Pulp canal calcification in young permanent teeth that have undergone vital pulp therapy: A review

Background: Studies have demonstrated high success rates of vital pulp therapy (VPT) in young patients; however, pulp canal calcification (PCC) is one of the most concerning complications in teeth that have undergone VPT. Currently, there is limited evidence regarding PCC in VPT-treated teeth.Objective: This paper aimed to review the incidence of PCC and its associated complications, the factors that may influence PCC, and describe the clinical management of PCC in teeth that have undergone VPT.Results: Previous studies have reported PCC incidences of 0%-45.0%, and factors that may be associated with the incidence and magnitude of PCC include preoperative diagnosis of the tooth, stage of root development, type of VPT, pulp dressing material, and follow-up period. However, the evidence on the complications of PCC in VPT-treated teeth is insufficient, and there is debate regarding PCC management.Conclusions: Further research in this area will aid in the development of appropriate management strategies for PCC in VPT-treated teeth.(c) 2023 Japanese Society of Pediatric Dentistry. Published by Elsevier Ltd. All rights reserved.