Type 2 Dens Invaginatus in a Maxillary Lateral Incisor: A Case Report of a Conventional Endodontic Treatment

2008 ◽  
Vol 33 (2) ◽  
pp. 103-106 ◽  
Author(s):  
C Aguiar ◽  
J P Ferreira ◽  
A Câmara ◽  
J de Figueiredo

Dens invaginatus is a rare malformation of the teeth resulting from the invagination of the tooth crown before biological mineralization occurs. In most cases, the thin or incomplete enamel lining of the invagination cannot prevent the entry of bacteria into the pulp, which leads to pulp necrosis with an eventual periapical inflammatory response. The treatment options include preventive sealing or filling of the invagination,root canal treatment, endodontic apical surgery and extraction. The root canal treatment of such teeth is often complicated because of their anatomical complexity. This case describes a successful non-surgical endodontic treatment of a maxillary lateral incisor with type 2 dens invaginatus with a large periradicular lesion. At follow-up examinations after 6 and 12-months, the tooth was asymptomatic and the healed lesion was evident radiographically.

Author(s):  
Guenther Stoeckl

Endodontic treatment of two maxillaryincisors with dens invaginatus is reported. Invaginated teeth present technical difficulties with respect to their management because of complicated canal morphology. This case was treated by conventional root canal treatment. The signs and symptoms ceased after the treatment. At follow up examination after 18 and 20 month the teeth were asymptomatic and radiographically showed sound periodontal and periapical tissue.


2012 ◽  
Vol 2012 ◽  
pp. 1-4
Author(s):  
Dilek Helvacioglu-Yigit ◽  
Seda Aydemir

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.


2019 ◽  
Author(s):  
Thera Van Den Munckhof ◽  
Shanon Patel ◽  
Alix Davies ◽  
Erwin Berkhout ◽  
Federico Foschi ◽  
...  

Abstract Background: To investigate the changes of Schneider membrane thickness by CBCT pre and post root canal treatment, retreatment and pulp capping procedures. Methods: This retrospective study was conducted on CBCT scans of a patient population of Guy’s Hospital NHS Foundation Trust, London. Three groups of patients were studied: Group 1 consisted of patients referred for primary endodontic treatment; Group 2 for endodontic retreatment; Group 3 for indirect pulp capping procedures (serving as a control group). Follow up scans were carried out 1 year after treatment. Measurements were carried out on CBCT scans and data were analysed statistically by Wilcoxon Signed Rank Test. Linear regression was used to assess predictive parameters for membrane thickness. Results: A statistically significant reduction of the Schneider membrane thickness was observed one year after endodontic treatment and retreatment (P<0.05) but no significant reduction was observed after pulp capping procedures. Linear regression showed that age and gender were significant predictors influencing the Schneider membrane thickness. Conclusions: Within the limitations of this retrospective study, following root canal treatment and re-treatment a Schneiderian membrane thickness reduction occurred at 1-year follow-up. The removal of odontogenic infection following endodontic treatment may help reducing the thickness of the Schneider membrane. Trial registration: Ethical approval and registration were granted by the NRES London Bridge and Dulwich Research Ethics Committee. TRN NCT03055975


2016 ◽  
Vol 7 (4) ◽  
pp. 199-202
Author(s):  
Deepti Dua ◽  
Ankur Dua

ABSTRACT Fusion is a developmental anomaly in tooth morphology, which may be due to either union of two separate tooth buds or partial splitting of a single tooth bud. A thorough understanding of root canal anatomy is an essential prerequisite for a successful endodontic treatment. This case report describes successful endodontic management of a maxillary left lateral incisor fused with a supernumerary tooth using spiral computed tomography (SCT) as a diagnostic aid. A patient reported with a painless swelling in the maxillary anterior region associated with a fused maxillary lateral incisor. Spiral CT was performed to better understand the complex root canal anatomy. Endodontic treatment was done using methyl trioxide aggregate (MTA) as apical plug and obturation by thermoplasticized gutta-percha. The tooth was completely asymptomatic at 1-year follow-up showing signs of healing. The present case report emphasizes on the importance of three-dimensional (3D) imaging techniques, such as SCT in cases of developmental anomalies having complicated root canal morphology for successful endodontic therapy. How to cite this article Dua D, Dua A, Patil AC. Endodontic Management of a Maxillary Lateral Incisor fused with Supernumerary Tooth using Spiral Computed Tomography as Diagnostic Aid. World J Dent 2016;7(4):199-202.


1989 ◽  
Vol 68 (4) ◽  
pp. 467-471 ◽  
Author(s):  
John A. Suchina ◽  
John R. Ludington ◽  
Richard M. Madden

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