Injuries to permanent teeth can result in clinical complications, presenting significant challenges for dental practitioners. It has been found that approximately 4 to 24 percent of cases experience pulp canal obliteration post-trauma. The process of locating canals after calcific metamorphosis and ensuring successful negotiation to their full length can potentially result in iatrogenic issues like fractured instruments and perforation. This book examines the potential causes of calcific metamorphosis, its clinical and radiographic characteristics, and offers insights into its management.