
Patient was advised to seek genetic testing to improve treatment planning capabilities and further recommendations. Routinely dental periapical radiographs or bitewing radiographs are used to demonstrate pulp stones. The factors found to influence development of pulp necrosis were age ofthe patient, degree of displacement and loosening, and concurrent crown fracrure. The pulpal calcifications are identified as focal intrapulpal radio-opacities in pulp chamber or as diffuse radio-opacities in the root canal giving an appearance of' calcific obliteration. As a result, the pulp chamber and the root canals in teeth of old people. In a study of 545 traumatized primary maxillary incisors, Borum and Andreasen' found that 53 percent of subjects de-veloped pulpal necrosis, and 25 percent developed pulp canal obliteration. A differential diagnosis of Dentin Dysplasia Type II was determined with the aid of a local oral pathologist. Reduction of the pulpal space by production of new dentin is a physiological event. Following restorative treatment, the patient experienced loss of Stainless-Steel Crown (SSC) with remaining coronal tooth structure due to pulpal obliteration. This case presentation discusses an 8-year-old male patient who presented with chronic decay and enlarged pulps noted at first clinical exam and radiographic interpretation. Permanent teeth tend to look typical but can demonstrate thistle-tube shaped pulps and/or multiple pulp stones. Pulpal necrosis occurred more frequently in fractured teeth. Calcific metamorphosis is the partial or complete obliteration of the pulp following dental trauma. The differences were statistically significant (p < 0.001), Table 3. This article presents case of pulp canal obliteration of maxillary central incisor that was managed with usage of cone beam CT (CBCT), microscopes. The presented technique offers a comparatively conservative approach in the treatment of anterior tooth discoloration associated with pulp chamber obliteration. Approximately 4-24 of traumatized teeth develop varying degrees of. This disease affects the primary teeth and clinical manifestations can include bulbous crowns, cervical constriction, mild discoloration (amber color) and pulp obliteration. Obliteration of the pulp canal space was more frequent in teeth that were traumatized during the 1 st and 2 nd decade of life, while pulpal necrosis was more frequent in teeth traumatized during the 3 rd decade of life. Pulp canal obliteration (PCO) occurs commonly following traumatic injuries to teeth. Dentin Dysplasia Type II is a rare autosomal dominant disease resulting from a disruption in the apposition stage of cell development. These anomalies can be isolated findings however, they may also indicate minor or major associated syndromes and identification of these findings are essential to providing comprehensive care for patients. Tooth development anomalies can happen at many stages of cell development and are relatively common.
