scholarly journals Conventional Treatment of Maxillary Incisor Type III Dens Invaginatus with Periapical Lesion: A Case Report

2011 ◽  
Vol 2011 ◽  
pp. 1-5 ◽  
Author(s):  
Álvaro Henrique Borges ◽  
Alex Semenoff Segundo ◽  
Michele Regina Nadalin ◽  
Fábio Luís Miranda Pedro ◽  
Antônio Miranda da Cruz Filho ◽  
...  
Keyword(s):  
Case Report ◽  
Conventional Treatment ◽  
Clinical Case ◽  
Endodontic Treatment ◽  
Maxillary Incisor ◽  
Central Incisor ◽  
Periapical Lesion ◽  
Type Iii ◽  
Radiographic Followup ◽  
Dens Invaginatus

Dens invaginatus is a developmental dental anomaly clinically characterized by a palatine furrow that can be limited to the coronal pulp or may extend to the radicular apex. The purpose of this paper was to present a clinical case of type III dens invaginatus, identified on the maxillary right central incisor in anterior periapical radiographs, in which the tooth was submitted to conventional endodontic treatment. The results obtained after five years of clinical and radiographic followup demonstrated that conventional endodontic treatment is a clinically viable alternative in cases of type III dens invaginatus.

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.

scholarly journals Cone Beam Computed Tomography Evaluation of the Periapical Status of Nonvital Tooth with Open Apex Obturated with Mineral Trioxide Aggregate: A Case Report

2013 ◽  
Vol 2013 ◽  
pp. 1-6
Author(s):  
Vijay Shekhar ◽  
K. Shashikala
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Cone Beam Computed Tomography ◽  
Mineral Trioxide Aggregate ◽  
Endodontic Treatment ◽  
Cone Beam ◽  
Periapical Lesion ◽  
Dental Practitioners ◽  
Periapical Healing ◽  
Radiographic Followup

Management of a tooth with open apex is a challenge to the dental practitioners. Evaluation of the periapical healing is required in such cases by radiographic techniques. The objective of this paper was to assess the healing of a periapical lesion in a non-vital tooth with open apex treated with mineral trioxide aggregate (MTA) obturation using cone beam computed tomography (CBCT). The endodontic treatment of a fractured non-vital discolored maxillary left lateral incisor with an open apex was done with MTA obturation. The clinical and radiographic followup done regularly showed that the tooth was clinically asymptomatic and that the size of the periapical lesion observed by intraoral periapical (IOPA) radiographs and CBCT was decreased remarkably after two years. CBCT and IOPA radiographs were found to be useful radiographic tools to assess the healing of a large periapical lesion in a non-vital tooth with open apex managed by MTA obturation.

Complex endodontic treatment of an immature type III dens invaginatus. A case report

2008 ◽  
Vol 41 (10) ◽  
pp. 913-919 ◽  
Author(s):  
E. R. Fregnani ◽  
L. F. B. Spinola ◽  
J. R. O. Sônego ◽  
C. E. S. Bueno ◽  
A. S. De Martin
Keyword(s):  
Case Report ◽  
Endodontic Treatment ◽  
Type Iii ◽  
Dens Invaginatus
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