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
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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Trauma; Pulpal calcification; Ellis classification
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.
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 . The two chief morphologic forms of pulp calcifications are discrete pulp stones (pulp nodules, denticles) and diffuse calcifications . 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 . 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 .