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Author
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Pulp Calcification in Traumatized Primary Teeth – Classification, Clinical And Radiographic Aspects
1Department of Orthodontics and Pediatric Dentistry, School of Dentistry, University of São Paulo–FOUSP, São Paulo, Brazil
2Santa Cecília University (UNISANTA), Santos, SP, Brazil
3 School of Dentistry , São Leopoldo Mandic, Campinas, Brazil
4University of São Paulo–FOUSP, São Paulo, Brazil
5Cruzeiro do Sul University, São Paulo, Brazil.
*Corresponding Author(s): Ana Maria Antunes Santos E-mail: amas.odonto@gmail.com
The aim of this study was to standardize the nomenclature of pulp alteration to pulp calcification (PC) and to classify it according to type, quantity and location, as well as relate it to clinical and radiographic features. Study design: The dental records of 946 patients from the Research and Clinical Center for Dental Trauma in Primary Teeth were studied. Two hundred and fifty PC-traumatized upper deciduous incisors were detected. Results: According to radiographic analysis of the records, 62.5% showed diffuse calcification, 36.3% tube-like calcification, and 1.2% concentric calcification. According to the extension of pulp calcification, the records showed: 80% partial calcification, 17.2% total coronal calcification and partial radicular calcification, and 2.8 % total coronal and radicular calcification. As for location, only 2.4% were on the coronal pulp, 5.2% on the radicular pulp and 92.4% on both radicular and coronal pulp. Regarding coronal discoloration, 54% were yellow and 2% gray. In relation to periradicular changes, 10% showed widened periodontal ligament space, 3.1% internal resorption, 10% external resorption, 10.4% periapical bone rarefaction. Conclusions: Since PC is a general term, it is important to classify it and correlate it to clinical and radiographic changes, in order to establish the correct diagnosis, treatment and prognosis of each case.
Dental Pulp Calcification. Dental Trauma. Radiography, Dental.
Anna Carolina Volpi Mello-Moura,Ana Maria Antunes Santos,Gabriela Azevedo Vasconcelos Cunha Bonini,Cristina Giovannetti Del Conte Zardetto,Cacio Moura-Netto,Marcia Turolla Wanderley. Pulp Calcification in Traumatized Primary Teeth – Classification, Clinical And Radiographic Aspects. Journal of Clinical Pediatric Dentistry. 2017. 41(6);467-471.
1. Reed AJ, Sayegh FS. The dark primary incisors. Dental Survey ; 54(7): 16-19,1978.
2. Robertson A, Lundgren T, Andreasen JO, Dietz W, Hoyer I, Noren JG. Pulp calcifications in traumatized primary incisors. A morphological and inductive analysis study. Eur J Oral Sc;105(3):196-206, 1997.
3. Milano M, Seybold SV. Prevalence of pulpal calcifications in the primary dentition of Hispanic children. Texas Dent J;116(10):30-3, 1999.
4. Patterson SS, Mitchell DF. Calcific metamorphosis of the dental pulp. Oral Surgery, Oral Medicine, Oral Pathology; 20(1):94-101,1965.
5. Cohen S. Pathways of the pulp. St. Louis: Mosty; 8 th ed.,2000.
6. Kuster C. Calcific metamorphosis/internal resorption: a case report. Ped Dent; 3:274-5,1981.
7. Dard M, Kerebel B, Orly I, Kerebel L. Transmission electron microscopy of the morphological relationship between fibroblasts and pulp calcifications in temporary teeth. J Oral Patho & Medicine;17(3):124-8, 1988.
8. Kenwood M, Seow WK. Sequelae of trauma to the primary dentition. J Pedod,13(3):230-8, 1989.
9. Boorum M, Andreasen J. Sequelae of trauma to primary maxillary incisors. I. Complications in the primary dentition. Dental Traumatology; 14(1):31- 44, 1998.
10. Andreasen FM, Zhjie Y, Thomsen BL, Andersen PK. Occurrence of pulp canal obliteration after luxation injuries in the permanent dentition. Dental Traumatology; 3(3):103-15, 1987.
11. Moura AAM, Paiva JG. Pulpal calcification in patients with coronary atherosclerosis. Dent Traumatol; 3(6): 307-309, 1987.
12. Torneck CD. Dentin-pulp complex. In: Ten Cate AR. Oral Histology D, Stucture and Function. St Louis: Mosby; p. 143-185, 1998.
13. Marwaha M, Chopra R, Chaudhuri P, Gupta A, Sachdev J. Multiple pulp stones in primary and developing permanent dentition: a report of 4 cases. Case reports in dentistry; 2012.
14. Harrison LM, Jr. Treatment of traumatized primary anterior teeth. J Louisiana Dent Assn; 26(3):12-7,1968.
15. Holan G. Tube-like mineralization in the dental pulp of traumatized primary incisors. Endodontics & dental traumatology; 14(6):279-84,1998.
16. Goga R, Chandler NP, Oginni AO. Pulp stones: a review. Int Endod J;41(6):457-68, 2008.
17. Shuler SE, Howell BT, Green DB. Unusual pattern of pulp canal obliteration following luxation injury. J Endod; 20(9):460-2, 1994.
18. Soporowski NJ, Allred EN, Needleman HL. Luxation injuries of primary anterior teeth—prognosis and related correlates. Ped Dent; 16(2):96-101.1994.
19. Malmgren B, Andreasen JO, Flores MT, Robertson A, DiAngelis AJ, Andersson L, et al. International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 3. Injuries in the primary dentition. Dental Traumatology; 28(3):174-82, 2012.
20. Andreasen FM, Pedersen BV. Prognosis of luxated permanent teeth— the development of pulp necrosis. Endodontics & dental traumatology; 1(6):207-20,1985.
21. Soxman JA, Nazif MM, Bouquot J. Pulpal pathology in relation to discoloration of primary anterior teeth. ASDC J Dent Child; 51(4):282-4, 1984.
22. Mello-Moura AC, Bonini GA, Zardetto CG, Rodrigues CR, Wanderley MT. Pulp calcification in traumatized primary teeth: prevalence and associated factors. J Clin Ped Dent; 35(4):383-7, 2011.
23. Jacobsen I, Sangnes G. Traumatized primary anterior teeth: prognosis related to calcific reactions in the pulp cavity. Acta Odontol; 36(4):199-204,1978.
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