scholarly journals Nonsurgical endodontic treatment of a mandibular canine presenting with dens invaginatus type IIIb: Case report

2020 ◽  
Vol 61 (4) ◽  
Author(s):  
Inês Farinha ◽  
◽  
Beatriz Pereira ◽  
Mariana Pires ◽  
Isabel Vasconcelos ◽  
...  
Keyword(s):  
Tooth Development ◽  
Correct Diagnosis ◽  
Endodontic Treatment ◽  
Cone Beam ◽  
Pulp Tissue ◽  
Type Iiib ◽  
Cone Beam Computerized Tomography ◽  
Mandibular Canine ◽  
Dens Invaginatus

Dens invaginatus consists of a malformation that occurs during the tooth development phase. More-severe cases may affect both the crown and the root. The endodontic treatment is more complex and challenging. The purpose of this article is to report the nonsurgical endodontic treatment of a mandibular canine diagnosed with an Oehler’s dens invaginatus type IIIb with an acute periapical abscess. The treatment consisted of treating the invagination while maintaining the vitality of the pulp tissue. A radiographic six-month follow-up confirmed the apical pathosis’s resolution, while the clinical evaluation confirmed the maintenance of a healthy pulp. The endodontic treatment can be successfully performed when an early and correct diagnosis is established. Cone-beam computerized tomography and magnification are extremely useful when approaching such cases.

scholarly journals Regenerative Endodontic Treatment of an Infected Immature Dens Invaginatus with the Aid of Cone-Beam Computed Tomography

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Işıl Kaya-Büyükbayram ◽  
Şerife Özalp ◽  
Emre Aytugar ◽  
Seda Aydemir
Keyword(s):  
Computed Tomography ◽  
Cone Beam Computed Tomography ◽  
Endodontic Treatment ◽  
Cone Beam ◽  
Radiographic Examination ◽  
Periapical Lesion ◽  
Type Iii ◽  
Regenerative Endodontic Treatment ◽  
Dens Invaginatus

Dens invaginatus is a developmental anomaly that results in an enamel-lined cavity intruding into the crown or root before the mineralization phase. This report presents regenerative endodontic treatment of a necrotic immature tooth with Oehler’s type III dens invaginatus of a nine-year-old female patient. A diagnosis of dens invaginatus (Oehler’s type III) and a large periapical lesion was established with the aid of cone-beam computed tomography (CBCT). In the presented case contrary to the classic revascularization protocol, mechanical instrumentation was performed which apparently did not interfere with the regeneration process. After mechanical instrumentation of the invaginated canal by manual K-files, the invaginated canal space was disinfected by triple antibiotic paste followed by blood clot induction from the periapical tissues and the placement of mineral trioxide aggregate. At one-year follow-up, the tooth remained clinically asymptomatic. Radiographic examination revealed complete healing of the periapical lesion. At the 20-month follow-up, the radiographic examination also showed that the open apex was closed and the walls of the root canal were thickened.

Use of cone beam computed tomography in the diagnosis, planning and follow up of a type III dens invaginatus case

2011 ◽  
Vol 45 (2) ◽  
pp. 198-208 ◽  
Author(s):  
F. V. Vier-Pelisser ◽  
A. Pelisser ◽  
L. C. Recuero ◽  
M. V. R. Só ◽  
M. G. Borba ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Cone Beam Computed Tomography ◽  
Cone Beam ◽  
Type Iii ◽  
Dens Invaginatus

scholarly journals Uncommon bilateral maxillary exostosis: case report

2020 ◽  
Vol 68 ◽  
Author(s):  
Ana Luiza Lataliza COSTA ◽  
Ana Luísa Machado BATISTA ◽  
Sara Ferreira dos Santos COSTA ◽  
Juliana Vilela BASTOS ◽  
Roselaine Moreira Coelho MILAGRES ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Oral Cavity ◽  
Clinical Characteristics ◽  
Genetic Factors ◽  
Correct Diagnosis ◽  
Cone Beam ◽  
Panoramic Radiographs ◽  
Dental Radiographs

ABSTRACT Exostoses or hyperostoses are benign bony outgrowths originating from the cortical bone and depend on their location for a more precise designation. The most common types found in the oral cavity are the torus palatinus and the torus mandibularis. Buccal and palatal exostoses are located along the buccal aspect of the maxilla and/or the mandible (commonly in the premolar and molar areas) and on the palatal aspect of the maxilla (usually in the tuberosity area), respectively. The etiology of exostoses still hasn’t been enlightened but an interaction between environmental and genetic factors is accredited. They are usually asymptomatic, unless the mucosa becomes ulcerated. The frequency of exostoses increases with age, having their biggest prevalence from 60 years old, being more common in men and suffering ethnic influences. A thorough evaluation is important for the correct diagnosis since other lesions have similar clinical characteristics to the exostoses such as osteomas. The majority of exostoses are diagnosed clinically along with radiographic interpretations, making the biopsy dispensable and the treatment is usually unnecessary. The aim of this article was to describe a case report of bilateral maxillary exostosis, unusual, in a female patient. If an excessive amount of bone is present the exostoses may exhibit a relative radiopacity on dental radiographs. Initially, periapical and panoramic radiographs were performed to evaluate the alterations. Due to the size of the exostoses a concomitant Cone Beam Computed Tomography was performed to confirm the diagnosis. The patient is in follow-up.

scholarly journals Unusual case report of an adenomatoid odontogenic tumor in the mandible: 3-years of follow-up

