Discussion :
A comparative study carried out in 2016 ”KARIMI.Z” attempted to investigate the prevalence of pulpal calcifications and study their impact on the quality of endodontic treatment [1]. It was shown that calcific degeneration appears to be a source of difficulty that needs to be taken into consideration to improve the quality of endodontic treatment. This can be achieved by adopting an appropriate clinical procedure for each type of calcification.
Preoperative X-rays can be used to determine the location of pulp calculi:
- pulp chamber
- root canal
- chamber and root canal,
and their relationship to the dentinal walls:
*Free: not attached to the dentinal walls and completely surrounded by pulp tissue. Radiographically, it appears as a radiopacity surrounded by a radiolucent halo.
*Adherent: attached to the root or cameral dentinal walls. On radiography, the radiolucent halo separating the dentinal walls from the calcified mass is absent.
*Root canal obliteration: complete disappearance of the root canal passage in a portion or all of the canal.
Depending on the radiological type of pulp calculus, we can orientate our therapeutic strategy:
Conclusion 
Pulpal calcifications are frequently encountered in the during dental practice, and can take a variety of clinical forms, posing problems of diagnosis and management. The indication for endodontic treatment cannot be based on the presence of pulpolite alone, but rather on a diagnosis supported by a clinical and radiological examination of the pulp status of the tooth. NAOCLA thorough understanding of these particularities, the choice of appropriate therapies and the use of optical aids are the keys to successful treatment of mineralized teeth.
Acknowledgements
there are no acknowledgements.
Conflict of interest
Any financial interest or any conflict of interest exists.
Consent
Written informed consent was obtained from the patient to publish this report in accordance with the journal’s patient consent policy
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