What causes pulp stones?
What causes pulp stones?
increasing age. circulatory disturbances within the pulp. long standing local irritants such as dental caries, pulp-capping procedures, healed tooth fractures, tooth injury restorations and periodontal diseases. orthodontic tooth movements.
What causes pulp calcification?
The formation of pulp stones has also been associated with long-standing irritants such as caries, deep fillings, and chronic inflammation. Despite a number of microscopic and histochemical studies, the exact cause of such pulp calcifications remains largely unknown.
What are dental pulp stones?
Pulp stones are foci of calcification in the pulp of tooth. Calcification can occur in the dental pulp as discrete calcified stones or as diffuse form that can occur freely in the pulp tissue or is attached to or embedded into dentin [1.
What is the origin of dental pulp?
The dental pulp develops from the neural crest cells in the fetus which condense to form the dental papilla. The mature pulp has a layer of highly specialized cells called odontoblasts that lie around the outer borders of the pulp. The dental pulp itself has a rich supply of blood vessels and nerves.
How do you manage pulp stones?
Clinically, pulp stones even large ones, are very common and many methods can be used to remove them from the pulp chamber and root canals. Sometimes a large pulp stone can be dissected out of an access cavity using burs, but ultrasonic instrumentation with the use of special tips makes their removal easier.
What is calcific metamorphosis?
Calcific Metamorphosis is defined by the American Association of Endodontists (4) as “A pulpal response to trauma characterized by rapid deposition of hard tissue within the canal space.”
What are the causes of calcification?
Causes of calcification
- infections.
- calcium metabolism disorders that cause hypercalcemia (too much calcium in the blood)
- genetic or autoimmune disorders affecting the skeletal system and connective tissues.
- persistent inflammation.
What is pulp necrosis?
Pulp necrosis is an irreversible condition that occurs when the soft pulp inside of a tooth dies. This is the last stage of a disease called pulpitis.
What are the pulp formation?
Pulpoblasts form in the middle of the pulp. This completes the formation of the pulp. The dental pulp is essentially a mature dental papilla. The development of dental pulp can also be split into two stages: coronal pulp development (near the crown of the tooth) and root pulp development (apex of the tooth).
What is dental pulp made of?
Dental pulp is an unmineralized oral tissue composed of soft connective tissue, vascular, lymphatic and nervous elements that occupies the central pulp cavity of each tooth. Pulp has a soft, gelatinous consistency.
What is a characteristic of pulp stones?
Histologically, they usually consist of concentric layers of mineralized tissue formed by surface accretion around blood thrombi, dying or dead cells, or collagen fibers. Occasionally a pulp stone may contain tubules and be surrounded by cells resembling odontoblasts.
How do you remove pulp stone endo?
Another challenge in Endodontics is the removal of pulp stones, as they block the access to the root canals. The best treatment for this condition is the combination of magnification and ultrasonics. The improved visualization and the conservative wear of the ultrasonic tip result in fewer iatrogenic errors.