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ISSN: 2167-1222
Journal of Trauma & Treatment
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The Pulpless Tooth: A Case of Calcified Pulp Canal

Geon Pauly*, Roopashri Rajesh Kashyap, Raghavendra Kini, Prasanna Kumar Rao and Gowri P Bhandarkar

Department of Oral Medicine and Radiology, A J Institute of Dental Sciences, Kuntikana, Mangaluru, Karnataka, India

*Corresponding Author:
Geon Pauly
Postgraduate Student, Department of Oral Medicine and Radiology
A J Institute of Dental Sciences, Kuntikana, Mangaluru, Karnataka, India
Tel: +918905102696
E-mail: [email protected]

Received Date: March 30, 2017; Accepted Date:May 04, 2017; Published Date: May 06, 2017

Citation: Pauly G, Kashyap RR, Kini R, Rao PK, Bhandarkar GP (2017) The Pulpless Tooth: A Case of Calcified Pulp Canal. J Trauma Treat 6:i105. doi: 10.4172/2167-1222.1000i105

Copyright: © 2017 Pauly G, et al. This is an open-access article distributed under the terms of the creative commons attribution license, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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Keywords

Trauma; Pulpal calcification; Ellis classification

Clinical Image

A 32-year-old male patient came to the department of oral medicine and radiology with a chief complaint of discoloured teeth in upper front tooth region since 2 years. He gave no history of pain and a history of fall 4 years ago. Past medical and dental history were noncontributory. Intraoral examination revealed yellowish discoloration of coronal aspect of left maxillary central incisor (Figure 1). No tenderness elicited on palpation and percussion. A provisional diagnosis of Ellis Class IV fracture was given. Electric pulp testing gave a negative response. Intraoral periapical radiograph revealed calcification of coronal and radicular part of the pulp canal, suggestive of trauma induced calcification. The patient was referred for endodontic evaluation followed by prosthodontic evaluation for the needful.

trauma-treatment-left-maxillary

Figure 1: (A) Discolored left maxillary central incisor and (B) Calcified canal.

Dental pulp calcification presents as masses of calcified tissue present on the level of the pulp chamber and roots of the teeth, giving it a ‘spooky’ or ‘ghostly’ appearance [1]. The two chief morphologic forms of pulp calcifications are discrete pulp stones (pulp nodules, denticles) and diffuse calcifications [2]. Pulp calcifications have been noted in patients with systemic or genetic disease such as dentin dysplasia, dentinogenesis imperfecta and in certain diseases such as Vander Woude syndrome [3]. Completely calcified canals can be untreated, but should be kept on constant observation, and if discoloration of the coronal aspect of the teeth is noted, prosthetic rehabilitation becomes mandatory. In case of partially calcified canals management includes, orifice recognition, biomechanical preparation and use of chelating agents like EDTA can be considered [4].

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