ORIGINAL RESEARCH article
Front. Dent. Med.
Sec. Periodontics
Volume 6 - 2025 | doi: 10.3389/fdmed.2025.1549281
Assessment of pulpal changes in periodontitis patients using CBCT: A volumetric analysis
Provisionally accepted
Ammar Almarghlani1,2*
Reem A Alsahafi3
Fatimah K Alqahtani3
Yousef Alnowailaty1Mohammed Barayan4
Ameerah Aladwani5Amr Bokhari6- 1King Abdulaziz University, Jeddah, Saudi Arabia
- 2Faculty of Dentistry, Jeddah, Saudi Arabia
- 3General Dentist, King AbdulAziz University, Jeddah, Saudi Arabia
- 4Oral and Maxillofacial Radiology, Oral Diagnostic Science Department, King Abdulaziz University, Jeddah, Saudi Arabia, Jeddah, Saudi Arabia
- 5My Clinic, Dental Center, Jeddah, Saudi Arabia, Jeddah, Saudi Arabia
- 6Periodontics Department, King Abdulaziz University Jeddah. Saudi Arabia, Jeddah, Saudi Arabia
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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. Objective: The objective for this study was to establish a correlation between pulp volume and periodontal disease using Cone-Beam Computed Tomography (CBCT) imaging. Methods: A crosssectional 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. Results: 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 3 and 15.24±4.2 mm 3 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 (p<0.05) was easily detected involving teeth # 22, 23, 11, and 13. However, the lowest difference, with non-significant difference (p>0.05), involving teeth # 43, 31, and 33 was observed. Discussion: The study's findings underscore a significant correlation between periodontitis and reduced pulp volume, suggesting that periodontal inflammation may influence pupal remodeling.
Keywords: endodontitis, Periodontal lesions, Cone-Beam Computed Tomography, CBCT, Periodontal teeth
Received: 20 Dec 2024; Accepted: 24 Mar 2025.
Copyright: © 2025 Almarghlani, Alsahafi, Alqahtani, Alnowailaty, Barayan, Aladwani and Bokhari. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Ammar Almarghlani, King Abdulaziz University, Jeddah, Saudi Arabia
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