Pulp Stone — Causes, Types, and Removal



Denticles, also known as pulp stones, are calcified deposits that develop inside the pulp chamber of teeth and are home to blood vessels and nerves. These structures, which range in size from 0.05 mm to 4 mm, can form in the crown or root regions of both milk and adult teeth, and the number of these structures varies from tooth to tooth. Although the exact mechanism of pulp stone development is unknown, age-related pulp size decrease is frequently linked to it. The calcification that results from reduced cell density and the degeneration and mineral collaboration of pulp chamber cells are factors that exacerbate this process. Previous dental procedures like restorations and fat deposits surrounding the pulp chamber may also be factors.

Pulp stones can be extremely painful and difficult to identify; radiography and sophisticated imaging are needed for this purpose. The stones are arranged according to their location, structure, and size.

Pulp stones might make it difficult to reach the root canals during root canal therapy (RCT). Dentists utilize sodium hypochlorite or meticulous instrumentation with root canal files to remove the stones. Because pulp stones are uneven in size and structure, endodontic operations require a personalized approach.

In summary, pulp stones are calcified formations that affect root canal therapy and cause excruciating toothaches. Recognizing the individuality and difficulties presented by every case, dentists employ tailored techniques to remove these stones and protect the afflicted teeth.

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