ABSTRACT
Dens invaginatus (DI), commonly known as dens in dente, is a developmental malformation of teeth that most commonly affects permanent maxillary incisor teeth. DI can present in a variety of forms, knowledge of which can usefully help in endodontic diagnosis and treatment. This article reports on an unusual case of DI type III with a periradicular lesion in a mandibular lateral incisor. Non-surgical endodontic treatment was performed and resolution of the periradicular lesion was observed at 1 year follow-up. Clinical considerations and treatment are discussed and reported.
Subject(s)
Adult , Dens in Dente/classification , Dens in Dente/therapy , Dental Fistula/therapy , Dental Pulp Necrosis/therapy , Follow-Up Studies , Humans , Incisor/abnormalities , Male , Mandible , Periapical Diseases/therapy , Root Canal Filling Materials/therapeutic use , Root Canal Irrigants/therapeutic use , Root Canal Preparation/methods , Root Canal Therapy/methodsABSTRACT
El presente trabajo relata un episodio en el incisivo lateral superior izquierdo, de dens invaginatus (diente invaginado), con aspecto coronario conoideo, asociado a necrosis pulpar y rarefacción ósea periapical. Paciente de sexo femenino, de 13 años, mostraba, al examen clínico, alteración cromática de corona clínica, sin antecedentes de trauma; ausencia de síntoma doloroso espontáneo, si bien provocado por percusión vertical. En ocasión de una planificación ortodóntica se evidenció en examen radiográfico de diagnóstico, rarefacción ósea periapical circunscripta, con imagen sugestiva de dens invaginatus de tipo II a lo largo de la corona y la porción cervical radicular. El tratamiento endodóntico indicado se inicia con la cavidad de acceso y transposición del dens invaginatus, que obstruía la luz del canal. Después del tratamiento endodóntico, en un período de observación de 3 meses, se detecta disminución de la rarefacción ósea periapical.
Subject(s)
Humans , Female , Adolescent , Dens in Dente/pathology , Dens in Dente/therapy , Periapical Diseases/pathology , Root Canal Therapy/methods , Dens in Dente/classification , Incisor/abnormalities , Orthodontics, Corrective/methods , Dental Restoration, Temporary/methodsABSTRACT
The aim of this case report was to describe the clinical management of an unusual dens invaginatus type 3. 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