Endodontic treatment of teeth that undertook calcic pulp metamorphosis

Abstract

The pulp-dentin complex is primarily responsible for the color of teeth. Increasing the thickness of the dentin and decreasing or eliminating the pulp tissue implies changing the tooth color. Calcific Metamorphosis of the Pulp, partial or total calcification of the root canal, replaced by sclerotic dentin is often perceived by darkening of the tooth followed by aseptic pulp necrosis. Endodontic treatment in these cases becomes very difficult due to atresia or even total calcification of the pulp space, requiring the use of specific techniques, knowledge and mastery of internal dental anatomy. In this article we present a clinical case in which we performed the root canal of a tooth that suffered Calcific Pulp Metamorphosis, employing an ultrasonic insert in the modeling of the canal.