602 asymptomatic posterior teeth requiring a new or replacement restoration were recruited in six general practices Cavity preparations were randomised to receive either a Ca(OH), lining (288) or conditioning-and-sealing with a smear- removing bonding system (3 14). Choice of composite resin or amalgam restoration was at the discretion of the dentist Patients were not informed of the cavity treatment they had received Postoperative pain scores were recorded by patients using I00 mm visual analogue scales 0 mm being no pain and I00 mm being ‘unbearable pain’ at 24 h. 4 days and 7 days The pulp status of the restored tooth was assessed at 6. 12. 24 and 36 months. and at any Dear Sir, Thank you for including the abstract of my recent paper published in the Internocionol Endodontic jocimol in the abstracts of interest section of your journal (Aust Endod J 2005; 31 37). I must, however. point out that the conclusions published were incorrect. Although we looked at time of obturation. the main investigation was the area filled by a matched taper cone in a curved canal compared to lateral condensation We found that the matched taper cone was equivalent or in some instances better than lateral condensation. I would appreciate if you could publish this correction for the benefit of your readers and to avoid any confusion. Mike Cordon unscheduled (emergency) visit. Comparable numbers of cavities were lined with Ca(OH), (47.8%) or adhesive resin (52 2%) Amalgam was the restorative material in 62 6% of teeth. A total of 64 8% of restored teeth were recalled at six months. 5 I % at I 2 months, 60.3% at 24 months and 46 3% at 36 months Sixteen cases of pulp breakdown were identified within the 36-month observation period. I I presented as unscheduled and 5 detected at recall examination Cavity treatment by lining or conditioning- and-sealing had no association with adverse pulp outcomes How- ever, pulp breakdown was associated with deep cavity and pulp exposure. and with composite rather than amalgam restorations The authors concluded that Ca(OH),, lining was equally effective as conditioning-and-sealing for dentine and pulp protection. in deep or pulpally exposed cavities in posterior teeth, composites appeared to be associated with more adverse pulp consequences than amalgams Meeting A II n o un c em tb n t Annual Meeting of the Swiss Society of Endodontology Date: 20-2 I January2006 Title: Discover a new pictui-e of Endodontology Location: The brand-new Klee Museum in Berne. designed by Renzo Piano and dedicated to Paul Klee. Master of Modern At Contact: Secretariat SSE. PO. Box 8225. 300 I Berne (Switzerland) Telephone. +4 I 79 734 87 25 Fax t41 31 901 2020 Email. [email protected] n$ AUSTRALIAN ENEOLKINl I( IOURNAL VOLUME ji No L AU(LJ5T LOO5
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Transcript of Letter To The Editor
Pilot Study Of Correlation Of Pulp Stones With Cardiovascular Disease Edds AC. Wolden/€. ScheetzlI? Goldsmith 14. Drisko CL. Eleozer PD. 1 Entlod 2005: 3 I ,504 Oh.
The aim of this pilot study was to determine if the presence of pulp stones was associated with cardiovascular disease (CVD). The hypothesis was that calcification of pulp microcirculation may have a similar pathogenesis to atherosclerosis and calcified atheromas in CVD. A total of 55 patients aged 20 to 55 were chosen con- secutively based on the criteria including at least one minimally- restored. non-carious. asymptomatic molar, free from radiographic- ally observable periodontal disease as well as no history of gout. renal lithiasis or renal disease. where pulp dones in teeth with non- inflamed pulps were not expected in this age group A questionnaire
was completed regarding their CVD status and that of their parents and siblings. The periapical radiographs of patients’ record were viewed to determine the presence of pulp stones. A significant association was found between pre-existing CVD and pulp stones (odds ratio 4.4 with a 95% confidence interval of I I . 18.7) However, no relationship was found between presence of pulp stones and family history of CVD (odds ratio I 7 with a 95% confidence interval of 0 5. 5.5) Pulp stones were detected in 74% of patients with reported CVD. whereas only 39% of patients with no CVD. The authors concluded that patients with CVD may have an increased incidence of pulp stones compared to patients with no CVD Dental radiographs may be utilized as a potential screening tool for early identification of patients with cardiovasculai- disease.
Endodontic Complications After Plastic Restorations In General Practice Whitworth ]M. Myers PM. Smith /. Walls AWG. McCok /F : In[ Endodl 2005; 38:409 16.
The purpose of this single-blind randomised controlled study was to assess the effectiveness of conditioning-and-sealing with adhesive resin as compared to calcium hydroxide lining for dentine and pulp protection. A total of 602 asymptomatic posterior teeth requiring a new or replacement restoration were recruited in six general practices Cavity preparations were randomised to receive either a Ca(OH), lining (288) or conditioning-and-sealing with a smear- removing bonding system (3 14). Choice of composite resin or amalgam restoration was at the discretion of the dentist Patients were not informed of the cavity treatment they had received Postoperative pain scores were recorded by patients using I00 mm visual analogue scales 0 mm being no pain and I00 mm being ‘unbearable pain’ at 24 h. 4 days and 7 days The pulp status of the restored tooth was assessed at 6. 12. 24 and 36 months. and at any
Dear Sir,
Thank you for including the abstract of my recent paper published in the Internocionol Endodontic jocimol in the abstracts of interest section of your journal (Aust Endod J 2005; 31 37). I must, however. point out that the conclusions published were incorrect. Although we looked at time of obturation. the main investigation was the area filled by a matched taper cone in a curved canal compared to lateral condensation We found that the matched taper cone was equivalent or in some instances better than lateral condensation. I would appreciate if you could publish this correction for the benefit of your readers and to avoid any confusion.
Mike Cordon
unscheduled (emergency) visit. Comparable numbers of cavities were lined with Ca(OH), (47.8%) or adhesive resin (52 2%) Amalgam was the restorative material in 62 6% of teeth. A total of 64 8% of restored teeth were recalled at six months. 5 I % at I 2 months, 60.3% at 24 months and 46 3% at 36 months Sixteen cases of pulp breakdown were identified within the 36-month observation period. I I presented as unscheduled and 5 detected at recall examination Cavity treatment by lining or conditioning- and-sealing had no association with adverse pulp outcomes How- ever, pulp breakdown was associated with deep cavity and pulp exposure. and with composite rather than amalgam restorations The authors concluded that Ca(OH),, lining was equally effective as conditioning-and-sealing for dentine and pulp protection. in deep or pulpally exposed cavities in posterior teeth, composites appeared to be associated with more adverse pulp consequences than amalgams
Meeting A II n o un c em t b n t
Annual Meeting of the Swiss Society of Endodontology Date: 20-2 I January 2006
Title: Discover a new pictui-e of Endodontology
Location: The brand-new Klee Museum in Berne. designed by Renzo Piano and dedicated to Paul Klee. Master of Modern At
Contact: Secretariat SSE. PO. Box 8225. 300 I Berne (Switzerland)
Telephone. +4 I 79 734 87 25 Fax t 4 1 31 901 2020
Email. [email protected]
n $ AUSTRALIAN ENEOLKINl I( IOURNAL VOLUME j i No L AU(LJ5T LOO5
