Document Detail


Diagnosis and management of a maxillary lateral incisor exhibiting dens invaginatus and dens evaginatus.
MedLine Citation:
PMID:  24456015     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
This case report, involving an indigenous Australian, presents the diagnosis and non-surgical endodontic management of a 22 with developmental abnormalities. They include a dens evaginatus and a dens invaginatus that extends to an apical burst in a second truncated root. Cone-beam computed tomography and endodontic microscopy were not available to the clinician. This case report focuses on ambiguities appearing in the literature relating to classification and terminology associated with the abovementioned developmental anomalies. It also demonstrates the need to methodically collect and cautiously interpret available information before initiating endodontic intervention. Axial inclination, distance perception, internal demarcation and spatial awareness, together with an understanding of dental anatomy, embryology and histology and associated physiology and pathology, allowed the clinician to accurately predict the point, the angle and the depth of coronal access. Sensibility of the dentino-pulpal complex was maintained. Critical thinking, experience, innovation, problem-solving and established principles can compensate for inaccessible technologies.
Authors:
Harry Francis Akers; Carolyn Mary Henderson; Michael Anthony Foley
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2014-1-24
Journal Detail:
Title:  Australian endodontic journal : the journal of the Australian Society of Endodontology Inc     Volume:  -     ISSN:  1747-4477     ISO Abbreviation:  Aust Endod J     Publication Date:  2014 Jan 
Date Detail:
Created Date:  2014-1-24     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100888004     Medline TA:  Aust Endod J     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2014 Australian Society of Endodontology.
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