A full mouth rehabilitation of a patient with calcific metamorphosis

Calcific metamorphosis (CM) is a condition which can be observed after trauma to teeth, due to deposition of hard tissues within the root canal space. It results in complete obliteration of the root canal space and yellow discoloration of the teeth. There is a difference of opinion on the management of CM, from no intervention to immediate intervention. This case report describes the diagnosis and management of a patient with CM. In addition to CM, the patient suffered from generalized plaque induced gingivitis, multiple carious lesions, necrosis of teeth, external root resorption and some missing teeth. The patient was a 34-year-old, male, Saudi patient, who was provided with oral prophylaxis, simple restorations, endodontic treatments, an on lay and a ceramic crown, restoration of the anterior dentition with porcelain laminate veneers, and finally the dental implants to replace missing teeth. Thus, this report describes not only the diagnosis and management of CM, but also how to design and implement a comprehensive treatment plan for the welfare of a patient.