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Scripta Scientifica Medicinae Dentalis

Pulp calcifications—diagnostics, clinical significance and therapeutic protocol

Denitsa Zaneva-Hristova, Patrisia Hristova

Abstract

Introduction: Pulp stones are calcified structures that develop within the pulp tissue of both primary and permanent teeth. A number of studies have examined their morphological characteristics and chemical composition. However, their development, structural composition, and morphological configuration are still unclear. They can pose a problem during treatment, making endodontic therapy more difficult to accomplish.

Materials and Methods: This study emphasizes on the morphological composition of pulp stones and aims to systematize the means and techniques for dealing with denticles in the pulp chamber.

Results: The prevalence of denticles ranges from 8% to 95%. They are more common in maxillary teeth than in mandibular teeth. They may occur in any tooth, though they are most commonly identified in permanent molars and mandibular anterior teeth.

Conclusion: Denticles can lead to a partial or complete obliteration of the pulp chamber and/or root canals and therefore can make the endodontic treatment difficult or completely impossible. The use of appropriate instruments and approach in surgical treatment leads to a high success rate.


Keywords

denticles, endodontic treatment, calcification, pulp chamber, obliteration, enlargement, pulp stones

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DOI: http://dx.doi.org/10.14748/ssmd.v11i2.10533

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About The Authors

Denitsa Zaneva-Hristova
Medical University of Varna
Bulgaria

Department of Conservative Dentistry and Oral Pathology, Faculty of Dental Medicine

Patrisia Hristova
Medical University of Varna
Bulgaria

Faculty of Dental Medicine

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