1/39. Surgical treatment of a periradicular lesion on an invaginated maxillary lateral incisor (dens in dente).The complex anatomy of invaginated teeth make their root canal treatment difficult. Moreover, this treatment may compromise the future of the tooth if it is destined to support a post-retained coronal restoration. This case reports the successful surgical root canal treatment of an invaginated tooth using a retrograde filling with gutta-percha. After surgical exposure of the root-end and cleaning of the root canal, the gutta-percha was compacted in the root canal which had been coated previously with a zinc oxide-eugenol cement. The gutta-percha was then cold-burnished. Periapical radiographic examination after 1, 2, 3, 6 and 12 months showed periapical healing with osseous formation. This procedure, resulting in minimal loss of hard tissues, permitted subsequent restoration of the tooth.- - - - - - - - - - ranking = 1keywords = periapical (Clic here for more details about this article) |
2/39. Dens invaginatus in the maxillary lateral incisor: treatment of 3 cases.Nonsurgical treatment of 3 maxillary lateral incisors with dens invaginatus is reported. Invaginated teeth present technical difficulties with respect to their management because of complicated canal morphology. In the first case reported, apical abscess with incomplete root formation was found at the time of examination. calcium hydroxide apexification provided favorable conditions for root closure and obturation. The other 2 cases were treated by conventional root canal treatment. Follow-up examinations showed successful clinical results, with osseous healing evident radiographically.- - - - - - - - - - ranking = 0.00025210326471739keywords = abscess (Clic here for more details about this article) |
3/39. Endodontic, surgical and periodontal treatment of dens invaginatus. Case report.The aim of this paper is to propose a single stage global treatment of endodontic, periapical and periodontal lesions in a lateral maxillary incisor with dens invaginatus. A 24 year-old woman presenting a lateral maxillary incisor with dens invaginatus in association with periapica1 and periodontal lesions underwent simultaneous surgical, endodontic and periodontal regenerative procedures. At 2, 6, 12, 18 months follow-up the radiographic healing appeared to be improved and the periapical lesion healed completely 1 year after surgical intervention. Surgery in association with endodontic and periodontal procedures represents the treatment of choice to maximize long term prognosis in cases of dens invaginatus with chronic periapical and periodontal lesions.- - - - - - - - - - ranking = 3keywords = periapical (Clic here for more details about this article) |
4/39. Non-surgical root canal treatment of dens invaginatus type 2 in a maxillary lateral incisor.AIM: To describe the clinical management of an unusual dens invaginatus type 2. SUMMARY: A case of dens invaginatus in a maxillary lateral incisor with a periapical lesion is reported. The patient presented with pain and localized swelling. Despite the complex anatomy and diagnosis of dens invaginatus, non-surgical root canal treatment was performed successfully. Key learning points Dens invaginatus may be presented in many forms, and the aetiology of this phenomenon is not fully understood. Due to abnormal anatomical configuration, dens invaginatus presents technical difficulties in its clinical management. Non-surgical root canal treatment can be performed successfully.- - - - - - - - - - ranking = 1keywords = periapical (Clic here for more details about this article) |
5/39. Non-surgical root canal treatment of dens invaginatus type 2 in a maxillary lateral incisor.AIM: To describe the clinical management of an unusual dens invaginatus type 2. SUMMARY: A case of dens invaginatus in a maxillary lateral incisor with a periapical lesion is reported. The patient presented with pain and localized swelling. Despite the complex anatomy and diagnosis of dens invaginatus, non-surgical root canal treatment was performed successfully. KEY learning POINTS: * Dens invaginatus may be presented in many forms, and the aetiology of this phenomenon is not fully understood. * Due to abnormal anatomical configuration, dens invaginatus presents technical difficulties in its clinical management. * Non-surgical root canal treatment can be performed successfully.- - - - - - - - - - ranking = 1keywords = periapical (Clic here for more details about this article) |
