case_images: PMC4451656_01
case_images: Intra oral photograph of a patient showing missing anterior teeth in both jaws with rest of the dentition exhibiting normal coronal color and morphology
case_images: JOMFP-19-110a-g001.jpg
case_images: PMC4451656_01_JOMFP-19-110a-g001.jpg
case_images: F1
case_images: On intraoral examination [Figure 1] the morphologic appearance and color of the permanent teeth were normal.
case_images: Panoramic radiograph shows no root formation in most of the teeth with total obliteration of the pulp chambers and periapical radiolucency in lower right mandibular first molar, left mandibular first and second molar
case_images: JOMFP-19-110a-g002.jpg
case_images: PMC4451656_01_JOMFP-19-110a-g002.jpg
case_images: F2
case_images: Panoramic radiograph [Figure 2] revealed adequate enamel thickness on the cuspal tips of all the teeth.
case_images: Gross specimen of permanent right maxillary first molar tooth
case_images: JOMFP-19-110a-g003.jpg
case_images: PMC4451656_01_JOMFP-19-110a-g003.jpg
case_images: F3
case_images: Clinical examination of the gross specimen [Figure 3] revealed an intact tooth.
case_images: Stereomicroscopic view of ground section of permanent right maxillary first molar showing obliteration of pulp chamber with abnormal dentin formation (Ground section, x20)
case_images: JOMFP-19-110a-g004.jpg
case_images: PMC4451656_01_JOMFP-19-110a-g004.jpg
case_images: F4
case_images: The ground section [Figure 4a and b] showed normal crown outline with normal enamel covering.
case_images: Stereomicroscopic view of hematoxylin-eosin stained permanent right maxillary first molar showing obliteration of pulp chamber with abnormal dentin formation (H&E stain, x20)
case_images: JOMFP-19-110a-g005.jpg
case_images: PMC4451656_01_JOMFP-19-110a-g005.jpg
case_images: F5
case_images: Normal dentinal tubule formation appeared to have been blocked and the new dentin so formed around obstacle, gave rise to the characteristic appearance of "lava flow around the boulder" [Figure 5].
case_images: Photomicrograph of ground section showing polarized view of permanent maxillary first molar showing classic "lava flowing around boulders" appearance. (Polarizing microscopy, x 100)
case_images: JOMFP-19-110a-g006.jpg
case_images: PMC4451656_01_JOMFP-19-110a-g006.jpg
case_images: F6
case_images: Histopathologic examination of the decalcified hematoxylin-eosin section [Figure 6] showed total obliteration of pulp that was filled with tubular dentin, osteodentin and irregular, globular masses of dentin [Figure 7 and 8].
case_images: Photomicrograph showing decalcified section showing abnormal dentin formed around the obstacles (H&E stain, x100)
case_images: JOMFP-19-110a-g007.jpg
case_images: PMC4451656_01_JOMFP-19-110a-g007.jpg
case_images: F7
case_images: Histopathologic examination of the decalcified hematoxylin-eosin section [Figure 6] showed total obliteration of pulp that was filled with tubular dentin, osteodentin and irregular, globular masses of dentin [Figure 7 and 8].
case_images: Photomicrograph of decalcified section showing osteodentin with empty lacunae devoid of osteocytes (H&E stain, x100)
case_images: JOMFP-19-110a-g008.jpg
case_images: PMC4451656_01_JOMFP-19-110a-g008.jpg
case_images: F8
case_images: Histopathologic examination of the decalcified hematoxylin-eosin section [Figure 6] showed total obliteration of pulp that was filled with tubular dentin, osteodentin and irregular, globular masses of dentin [Figure 7 and 8].