2021 ◽  
Vol 10 (8) ◽  
pp. 1272-1276
Author(s):  
Jéssica Daniela Andreis ◽  
Dayane Jaqueline Gross ◽  
Amanda Regina Fischborn ◽  
Leomar Emanuel Almeida Mecca ◽  
Lea Rosa Chioca ◽  
...  
Keyword(s):  
Case Report ◽  
Bone Repair ◽  
Unusual Case ◽  
Histopathological Examination ◽  
Lateral Incisor ◽  
Cone Beam ◽  
Mandibular Canine ◽  
Tooth Retention ◽  
Unusual Case Report

This case report showed an AOT in a 12-year-old female patient referred for orthodontic-surgical of both impacted right mandibular canine and lateral incisor. Cone beam computed tomography revealed a well-defined mixed hyperdense/hypodense lesion, involving the crown of the mandibular lateral incisor. The surgery consisted in surgical exposure of the mandibular right canine and lateral incisor, bonding of the lateral incisor for orthodontic traction and curettage of the mandibular lesion. Histopathological examination revealed several columnar epithelial cells with minimal stromal connective tissue, lobular pattern and rosettes and duct-like structures, confirming the diagnosis of AOT. After, the patient was referred for orthodontic traction of the impacted teeth. At 1 and 3-year postoperatively, follow-ups examinations showed extensive bone repair, resolution of the tooth-retention and absence of recurrence. Although AOT is an uncommon lesion in the mandible, it should be considered in the differential diagnosis of the mixed profile lesions in this region.

scholarly journals Diagnosis and root canal treatment in a mandibular premolar with three canals

2009 ◽  
Vol 20 (5) ◽  
pp. 424-427 ◽  
Author(s):  
Lanuce Rosa Soares ◽  
Marcos Arruda ◽  
Marcos Pôrto de Arruda ◽  
Andréa Leão Rangel ◽  
Edson Takano ◽  
...  
Keyword(s):  
Correct Diagnosis ◽  
Endodontic Treatment ◽  
Radiographic Examination ◽  
Single Session ◽  
Pulp Chamber ◽  
Therapy Failure ◽  
Occlusal Caries ◽  
Gutta Percha ◽  
Probable Diagnosis

This paper presents a case report of a left mandibular second premolar with three canals and three different apical foramina. A 39-year-old male patient presented to our clinic with pain in the mandibular left second premolar. Initially, pain was caused by cold stimulus and later was spontaneously. The intraoral clinical examination revealed a fractured amalgam restoration with occlusal caries. Percussion and cold (Endo-Frost) tests were positive. The radiographic examination showed the presence of two roots. The probable diagnosis was an acute pulpitis. After access cavity, it was observed remaining roof of the pulp chamber and mild bleeding in the tooth lingual area, indicating the possible presence of a third canal. The endodontic treatment was completed in a single session using Root ZX apex locator and K3 NiTi rotary system with surgical diameter corresponding to a .02/45 file in the three canals and irrigation with 1% sodium hypochlorite. The canals were obtured with gutta-percha cones and Sealer 26 using the lateral condensation technique. After 1 year of follow-up, the tooth was asymptomatic and periapical repair was observed radiographically. Internal alterations should be considered during the endodontic treatment of mandibular second premolars. The correct diagnosis of these alterations by the analysis of preoperative radiographs can help the location of two or more canals, thereby avoiding root therapy failure.

18-Year Follow-up of Dens Invaginatus: Retrograde Endodontic Treatment

2014 ◽  
Vol 40 (10) ◽  
pp. 1688-1690 ◽  
Author(s):  
Marcelo Tadahiro Wayama ◽  
Diego Valentim ◽  
João Eduardo Gomes-Filho ◽  
Luciano Tavares Angelo Cintra ◽  
Eloi Dezan
Keyword(s):  
Endodontic Treatment ◽  
Dens Invaginatus

Endodontic Treatment of Two Maxillary Incisors with Dens Invaginatus

2019 ◽  
Author(s):  
Guenther Stoeckl
Keyword(s):  
Root Canal ◽  
Signs And Symptoms ◽  
Endodontic Treatment ◽  
Root Canal Treatment ◽  
Maxillary Incisors ◽  
Canal Morphology ◽  
Dens Invaginatus

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.

Endodontic treatment of dens invaginatus: A 5-year follow-up

2006 ◽  
Vol 101 (1) ◽  
pp. e15-e21 ◽  
Author(s):  
Alejandro Jaramillo ◽  
Rafael Fernández ◽  
Paula Villa
Keyword(s):  
Endodontic Treatment ◽  
Dens Invaginatus

A 10-Year Cone Beam Computerized Tomography Observation of the Buccal Bony Wall of an Immediately Placed Implant at the Anterior Maxilla: A Case Report

2018 ◽  
Vol 44 (3) ◽  
pp. 213-217 ◽  
Author(s):  
Junho Jung ◽  
Kwantae Noh ◽  
Bilal Al-Nawas ◽  
Yong-Dae Kwon
Keyword(s):  
Soft Tissue ◽  
Computerized Tomography ◽  
Wall Thickness ◽  
Cone Beam ◽  
Anterior Maxilla ◽  
Implant Placement ◽  
Immediate Implant ◽  
Cone Beam Computerized Tomography ◽  
The Stability

Since the introduction of immediate implant placements, the buccal bony wall has been a major consideration for success due to its correlation with soft tissue contour and color. This report presents the stability of the buccal wall thickness of an immediately placed implant at the anterior maxilla over 10 years. Although the width of the buccal wall decreased at the 2-year post-op follow-up, it remained stable afterward according to cone beam computerized tomography (CBCT) scans. Hence, this report suggests that ensuring adequate bony wall thickness with bone augmentation and fixture position may promise the longevity of the buccal bony wall and surrounding soft tissue in an immediate implant placement.

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