Criteria for management of calcific metamorphosis: review with a case report.
Artigo
em Inglês
| IMSEAR
| ID: sea-51618
ABSTRACT
Calcific metamorphosis is seen commonly in the dental pulp after traumatic tooth injuries and is characterized by deposition of hard tissue within the root canal space. Opinion differs among practitioners as to whether to treat these cases upon early detection of calcific metamorphosis or to observe them until symptoms or radiographic signs of pulpal necrosis are detected. In this article, the clinical, radiographic, and histopathologic appearance of calcific metamorphosis is described; a review of the literature is presented to address these issues in an attempt to establish sound rationale for treatment. Approximately 3.8% to 24% of traumatized teeth develop varying degrees of calcific metamorphosis. Studies indicate that of these, approximately 1% to 16% will develop pulpal necrosis. Most of the literature does not support endodontic intervention unless periradicular pathoses is detected or the involved tooth becomes syptomatic. It may be advisable to manage cases demonstrating calcific metamorphosis through observation and periodic examination. A report of a case where in non-surgical endodontic intervention was successfully carried out a patient suffering from calcific metamorphosis with periapical pathoses is also presented.
Texto completo:
DisponíveL
Índice:
IMSEAR (Sudeste Asiático)
Assunto principal:
Doenças Periapicais
/
Materiais Restauradores do Canal Radicular
/
Tratamento do Canal Radicular
/
Humanos
/
Masculino
/
Necrose da Polpa Dentária
/
Adulto
/
Calcificações da Polpa Dentária
/
Guta-Percha
/
Incisivo
Tipo de estudo:
Estudo de rastreamento
Idioma:
Inglês
Ano de publicação:
2004
Tipo de documento:
Artigo
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