Nonsurgical endodontic management of dens invaginatus: A report of two cases

Dens invaginatus is a malformation affecting mainly the superior lateral incisors. It is defined as an infolding of the crown hard tissues, including the enamel and dentin, and can extend up to the root apex. Root canal treatment of this abnormality is considered difficult due to the complex anatomy...

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Detalles Bibliográficos
Autores: Hasna, Amjad Abu [UNESP], de Toledo Ungaro, Daniela Maria [UNESP], de Melo, Allana Agnes Pereira [UNESP], Yui, Karen Cristina Kazue [UNESP], da Silva, Eduardo Galera [UNESP], Martinho, Frederico Canato, Gomes, Ana Paula Martins [UNESP]
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2019
País:Brasil
Institución:Universidade Estadual Paulista (UNESP)
Repositorio:Repositório Institucional da UNESP
Idioma:inglés
OAI Identifier:oai:repositorio.unesp.br:11449/201438
Acceso en línea:http://dx.doi.org/10.12688/f1000research.21188.1
http://hdl.handle.net/11449/201438
Access Level:acceso abierto
Palabra clave:Dens invaginatus
Follow-up
Root canal treatment
Descripción
Sumario:Dens invaginatus is a malformation affecting mainly the superior lateral incisors. It is defined as an infolding of the crown hard tissues, including the enamel and dentin, and can extend up to the root apex. Root canal treatment of this abnormality is considered difficult due to the complex anatomy presented by these teeth. This case series presents nonsurgical endodontic treatment in two cases of dens invaginatus (type II and III) in maxillary lateral incisors. This nonsurgical or conventional endodontic treatment results in healing of the periapical lesions associated with both cases, with no need for extra intervention e.g. surgical or invasive management. The manual instrumentation associated with sodium hypochlorite and calcium hydroxide were able to completely heal the lesions. Radiographic exams were carried out to control and asses the healing. Nonsurgical treatment was successful in both cases with adequate repair after a 6-year follow-up with radiographic and tomographic assessments.