Traumatised teeth can develop different degrees of pulpal obliteration. Only about 7% to 27% of teeth with this finding develop pulp necrosis with radiographic periapical disease.
The documented setting is a tooth that has been traumatised. Trauma-related complications can include pulpal obliteration, tooth discolouration and loss of pulp vitality.
Radiographs show the apparent loss of pulp space. Examination can also record colour change, while sensibility tests may fail to produce a normal response.
The management choice is whether to treat at detection or wait for symptoms or signs of pulp or periapical disease. Root canal treatment can be difficult when the pulp canal is obliterated.
An obliterated pulp canal creates an endodontic treatment challenge. The limited or missing visible pulp space is the feature that makes root canal treatment difficult.
Pulp necrosis with radiographic signs of periapical disease can occur in a minority of teeth with pulp canal obliteration. Trauma can also be followed by tooth discolouration or a dental abscess.
Early identification and treatment of dental problems reduce the risk of serious infection complications. Dental trauma is the recorded trigger for pulp canal obliteration.
Can a yellow tooth after an injury have pulp calcification?
Yes. A yellow crown and an apparent loss of pulp space on a radiograph are recorded features of pulp canal obliteration after trauma.
[1][2]Does every calcified pulp need root canal treatment?
The recorded decision is between treatment at detection and waiting for symptoms or signs of pulp or periapical disease; root canal treatment is challenging in an obliterated canal.
