18-Year Follow-up of Dens Invaginatus: Retrograde Endodontic Treatment

Wayama, Marcelo Tadahiro; Valentim, Diego; Gomes‐Filho, João Eduardo; Cintra, Luciano Tavares Ângelo

doi:10.1016/j.joen.2014.01.047

Cited by 8 publications

(7 citation statements)

References 11 publications

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“…Recently, pulp revascularization was introduced as a method to treat immature teeth with open apex ( Yang et al , 2013). This treatment shows that apexification and total healing of the periradicular lesion occurred, showing the relevance of conservative treatment; however, surgical management may be performed in cases in which the traditional conservative management is not preferred ( Wayama et al , 2014).…”

Section: Discussionmentioning

confidence: 91%

“…Conventional endodontic treatment of dens invaginatus is commonly difficult and complicated, particularly when large periapical lesions are associated ( Lichota et al , 2008). Nevertheless with periradicular lesion dimensions, nonsurgical endodontic treatment must be considered before any surgical treatment ( Pai et al , 2004; Wayama et al , 2014).…”

Section: Discussionmentioning

confidence: 99%

“…The management of such cases when presented with necrotic pulp can be either be treatment with conventional endodontic treatment, surgical treatment, combined endodontic treatment and periapical surgery, intentional reimplantation, or tooth removal ( Beltes, 1997; Chaniotis et al , 2008; Wayama et al , 2014). The patient’s age and physical condition, and the case complication and variability are factors that can affect the treatment decision ( Beltes, 1997).…”

Section: Discussionmentioning

confidence: 99%

“…The root canal system of dens invaginatus is characterized by morphologic and anatomic complexity, thus, the diagnoses and treatment planning of such cases is considered difficult ( Wayama et al , 2014). Treatment approaches include the sealing of the invagination, surgical or non-surgical endodontic treatment, one-step apexification technique or tooth extraction ( Demartis et al , 2009; Wayama et al , 2014). This case series presents nonsurgical endodontic treatment in two cases of dens invaginatus (type II and III) in maxillary lateral incisors.…”

Section: Introductionmentioning

confidence: 99%

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Nonsurgical endodontic management of dens invaginatus: a report of two cases

et al. 2019

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Dens invaginatus is a malformation affecting mainly the superior lateral incisors. It is defined as an infolding of the crown hard tissues, including the enamel and dentin, and can extend up to the root apex. Root canal treatment of this abnormality is considered difficult due to the complex anatomy presented by these teeth. This case series presents nonsurgical endodontic treatment in two cases of dens invaginatus (type II and III) in maxillary lateral incisors. This nonsurgical or conventional endodontic treatment results in healing of the periapical lesions associated with both cases, with no need for extra intervention e.g. surgical or invasive management. The manual instrumentation associated with sodium hypochlorite and calcium hydroxide were able to completely heal the lesions. Radiographic exams were carried out to control and asses the healing. Nonsurgical treatment was successful in both cases with adequate repair after a 6-year follow-up with radiographic and tomographic assessments.

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Section: Discussionmentioning

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Nonsurgical endodontic management of dens invaginatus: a report of two cases

et al. 2019

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“…The case here described, had a large area of the canal that was inaccessible by nonsurgical means, thus the combination of non-surgical and surgical endodontics was indicated. The combination of both procedures has been reported to effectively treat cases DI 13 with a long term success of 18 years follow-up 11 . The nature of the root end filling material has been evolving through the last two decades, with ProRooT MTA largely recommended for root end filling 13 .…”

Section: Discussionmentioning

confidence: 99%

Case Report: Combined nonsurgical and surgical therapy of dens invaginatus of a microdontic maxillary lateral incisor

Koyess

2020

F1000Res

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This report describes the management of an uncommon case of dens invaginatus of a microdontic upper lateral incisor, with an extended apical lesion. Dens invaginatus is a developmental abnormality of a tooth where enamel and dentin fold into the pulpal space. This abnormal anatomy, and the separation of two distinct root canal spaces, complicates conventional treatment, making the apical portion inaccessible to instrumentation and impeding disinfection of the canal space. The coexistence of dens invaginatus affecting a microdontic tooth is a rare anomaly found in the literature. This case report describes a young female patient with dens invaginatus affecting a microdontic maxillary lateral incisor, combined with necrotic pulp and apical periodontitis. The conventional treatment was completed first to disinfect the coronal portion of the accessible pulpal space. At a subsequent appointment, it was completed by a surgical approach to cleanse and seal the apical part of the root canal space. The tooth was then restored, and the orthodontic treatment was initiated. One-year follow-up demonstrated a complete healing of the apical lesion.

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