Following a severe traumatic incident to permanent immature teeth, the grow
th of calcified tissue in the pulp space may occasionally occur. This calci
fied tissue may he diffuse or in intimate contact with the dentine. It has
been suggested that a wide open apex, severe damage to the root sheath, and
the absence of infection are only some of the predisposing factors leading
to this metaplasia of pulp tissue into bone-like tissue. Five cases are de
scribed.