CHANGES IN THE DENTAL PULP CALCIFICATIONS WITH A LAMELLAR CONCENTRIC STRUCTURE AND CALCIFICATIONS WITH AN AMORPHOUS TO  FINELY GRANULAR STRUCTURE

Pavlina Aleksova; Ferija Sali; Adem Aliu; Bruno Nikolovski; Vera Radojkova Nikolovska; Nebojsa Nastov

Pavlina Aleksova Clinic for restorative dentistry and endodontics, University Dental Clinical Center, Ss. Panteleimon, Faculty of dentistry, St. Cyril and Methodius University, Skopje, North Macedonia
Ferija Sali Department of Orthodontics, University Dental Clinical Centre St. Panteleimon, Skopje, North Macedonia,
Adem Aliu Department for Oral Surgery, University Dental Clinical Center Ss. Panteleimon , Skopje, North Macedonia
Bruno Nikolovski Clinic for Oral Surgery, University Dental Clinical Center Ss. Panteleimon, Skopje, Faculty of Medical Sciences, Goce Delcev University , Stip, North Macedonia
Vera Radojkova Nikolovska Clinic for oral pathology , University Dental Clinical Center "Ss Panteleimon" Skopje, Faculty of Dentistry, Ss.Cyril and Methodius University in Skopje, North Macedonia
Nebojsa Nastov PHI Clinic for Surgical Diseases "St. Naum Ohridski" - Skopje, Faculty of Medicine, Ss. Cyril and Methodius University in Skopje, Noth Macedonia

Abstract

The aim of the study was to inspect change in the pulp with dental calcifications by different structure. Material and method: we carried out the research on 40 pulps after indicated tooth extraction, during which we made a vertical section of the teeth and removed the pulps, and 60 extirpated pulps from teeth with an endodontic diagnosis of pulpitis chronica. With the method of light microscopy, and by using standard differential histo-chemical coloring, results were obtained on the Institute of Pathology of the Faculty of Medicine in Skopje. Results: 2 morphological images of changed pulp were obtained with the method of light microscopy with the application of standard differential histochemical staining: (1) dental pulp with calcifications with a lamellar concentric structure; (2) dental pulp with calcifications present with an amorphous to finely granular structure. In both groups, a reduction of cellularity in the connective tissue is observed, with evident but gradual hyalinization, which takes the form of wider areas or tracks, dissociated from relatively preserved loose connective tissue. Pulps containing nodular calcifications show a certain degree of congestion of blood vessels, in contrast to dispersed and irregularly shaped calcifications.

Keywords: dental pulp, dental calcification, hystopathological analysis.

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