different treatment modalities for pulp stones

Abstract

Pulpal calcifications or also called pulpal calcium degeneration are small masses of calcified tissue that obliterates part or almost all of the endodontic network, the presence of these masses can further complicate endodontic treatment and requires an adaptation of the therapeutic approach. The objective of this article is to illustrate the difficulties and the keys to success of endodontic treatment in the presence of pulpal calcifications. Three patients with three levels of difficulty; a free coronary pulp stone, an adherent coronary pulp stone and diffuse root canal calcification required well-adapted treatment in order to eradicate these calcified masses. The discovery of pulpal calcifications during daily practice is particularly frequent. These calcifications can present different clinical forms and pose problems of diagnosis and management. The indication for endodontic treatment cannot be based solely on the presence of pulp stone but on a diagnosis confirmed by a clinical and radiological examination showing the pulp status of the tooth.