General pulp calcification: Literature review and case report

Pulp stones are calcified bodies in the dental pulp of the teeth in the primary and permanent dentition. They are found in healthy, diseased and even unerupted or impacted teeth. This case report presents the diagnostic management of a 22-year old female patient with general pulp calcification that coexists with molar incisor hypomineralisation and compound odontoma. The diagnostic procedure revealed several conditions that could be implicated: possible metabolic imbalance, bruxism, orthodontic treatment and genetic predisposition. Blood tests and urine analysis results excluded the possibility of metabolic imbalance. Clinical examination excluded bruxism and orthodontic treatment as implicated factors. The patient's family dental history revealed that the patient's mother also presents general pulp calcification. The aim of this article is to describe the diagnostic management of the patient and to highlight that general pulp calcification is not such a common finding; clinicians should be suspicious and investigate the possible metabolic imbalance, dysfunction or other correlated systematic diseases which may contribute to their early diagnosis. Keywords: dental pulp, general pulp calcification, pulp stone