An accurate understanding of the morphology of the root canal system is a prerequisite for successful root canal treatment. Invaginated teeth have a complex root canal configuration that cannot be instrumented effectively. Correct diagnosis and treatment planning are fundamental to treatment of dens invaginatus. Periapical surgery is indicated in cases where a nonsurgical approach fails. A case of dens invaginatus type 3 in a maxillary lateral incisor with a periapical lesion and its successful treatment by these combined methods is reported.
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http://dx.doi.org/10.5005/jp-journals-10005-1018 | DOI Listing |
J Endod
December 2024
University of Sharjah, College of Dental Medicine, Department of Preventive and Restorative Dentistry, Sharjah, UAE.
Aim: This report highlights successful management of a rare case of a mandibular premolar with Oehler's Type IIIb Dens Invaginatus (DI) and peri-invagination periodontitis with guided intentional replantation (IR) without root canal treatment.
Methods: A 22-year-old female patient reported with discomfort and a sinus tract associated with tooth #21. Clinical examination and cone beam computed tomography revealed tooth #21 had an Oehler's Type IIIb DI with peri-invagination periodontitis.
BMC Oral Health
December 2024
Department of Stomatology, Beijing Friendship Hospital, Capital Medical University, Beijing, China.
Background: Dens invaginatus is a developmental abnormality originating from tooth development, including coronal invaginatus and radicular invaginatus. The reported incidence varies greatly due to diagnostic techniques, classification criteria and race. The incidence of dens invaginatus in China was not clear, and the impact of dens invaginatus on periodontal support tissue were rarely reported.
View Article and Find Full Text PDFInt J Clin Pediatr Dent
October 2024
Department of Endodontics, Galilee College of Dental Sciences, Nahariya; Azrieli Faculty of Medicine, Bar-Ilan University, Ramat Gan, Israel.
Unlabelled: Regenerative endodontic treatment (RET) has been suggested for the treatment of traumatized necrotic immature teeth. There are only a few reports of using RET to treat a horizontal root fracture. The aim of this paper is to describe successful regenerative retreatment in a tooth with a horizontal root fracture and dens invaginatus.
View Article and Find Full Text PDFCureus
August 2024
Pediatric and Preventive Dentistry, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
J Clin Exp Dent
June 2024
BDS, MPaedDentRCS (Engl), DrDent (UCL). Paediatric Dentist, Private Paediatric Dental Clinic, Athens, Greece.
Dens Invaginatus (DI) is a developmental anomaly which eventually leads to pulp necrosis and has several clinical implications in sufficient instrumentation and obturation of the root canal system. The present clinical report presents a rare case of a maxillary canine affected with DI leading to pulp necrosis combined with a previous dental trauma, which also led to irreversible pulp damage of the adjacent lateral incisor. A 14-year-old male patient with a history of dental trauma at the right maxillary region, one year earlier, was referred with pain and swelling at the apical area of the right maxillary canine.
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