DOI:

10.37988/1811-153X_2023_1_37

Current views on denticle etiology and pathogenesis (a review)

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Authors

  • 1 Pavlov University, 197022, Saint-Petersburg, Russia

Abstract

In the modern world, despite the achievements of domestic therapeutic dentistry, denticles continue to cause difficulties in endodontic treatment. At the same time, the available literature contains insufficient information about the etiology, pathogenesis, as well as approaches to diagnosis and treatment options for this type of pathology. The aim of the study: Is to analyze scientific publications on the etiology, pathogenesis, features of the histological structure, morphology, chemical composition, classification and prevalence of denticles, as well as their relationship with general somatic pathology. The study of various scientific sources made it possible to conclude that denticles are multifactorial as an isolated and combined pathology of the dental pulp. Their occurrence can be influenced by teeth abrasion, hereditary disorders in the hard tissues formation, as well as pathological processes within teeth and surrounding tissues. In addition, the role of age as an etiological factor in the development of calcifications in the dental cavity is important, since the synthetic properties of odontoblasts change with age and the intensity of sclerotic processes in the pulp tissues increases. The multifactorial nature of this pathology correlates with the pathogenetic mechanisms of its occurrence, which are covered in the literature from different perspectives. Denticles can occur as a result of degenerative changes in the pulp, significant role is played by the phenomenon of excessive formation of odontoblasts from preodontoblasts. The microbiological mechanism of the pathogenesis of denticles (Nanobacterium Sanguineum) is also considered. The mechanical load acting on the teeth during orthodontic treatment can also play an important role in the formation of petrificates. >. Taking into consideration the great complexity that denticles create during endodontic treatment, a detailed analysis and study of their etiology and mechanisms of occurrence are of great interest to modern practical dentistry.

Key words:

denticles, calcifications, calculus pulpitis, pulp petrification, etiology, pathogenesis

For Citation

[1]
Osipova V.A., Kolyada A.A., Molokova V.A. Current views on denticle etiology and pathogenesis (a review). Clinical Dentistry (Russia).  2023; 26 (1): 37—45. DOI: 10.37988/1811-153X_2023_1_37

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Received

November 24, 2022

Accepted

February 14, 2023

Published on

March 22, 2023