title: Calcific metamorphosis. Literature review and clinical strategies.
abstract: Calcific metamorphosis (CM) is a commonly observed phenomenon following traumatic injuries like concussion, subluxation and luxation. Depending on the severity of the injury and the developmental stage of the tooth, there can be either complete or partial obliteration of root canals. However, histologically, there is always persistence of fine residual filaments of pulp tissue or tracts of organic material without the presence of any inflammatory component. A periodic clinical and radiographic follow-up examination is preferred and usually, for cosmetic reasons, only a conservative aesthetic treatment is required. Endodontic treatment is only advocated if there is development of apical periodontitis and, if executed properly, can be highly successful.
  
  
  CONCLUSIONS
  Appropriate management of calcific metamorphosis can present a clinical dilemma to the clinician. Thus a judicious and prudent decision should be made between endodontic intervention for the involved tooth and other available restorative (and/or aesthetic) treatment options.
authors.affiliation: Department of Conservative Dentistry and Endodontics, KDDC, Mathura, UP, India.
authors.forename: Neeraj
authors.initials: N
authors.lastname: Malhotra
authors.forename: Kundabala
authors.initials: K
authors.lastname: Mala
mesh_terms: D054893:Cone-Beam Computed Tomography; D003784:Dental Pulp Calcification / Q000150:complications / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy; D003790:Dental Pulp Necrosis / Q000209:etiology; D004955:Esthetics, Dental; D006801:Humans; D012390:Root Canal Therapy; D018677:Tooth Injuries / Q000150:complications