Combined Endodontic and Surgical Management of a Mandibular Lateral Incisor with a Rare Type of Dens Invaginatus

Chaniotis, Angelos; Tzanetakis, Giorgos N.; Kontakiotis, Evangelos G.; Tosios, Konstantinos I.

doi:10.1016/j.joen.2008.07.014

Cited by 28 publications

(26 citation statements)

References 22 publications

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“…It is likely that the pulp necrosis was caused by an adjacent large periradicular lesion. There are scarce reports of this rare finding; however, they have often been surgically treated 7,8…”

Section: Discussionmentioning

confidence: 99%

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Necrosis of intact premolar caused by an adjacent apical infection: a case report

Asgary

Marvasti

2013

Restor Dent Endod

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Although periapical inflammatory lesions are usually resulted by infection in the root canal system, this rare case showed that a periapical lesion related to an infected tooth may cause pulpal necrosis in adjacent intact tooth, with no history or clinical signs of caries, disease, trauma or developmental anomaly. This case also suggests that the periapical lesion can be treated conservatively, without surgical intervention. Furthermore, this case highlights the importance of prompt treatment of apical periodontitis before the lesion becomes extensive as well as follows up of large lesions. (Restor Dent Endod 2013;38(2):90-92)

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Section: Discussionmentioning

confidence: 99%

“…Historically it was reported that long-acting occlusal trauma could lead to pulp damage due to compression of the pulp vasculature 6. However, there have been few reports described a periapical lesion related to infected tooth may cause pulpal necrosis in an intact adjacent tooth 7,8…”

Section: Introductionmentioning

confidence: 99%

Necrosis of intact premolar caused by an adjacent apical infection: a case report

Asgary

Marvasti

2013

Restor Dent Endod

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“…Similarly, some authors also reported cases of impacted radicular dens invaginatus. 6,12 Radiographic analysis allowed the observation of an area with high radiopacity compatible with enamel around every dental element, including the radicular portion, a characteristic also observed by other authors, 10 which contributed to ruling out the possibility of this amorphous dental element, the gemination tooth, or the fusion with a supernumerary tooth. To obtain further evidence for the diagnosis, and allow the surgery to be performed accurately and safely, we nominated for CBCT.…”

Section: Discussionmentioning

confidence: 69%

“…In already erupted teeth, the most common manifestations are related to greater predisposition to caries by biofilm accumulation in the area of invagination and consequent ease for damage-associated pulp. 2,5,[9][10][11] Moreover, they can cause occlusal traumas and esthetic effects. 5 In unerupted teeth affected by dens invaginatus, the most common sequelae are related to tooth eruption, as tooth impaction, retention or deviations in the eruption path of neighboring teeth, or occurrence of dentigerous cysts.…”

Section: Discussionmentioning

confidence: 99%

A Rare Case of Radicular Dens in Dente diagnosed by Clinical, Radiographic, Tomographic, and Histopathological Examinations

Carvalho¹,

Moreno²,

León³

et al. 2017

International Journal of Experimental Dental Science

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Dens invaginatus is a dental anomaly caused by an invagination of enamel that affects in most of the cases the crown of the tooth. The treatment depends on the degree of invagination and morphological involvement. This report describes a dental anomaly affecting the permanent lower lateral incisor of a 13-yearold patient, which resulted in swelling, pain, and dental impaction. The initial radiographic examination suggested a gemination, a fusion with a supernumerary tooth or a dens invaginatus extending to the root. For more accurate diagnosis and treatment plan of this anomaly, computed tomography scan was performed, which revealed the presence of enamel in the root. Due to pain and the impossibility of performing an orthodontic traction, the treatment of choice in this case was dental extraction. The final diagnosis was confirmed by histopathological examination and revealed the rare occurrence of a radicular dens invaginatus.

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“…Several endodontic treatment options of dens invaginatus have been reported, including nonsurgical, surgical, and combined approaches [4, 8, 10–13]. In this paper, the nonsurgical root canal treatment was sufficient since there was no periapical lesion.…”

Section: Discussionmentioning

confidence: 80%

Endodontic Treatment of Type II Dens Invaginatus in a Maxillary Lateral Incisor: A Case Report

Helvacıoğlu-Yiğit

Aydemir²

2012

Case Reports in Dentistry

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Dens invaginatus is a developmental anomaly that results in an enamel-lined cavity intruding into the crown or root before the mineralization phase. It typically affects permanent maxillary lateral incisors, central incisors, and premolars. This paper describes the root canal treatment of Oehlers' type II dens invaginatus in maxillary left lateral incisors. A 16-year-old boy presented to the Faculty of Dentistry, University of Kocaeli, to receive his dental treatments. During the caries removal, the pulp was exposed then anendodontic treatment was initiated. Two canals, one of which represented the invagination, were instrumented, irrigated, and then obturated with a lateral condensation technique.

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Combined Endodontic and Surgical Management of a Mandibular Lateral Incisor with a Rare Type of Dens Invaginatus

Cited by 28 publications

References 22 publications

Necrosis of intact premolar caused by an adjacent apical infection: a case report

Necrosis of intact premolar caused by an adjacent apical infection: a case report

A Rare Case of Radicular Dens in Dente diagnosed by Clinical, Radiographic, Tomographic, and Histopathological Examinations

Endodontic Treatment of Type II Dens Invaginatus in a Maxillary Lateral Incisor: A Case Report

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