Surgical treatment of a periradicular lesion on an invaginated maxillary lateral incisor (dens in dente)

G, Sauveur; Roth, F; Sobel, Morton J.; Boucher, Yves

doi:10.1111/j.1365-2591.1997.tb00687.x

Cited by 16 publications

(13 citation statements)

References 14 publications

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“…RCT can be limited to the invagination, preserving pulp vitality,18 or removal of the DI followed by RCT 19 20. The third option, in cases of DI that are difficult to access, is apicectomy of the involved tooth followed by RCT 21 22. Extraction is the last measure of treatment in cases with a complex anatomy and those that cannot be treated endodontically or with periapical surgery 12…”

Section: Discussionmentioning

confidence: 99%

Dens invaginatus in a geminated maxillary lateral incisor

et al. 2015

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Dens invaginatus (DI) and gemination are two developmental abnormalities that are well reported in the dental literature, but their coexistence in a single tooth is rare. Such situations worsen the risk factors associated with these anomalies, and the treatment plan should be customised as they possess altered morphology and anatomy. A 19-year-old girl came for evaluation of a cracked tooth in the front region of the upper jaw. The tooth showed clinical features of gemination and radiographic features of DI, and was diagnosed as DI in geminated maxillary lateral incisor. The differential diagnoses based on clinical appearance without radiographic investigation may warrant the treatment approach if these two abnormalities coexist in a single tooth. The report also highlights the importance of three-dimensional imaging in diagnosis and treatment planning of teeth with altered pulp canal anatomy. There are few reported cases in the literature detailing the treatment options for these two anomalies occurring in the same tooth.

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Section: Discussionmentioning

confidence: 99%

Dens invaginatus in a geminated maxillary lateral incisor

et al. 2015

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“…As a consequence, the early development of caries and the subsequent necrosis of the dental pulp, as well as abscess and cyst formation, are clinical implications associated with dens invaginatus. Several case reports seem to corroborate this assumption (Boyne 1952, Nedley & Powers 1997, Sauveur et al . 1997, Walvekar & Behbehani 1997, Holan 1998, Holtzman 1998, Pitt Ford 1998, Tarján & Rózsa 1999, Yeh et al .…”

Section: Introductionmentioning

confidence: 88%

“…The crown of affected teeth can be of normal morphology (Tarján & Rózsa 1999), but can also be associated with unusual forms, for example a greater labio‐lingual diameter (Sousa & Bramante 1998), peg‐shaped (Chen et al . 1998), barrel‐shaped and conical (Sauveur et al . 1997), and talon cusp (Gonçalves et al .…”

Section: Introductionmentioning

confidence: 99%

Endodontic treatment of dens invaginatus type III with three root canals and open apical foramen

Jung

2004

Int Endodontic J

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“…Different materials have been used in other studies [6-8, 29, 43, 44] such as Super EBA R (ethoxybenzoic acid). Case reports have been published on the usage of gutta-percha [45] or using CO 2 lasers [46].…”

Section: Success Uncertain Healing and Failure Ratesmentioning

confidence: 99%

Success rate and recurrence frequency of periapical surgery: prospective study on 132 cases

Alantar

Bloud²,

Galéazzi

et al. 2010

Med Buccale Chir Buccale

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-Objectives:Primary aim is to quantify the success rate of periapical surgery. Secondary objectives include the determination of the histological nature of the lesions, and the incidence of the different teeth on which this surgery is performed. Study design: This is a prospective cohort study conducted in one centre. The same operator following a standardized surgical protocol performed all surgeries. Follow-up (including clinical examination and periapical X-ray) was conducted at day 7, and months 6, 12 and 18. Statistical analysis included determination of the mean, standard deviation and paired two-tailed Student's t-test, for each of the variables. Results: 132 periapical surgeries were performed on 114 patients. Success and failure rate at 18 months, are 90%, and 6%, and uncertain in 4%. Histopathology confirmed that 72% of the lesions were granulomas, and 28% cysts. Periapical surgery pertains mostly to maxillary (70%) and posterior teeth (70%). Conclusion: Prognosis of conventional periapical surgery is very good. Failure rate peaks at 7 months, written informed consent is paramount.A radiolucent apex after endodontic treatment is a common finding with up to 45% of the treated teeth in certain studies [1,2]. These lesions can be found during a routine check-up, or during an emergency appointment when associated with pain. As orofacial pain is ascribed to periapical abscesses in 25% of the patients [3], these periapical radiolucencies, in the context of periapical surgery, can be a diagnostic challenge. Periapical abscesses are the consequence of a bacterial infection of the root canals [4]. Treatment classically consists of the elimination of necrotic and infected tissue, followed by obturation of the root canal system and a sealed restoration of the crown. Periapical surgery is indicated when root canal retreatment has failed or is contraindicated [4]. An osteo-mucoperiosteal flap followed by the appropriate osteotomy allows access to the apex of the tooth. The lesion is removed and the root canal system sealed [4]. Success rates reported vary between 40% [5] and 97% [6]. Correspondence: alpalantar@wanadoo.fr The main objective of this study is to assess the success rate of periapical surgery using a standardized protocol. Secondary objectives include the determination of the histological appearance of the lesions (granulomas or cysts), the incidence of the different teeth on which this surgery is performed, and the recurrence frequency.

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Surgical treatment of a periradicular lesion on an invaginated maxillary lateral incisor (dens in dente)

Cited by 16 publications

References 14 publications

Dens invaginatus in a geminated maxillary lateral incisor

Dens invaginatus in a geminated maxillary lateral incisor

Endodontic treatment of dens invaginatus type III with three root canals and open apical foramen

Success rate and recurrence frequency of periapical surgery: prospective study on 132 cases

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