Some Gleanings on the Origin, Etiology, Nature and Development of Pulp Stones - 100-year Perspective.

Abstract

Quite often in today's contemporary literature, phrases, or statements such as, or similar to the following, are often seen at the beginning of published manuscript, 'despite several microscopic and histochemical studies, the exact cause…is largely unknown…or is elusive…or has not been fully characterized.' Often these types of statements are used as a justification or a rationale for the published paper that follows. However, when looking carefully at the purported issue or issues at hand, there usually is an historical trail to follow that requires a passionate inquisitiveness, an intellectual persistence, and a monumental determination to find the truth…but even what is discovered in this relentless pursuit may not necessarily represent the truth that may remain elusive. Hence, this historical exposé will focus on a specific issue about a little tissue that most contemporary authors have passed off as a mysterious, unknown entity - the Pulp Stone/Nodule. From 1969 to 2021, there have been over 100 publications or more that have addressed pulp stones purely from an epidemiological or management standpoint, with minimal to no effort to identify their true source or etiology, which may be locked in the vaults of antiquity. However, our forefathers had a pretty good handle on these entities as this historical perspective will address.