RESUMO
Se presenta el caso de una paciente de 40 años que manifiesta a los cambios térmicos, dolor espontáneo y nocturno. Al examinar la pieza 1.2 se observa lesión cariosa externa. A la evaluación radiográfica se observa una imagen radiolúcida compatible con caries que compromete la cámara pulpar, y una imagen radiopaca de aproximadamente 4mm. de diámetro compatible con hipercementosis a nivel del tercio apical. Se realiza el tratamiento endodóntico de la pieza dentaria. Finalmente desaparecen los síntomas y el resultado es satisfactorio.
Were present the case of a 40-year-old, who expreses sensitivity to termal changes, spontaneous pain, nocturnal pain. In reviewing the piece 1.2 carious lesión is observed extensive. The evaluation notes radiographic shows a radiolucent image that fits with caries, and compromisos the pulpar chamber; there are also was a radiopaque image with 4.0 mm. diameter that fits with hipercementosis apical third leve lis observed partial obliteration duct. We proceed to make endodontic treatment and finally the symptoms gave up having a good end.
Assuntos
Humanos , Adulto , Feminino , Cemento Dentário/anormalidades , Dente não VitalRESUMO
We report a rare case of an association of external enamel pearl with internal enamel pearl on the root of a molar. To the best of our knowledge, association of external and internal enamel pearls has not been previously reported. We discussed the histogenesis of enamel pearls and proposed that internal enamel pearl formation may be a continuation of formation of external enamel pearl.