Management of ‘labial’ type of dens invaginatus: A rare case report

Raut, Ambar W; Mantri, Vijay; Kala, Shubham; Raut, Radha A

doi:10.1016/j.jobcr.2015.11.004

Cited by 3 publications

(7 citation statements)

References 10 publications

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“…The complex and variable anatomy from DI influences over the treatment planning, making unpredictable conventional therapeutic procedures such as: preventive treatments (1,3,8), nonsurgical root canal therapy (4,11), endodontic surgery (12,13), pulp revascularization (14-16), intentional replantation, extraction (17), or a combination of these (1-3). The management of traumatized teeth with a chronic apical abscess associated to fractured apex requires a multidisciplinary approach with endodontic surgery as an adjunct of root canal therapy in order to promote bone healing (18).…”

Section: Introductionmentioning

confidence: 99%

Endodontic re-treatment and restorative treatment of a dens invaginatus type II through new technologies

Zubizarreta-Macho¹,

Ferreiroa²,

Agustín-Panadero³

et al. 2019

J Clin Exp Dent

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Background The complex anatomy of dens invaginatus makes access cavity to root canal system difficult, which has an impact on the prognosis of these teeth. A novel technique, based on new technologies, is proposed to make access cavity conservative and guided with minimal dental structure lost. Material and Methods This case report shows the root canal retreatment and the endodontic surgery of a dens invaginatus type II in a left lateral upper incisor previously treated which was affected by a chronic apical abscess and an apical fracture. A Cone Beam Computed Tomography was performed to better diagnosis the dental anatomy. An intraoral scan was performed to get a digital 3D model. A computer-guided implant planning software was used to plan the access cavity and design the splint guided. Finally, the clinical crown was restored by a resin nanoceramic veneer made by a chairside system made up of an intraoral scanning unit and a grinding unit. Last, the authors carried through the endodontic surgery to extract the apical fractured fragment. Results Follow-up appointments at 6, 12 and 18 months showed a radiographic reduction of the periapical lesion and absence of clinical signs. Conclusions The splint guide allowed a guided and conservative access cavity to root canal system. It facilitates the root canal retreatment and improves the prognosis of the teeth with dental malformations. Key words: CAD-CAM, Cone-Beam Computed Tomography, dens in dente, dens invaginatus, dental pulp cavity, endodontics.

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Section: Introductionmentioning

confidence: 99%

Endodontic re-treatment and restorative treatment of a dens invaginatus type II through new technologies

Zubizarreta-Macho¹,

Ferreiroa²,

Agustín-Panadero³

et al. 2019

J Clin Exp Dent

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“…(3,6) Bu tipte, invaginasyonu kaplayan mine dokusunun yerini perforasyon bölgesinde sement dokusu almıştır. (5) Dens invaginatus tanısı klinik ve radyografik muayeneye dayanır. (2) Dişin klinik görünümü normal olabilir veya kama, silindir veya konik biçimde, artmış bukkolingual genişlik gibi sıra dışı formlara sahip olabilir.…”

Section: Introductionunclassified

“…Bu dental anomalinin tanımında, invaginasyonun palatal / lingual tarafta konumlandığı bildirilmektedir. (5) Ancak bu olguda, klinik ve radyografik olarak teyit edildiği gibi, invaginasyon mesial tarafta yer almaktadır.…”

Section: Introductionunclassified

“…(3,4) Maksiller daimi lateral kesiciler bu anomalinin en sık görüldüğü dişlerdir. (2,3,5) Literatürde bildirilen insidans %0.04 ila %10 arasında değişmektedir. (2) Farklı sınıflandırmalar olmasına rağmen, en yaygın olarak kullanılan Oehlers tarafından yapılmış olan sınıflamadır.…”

Section: Introductionunclassified

“…(1) Dens invaginatus'un dişlerde plak birikimini kolaylaştırması çürüklerin hızlı oluşmasına ve ilerlemesine yol açar ve bu durum pulpanın da enfekte olmasıyla pulpal/ periapikal patoloji ile sonuçlanır. (2,5) Dens invaginatus'un doğru teşhisi, tedavi planlamasının doğru yapılabilmesi için oldukça önemlidir. (2) Hekim çürüksüz ve travma öyküsü olmayan fakat pulpitis bulguları gösteren dişlerde dens invaginatus olasılığından şüphelenmeli ve mutlaka radyografik muayene yapmalıdır.…”

Section: Introductionunclassified

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Maksiller Lateral Kesici Dişte Tip II Dens İnvaginatus’un Endodontik Tedavisi: Olgu Raporu

Kolcu¹,

Güve²,

Ak³

2015

Aydın Dental

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Dens invaginatus is a developmental dental anomaly that occurs when the enamel organ is folded into the dental papilla prior to calcification of dental tissues. Endodontic treatments of the teeth with Dens invaginatus can be difficult and complex due to their atypical anatomy. In this case report, non-surgical endodontic treatment of maxillary lateral incisor with Oehlers Type II Dens Invaginatus is presented. The patient complained of pain and localized swelling. With the anamnesis, it was learned that the tooth had previously received endodontic treatment but the symptoms did not disappear. After the old canal filling was removed, conventional root canal treatment was applied. Periapical healing is observed in followup radiographs and the tooth is asymptomatic.

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Nonconventional Therapeutic Protocol for Type III Dens Invaginatus

Estrela

Figueiredo

Kunert

et al. 2017

The Journal of Contemporary Dental Practice

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Introduction This study discusses a nonconventional therapeutic protocol for type III dens invaginatus. This condition is a disorder of dental development, caused by the invagination of enamel into coronal and/or radicular dentin structure. This promotes several structural alterations within the dental organ, which offers challenges and difficulties to perform the endodontic treatment when needed. This article reports a clinical case where a conservative approach was adopted to preserve the invaginated tooth, and endodontic treatment was performed in the main necrotic canal. Following 21 years of observation, a complete root formation could be seen, with dental pulp preservation of the pulpotomized tooth. Considering the reported difficulties for the treatment of dens invaginatus, conservative measures, such as pulpotomy to preserve the remaining dental pulp may be an excellent alternative to allow less invasive procedures, thus avoiding endodontic surgery. This study discusses a nonconventional therapeutic protocol for type III dens invaginatus. A conservative approach adopted preserved the invaginated tooth, and root canal treatment was performed in the main necrotic canal. Following 21 years of observation, there was complete root formation, with dental pulp preservation of the pulpotomized tooth. How to cite this article Kunert GG, Kunert IR, de Figueiredo JAP, Barletta FB, Estrela C. Nonconventional Therapeutic Protocol for Type III Dens Invaginatus. J Contemp Dent Pract 2017;18(3): 257-260.

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Management of ‘labial’ type of dens invaginatus: A rare case report

Cited by 3 publications

References 10 publications

Endodontic re-treatment and restorative treatment of a dens invaginatus type II through new technologies

Endodontic re-treatment and restorative treatment of a dens invaginatus type II through new technologies

Maksiller Lateral Kesici Dişte Tip II Dens İnvaginatus’un Endodontik Tedavisi: Olgu Raporu

Nonconventional Therapeutic Protocol for Type III Dens Invaginatus

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