6/39. The treatment options of dens invaginatus complications in children: report of 3 cases.PURPOSE: The authors described 3 cases of dens invaginatus accompanied by different periapical complications in children, as well as the therapy methods they used. methods: The 3 children were between the ages of 12 and 16 years. The type of dens invaginatus was classified according to Schulze and Brand. RESULTS: All 3 cases had dens invaginatus on their permanent teeth in the maxilla. The complications occurred while the teeth were growing, and they were accompanied by swelling in the region of the dens invaginatus. CONCLUSIONS: The periapical complications required early diagnostic and endodontic treatment to prevent further difficulties at a later stage.- - - - - - - - - - ranking = 2keywords = periapical (Clic here for more details about this article) |
7/39. dens in dente (dens invaginatus). Report of two unilateral and one bilateral case.Dens invaginatus is a deep surface invagination of the crown or root that is lined by enamel. It is one of the developmental anomalies affecting the teeth. It commonly affects maxillary lateral incisor, followed by central incisor, premolar, canine and molar tooth. Maxillary teeth are more commonly involved than mandibular teeth. It usually occurs unilaterally although 43% occur bilaterally. The invagination within the tooth can be single, double and even triple has been reported. The affected tooth usually is thick, barrel shaped with a small round palatal opening to the invagination. It usually traps plaque, food debris and is prone for dental caries, which may lead to pulpal and periapical pathology. So if detected early the dens invaginatus should be prophylatically restored. Two unilateral and one bilateral case of dens invaginatus are reported here.- - - - - - - - - - ranking = 1keywords = periapical (Clic here for more details about this article) |
8/39. Endodontic treatment of dens invaginatus type III with three root canals and open apical foramen.AIM: To describe the conservative endodontic treatment and the 1-year follow-up of a permanent maxillary lateral incisor with dens invaginatus. SUMMARY: Frequently, the root canal treatment of invaginated teeth is challenging because of problems associated with gaining access to the root canals and with variations of canal morphology associated with this type of malformation. The present case describes the complex root canal treatment of dens invaginatus in a maxillary lateral incisor with three root canals (Oehler type III), incomplete apex formation, necrotic pulp and abscess formation. After gaining access to two root canals and the invagination with the help of a dental operating-microscope, the canals and the invagination were instrumented and calcium hydroxide dressing was applied for 6 months. apexification and osseous bone repair were achieved, and the canals were filled with gutta-percha. A follow-up after 1 year showed that the tooth was free of any clinical symptoms and the periapical condition was normal. KEY learning POINTS: The present case demonstrated that conservative root canal treatment can be performed successfully even in sever cases of dens invaginatus. The use of a dental operating microscope can help in the management of complicated cases of invaginated teeth through conventional root canal treatment.- - - - - - - - - - ranking = 1.0002521032647keywords = periapical, abscess (Clic here for more details about this article) |
9/39. Endodontic treatment of an invaginated maxillary lateral incisor with a periradicular lesion and a healthy pulp.AIM: To report the healing of a periradicular lesion following nonsurgical root canal treatment of a dental invagination. SUMMARY: A case of dens invaginatus type 3 with a periradicular lesion and a healthy pulp is reported. Nonsurgical root canal treatment of the invagination was performed successfully and resolved an associated periradicular lesion. Despite the complex anatomy and a diagnosis of apical periodontitis, pulp health was retained after endodontic treatment of the invaginated canal. Clinical considerations and treatment are discussed and reported. KEY learning POINTS: Dens invaginatus can present in a variety of forms, knowledge of which can usefully inform endodontic diagnosis and treatment. In certain cases, success can be achieved by treating the invagination alone. Pulp health may be preserved during and after treatment of an infected invagination.- - - - - - - - - - ranking = 0.024157597733012keywords = periodontitis (Clic here for more details about this article) |
10/39. Clinical management of a maxillary lateral incisor with vital pulp and type 3 dens invaginatus: a case report.A maxillary right lateral incisor with a type 3 dens invaginatus and a large periapical lesion with vital pulp in a separate root canal was treated both nonsurgically and surgically. Care was taken not to expose or devitalize the vital pulp in the main root canal system during the treatment. The signs and symptoms ceased after the treatment, and 4-month recall showed complete bone healing with pulp vitality maintained.- - - - - - - - - - ranking = 1keywords = periapical (Clic here for more details about this article) |
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