Microscopic removal of type III dens invaginatus and preparation of apical barrier with mineral trioxide aggregate in a maxillary lateral incisor: A case report and review of literature

Perforation is one of iatrogenic factors responsible for endodontic failure. Root canal perforation can occur at the cervical, mid-root, or apical levels. Non-surgical (conservative) perforation repair offers less tissue destruction and easy isolation during treatment. Objective: To explain the management of apical third root perforation using the conservative technique. Case Report: This case report describes a 29-year-old patient who came for management of right maxillary lateral incisor with apical third root perforation on the labial aspect. The location of apical third root perforation was evaluated using cone beam computed tomography (CBCT). Root perforation was sealed using mineral trioxide aggregate (MTA). MTA was applied in conservative technique with hand filling. MTA was dispensed into the original canal while maintaining the patency of the perforated canal, followed by dispensed of MTA into the perforated canal. Conclusion: Root perforation should be identified as soon as possible and could be easily examined using CBCT. Non-surgical root perforation treatment is recommended in intact periodontal attachment and in absence of inherent complication. Repairing the root perforation promote the proper healing of the periapical tissue and increase the success rate of retreatment.

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Management of Maxillary Impacted Teeth and Complex Odontome: A Review of Literature and Case Report

Open Access Macedonian Journal of Medical Sciences ◽

10.3889/oamjms.2018.395 ◽

2018 ◽

Vol 6 (10) ◽

pp. 1882-1887 ◽

Cited By ~ 2

Author(s):

Heba M. Dehis ◽

Mona S. Fayed

Keyword(s):

Case Report ◽

Side Effects ◽

Orthodontic Treatment ◽

Lateral Incisor ◽

Radiographic Examination ◽

Review Of Literature ◽

Third Molars ◽

Detailed Evaluation ◽

Assessment And Treatment ◽

Maxillary Lateral Incisor

BACKGROUND: Teeth impaction has become a common problem faced by orthodontic clinicians with the greatest incidence reported among third molars and maxillary canines. The great challenge lies in successfully treating these cases without deleteriously affecting the impacted as well as adjacent teeth while achieving acceptable functional and esthetic results. Several etiological factors have been associated with impactions including the presence of an odontome which is an asymptomatic odontogenic hamartomatous lesion. CASE REPORT: This article presents a detailed orthodontic assessment and treatment of a 16 years old female having impacted right maxillary lateral incisor and canine caused by complex odontome. CONCLUSION: Successful orthodontic treatment of multiple impactions can be achieved with minimal side effects even when odontomes are associated, through 3D radiographic examination, detailed evaluation as well as proper biomechanical control.

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Endodontic and surgical management of a maxillary lateral incisor with type III dens invaginatus: a 12-month follow-up

Oral Surgery Oral Medicine Oral Pathology Oral Radiology and Endodontology ◽

10.1016/j.tripleo.2008.05.013 ◽

2008 ◽

Vol 106 (3) ◽

pp. e84-e87 ◽

Cited By ~ 4

Author(s):

Ceyda Özçakır Tomruk ◽

Jale Tanalp ◽

Haktan Yurdagüven ◽

Handan Ersev

Keyword(s):

Surgical Management ◽

Lateral Incisor ◽

Type Iii ◽

Maxillary Lateral Incisor ◽

Dens Invaginatus

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Dens invaginatus in an immature maxillary lateral incisor: a case report of complex endodontic treatment

Oral Surgery Oral Medicine Oral Pathology Oral Radiology and Endodontology ◽

10.1016/j.tripleo.2005.10.056 ◽

2006 ◽

Vol 102 (2) ◽

pp. e37-e41 ◽

Cited By ~ 10

Author(s):

Rüstem Kemal Sübay ◽

Müzeyyen Kayataş

Keyword(s):

Case Report ◽

Endodontic Treatment ◽

Lateral Incisor ◽

Maxillary Lateral Incisor ◽

Dens Invaginatus

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Clinical management of dens invaginatus in a maxillary lateral incisor with the aid of cone-beam computed tomography - a case report

Dental Traumatology ◽

10.1111/j.1600-9657.2011.01021.x ◽

2011 ◽

Vol 27 (6) ◽

pp. 478-483 ◽

Cited By ~ 15

Author(s):

Tomoatsu Kaneko ◽

Hitoshi Sakaue ◽

Takashi Okiji ◽

Hideaki Suda

Keyword(s):

Computed Tomography ◽

Case Report ◽

Cone Beam Computed Tomography ◽

Clinical Management ◽

Lateral Incisor ◽

Cone Beam ◽

Maxillary Lateral Incisor ◽

Dens Invaginatus

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Management of a Type III Dens Invaginatus using a Combination Surgical and Non-surgical Endodontic Therapy: A Case Report

The Journal of Contemporary Dental Practice ◽

10.5005/jcdp-10-5-82 ◽

2009 ◽

Vol 10 (5) ◽

pp. 82-87 ◽

Cited By ~ 4

Author(s):

Mithra N. Hegde ◽

Aditya Shetty ◽

Rekha Sagar

Keyword(s):

Case Report ◽

Root Canal ◽

Complete Removal ◽

Lateral Incisor ◽

Canal System ◽

Pulp Tissue ◽

Type Iii ◽

Attached Gingiva ◽

Root Canal System ◽

Dens Invaginatus

Abstract Aim The aim of this report is to present a case of Type III dens invaginatus in a maxillary lateral incisor with a periapical lesion and its successful treatment using a combination of surgical and non-surgical therapy. Background The morphology of the root canal system is unique for individual teeth. A precise understanding of the morphology is very important for a successful root canal treatment. Dens invaginatus is a rare dental anomaly that can give rise to many complex anatomical forms. The complete removal of the diseased pulp tissue can be a challenge for clinicians due to the complexity of internal canal anatomy and may require either non-surgical endodontic therapy alone or that therapy may have to be combined with surgical endodontics to achieve an adequate sealing of the root canal system. Case Report A 22-year-old male presented for evaluation of a recurrent painless sinus tract in the attached gingiva adjacent to the maxillary right lateral incisor. The tooth responded negatively to vitality tests while the right central incisor responded normally. Clinically an anatomical malformation in the crown was detected in the form of an abnormal bulbous contour of the tooth in the palatal region above the cingulum. Radiograph evaluation confirmed the presence of dens invaginatus and a periapical radiolucent lesion. The patient received combined nonsurgical and surgical endodontic therapy to achieve a favorable outcome. Summary Complications presented by Type III dens invaginatus and acute periapical abscess necessitated the use of combined non-surgical and surgical endodontic therapy to attain a favorable seal of the root canal. The prognosis at a six-month post-treatment evaluation appeared to be good. Clinical Significance Dens invaginatus requires an early diagnosis and treatment. It may result in radicular and periapical pathosis requiring a combined non-surgical and surgical endodontic approach to treatment. Citation Hegde MN, Shetty A, Sagar R. Management of a Type III Dens Invaginatus using a Combination Surgical and Non-surgical Endodontic Therapy: A Case Report. J Contemp Dent Pract [Internet]. 2009 Sept; 10(5). Available from: http://www.thejcdp.com/journal/view/ management-of-a-type-iii-dens-invaginatususinga- combination-surgical-and-.

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