What is pulp stone?
Pulp stones are discrete calcifications that form within the pulp chamber. They may lie free within the pulp, adhere to the chamber wall, or become embedded in dentin. It is believed that the calcification initially forms around a central nidus of collagen fibrils, ground substance, or necrotic cell remnants.
What are types of pulp stones?
Histopathology. Histologically, there are two types of stones: (1) stones with regular calcifications (2) stones with irregular calcifications. For regular calcification, the pulp stones are smooth, round or ovoid with concentric laminations. It is commonly found in the coronal pulp.
How do you remove pulp stone?
Step-by-Step Calcified Canal Location
- After achieving access to the pulp chamber using a high speed turbine, place the ultrasonic tip in direct contact with the pulp calcification.
- Initiate the removal using straight and continuous movements over the calcification (dry procedure – do not irrigate).
What is pulp calcification?
The dental pulp calcification presents as masses of calcified tissue present on the level of the pulp chamber and roots of the teeth[1–5]. The formation of pulp stones has also been associated with long-standing irritants such as caries, deep fillings, and chronic inflammation.
What is the function of pulp?
The main functions of your tooth pulp are to create dentin and to provide your tooth with nutrition. Your tooth pulp also helps keep your dentin layer healthy by providing it with moisture and essential nutrients like albumin and fibrinogen.
How does pulp stone affect root canal?
Calcifications within the pulp may lead to a poorer outcome of a root canal procedure, as they can block access to the root canals, and hinder their subsequent cleaning and shaping. The paper describes 4 clinical cases of denticles located in the coronal and radicular pulp.
What are the zones of pulp?
The pulp cavity exhibits four zones as you progress from the dentin-pulp junction toward the center of the pulp cavity: 1) the odontoblast zone, 2) cell-free zone (basal layer of Weil), 3) cell-rich zone, and 4) the pulp core.
Are pulp stones common?
Pulp stones vary in size considerably, and in some cases, they appear to fill the pulp chamber or a portion of the root canals. Occasionally, they have been found in teeth that have not yet grown in. Pulp stones are extremely common, occurring in as many as 90 percent of people between the ages of 50 and 70.
What is a pulp in a tooth?
Dental pulp is the center part of a tooth comprised of connective tissue, blood vessels, and cells. If this gets infected it may become painful and need root canal therapy to salvage the tooth.
What contains pulp?
Tooth pulp is soft and consists of living blood vessels, connective tissue, and large nerves. Also commonly referred to as the nerve, the pulp branches out and continues down each root through the canals of the tooth and stops just shy of the apex, or tip, of the tooth.
What is the structure of pulp?
Anatomy. The pulp is the neurovascular bundle central to each tooth, permanent or primary. It comprises a central pulp chamber, pulp horns, and radicular canals. The large mass of the pulp is contained within the pulp chamber, which is contained in and mimics the overall shape of the crown of the tooth.
What is the primary function of pulp?
Put simply, the main four functions of the pulp are formation and nutrition of the dentin, as well as the innervation and defense of the tooth. Dentin formation is one of the most critical roles carried out by the pulp and, as mentioned, is formed by the odontoblasts.