Trauma to the dental hard tissues often leads to clinical complications and the management appears as a challenge to the practitioner. The incidence of calcific metamorphosis is bound to be approximately 4 - 24%. Following calcific metamorphosis, attempt to negotiate canals and working through it to the full working length may lead to iatrogenic complications such as separated instrument, perforation etc. Calcific metamorphosis is distinguished by hard tissue deposition within the pulp space and the characteristic yellowish discoloration of the crown. Various practitioners proposed the treatment modalities for CM according to their experience and suggested that the treatment should be carried out with the earliest detection of CM or to wait and treat till the symptoms or radiographic signs of pulpal death are noticed. Keywords: Calcific metamorphosis, Calcification, Pulp canal obliteration, Pulp disease, Trauma
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