| Management of dens invaginatus type I and open apex: report of three cases. | |
| | |
MedLine Citation:
|
PMID: 20478470 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
INTRODUCTION: Dens invaginatus is a critical condition for endodontic treatment once it frequently presents a complex internal anatomy and might be associated with incomplete root and apical development. METHODS: Three cases of dens invaginatus with open apex in maxillary lateral incisors are presented. In the first case, apexification with calcium hydroxide pastes was performed. In the second case, initial treatment was carried out, but the patient missed follow-up appointments for 15 months. In the third case, periradicular surgery was done as a result of the persistence of exudates and incomplete root canal development after conservative endodontic treatment. Oehlers' type I dens invaginatus was also present in the opposite maxillary lateral incisor in 2 patients, but no treatment was required. RESULTS: At subsequent follow-up, the periradicular region was completely healed, and postoperative radiographs revealed good bone healing in all patients. Patient #2 had an increase in root length, and after 38 months the apical third was completely calcified. CONCLUSIONS: A careful clinical and radiographic examination should be conducted to identify dens invaginatus associated with incomplete root development and open apexes. Adequate periradicular healing was observed after the infection, and the anatomical features in the root canal system were accessed. Because a long period is required to determine the clinical outcome, patient compliance must be encouraged. |
| | |
Authors:
|
Márcia S Schmitz; Francisco Montagner; Claudia B Flores; Victor H C Morari; Gustavo A T Quesada; Brenda P F A Gomes |
Publication Detail:
|
Type: Case Reports; Journal Article; Research Support, Non-U.S. Gov't; Review Date: 2010-04-18 |
Journal Detail:
|
Title: Journal of endodontics Volume: 36 ISSN: 1878-3554 ISO Abbreviation: J Endod Publication Date: 2010 Jun |
Date Detail:
|
Created Date: 2010-05-18 Completed Date: 2010-09-28 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 7511484 Medline TA: J Endod Country: United States |
Other Details:
|
Languages: eng Pagination: 1079-85 Citation Subset: D |
Copyright Information:
|
Copyright 2010. Published by Elsevier Inc. |
Affiliation:
|
Endodontic Division, Department of Stomatology, Federal University of Santa Maria, Santa Maria, RS, Brazil. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Alveolar Process
/
pathology Apexification / methods Apicoectomy / methods Calcium Hydroxide / therapeutic use Child Dens in Dente / therapy* Female Follow-Up Studies Gutta-Percha / therapeutic use Humans Incisor / abnormalities* Male Periapical Granuloma / surgery Periapical Tissue / pathology Root Canal Filling Materials / therapeutic use Root Canal Preparation / methods Tooth Apex / pathology* Tooth Root / pathology Wound Healing / physiology Young Adult |
| Chemical | |
Reg. No./Substance:
|
0/Root Canal Filling Materials; 1305-62-0/Calcium Hydroxide; 9000-32-2/Gutta-Percha |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: New nomenclature for extra canals based on four reported cases of maxillary first molars with six ca...
Next Document: Tooth discoloration of immature permanent incisor associated with triple antibiotic therapy: a case ...