Management of dens in dente associated with a chronic periapical lesion

Mehta, Vivek; Raheja, Anupama; Singh, Rajeev Kumar

doi:10.1136/bcr-2015-211219

Cited by 3 publications

(2 citation statements)

References 17 publications

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“…When this complicated canal configuration (type II or III) is associated with an extensive periapical lesion, nonsurgical endodontic treatment is difficult to perform, but it must be considered before any surgical treatment [ 3 ]. The use of CBCT as an auxiliary tool is recommended for the diagnosis and the treatment planning of teeth with such developmental anomalies [ 7 ].…”

Section: Discussionmentioning

confidence: 99%

CBCT Evaluation and Conservative Management of a Large Periapical Lesion Associated with Dens Invaginatus Type II

Azzahim

Nissrin

Abdallaoui

2022

Case Reports in Dentistry

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This case report illustrated the conservative management of an invaginated type II tooth with a large periapical lesion. This dental malformation is characterized by the complexity of root canal anatomy, which when associated with a periapical lesion complicates the performance of conventional endodontic treatment, hence resulting to the difficulty of obtaining the optimal disinfection of the root canal system, which is an essential element for the success of any endodontic treatment. In the present case report, clinical and radiographic examinations were supplemented by CBCT examination to identify the root canal configuration and the extension of the periapical lesion. Conservative orthograde endodontic treatment was performed by combining mechanical and chemical action. Additionally, active nonsurgical decompression was performed and the follow-up visits revealed a favorable outcome.

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Section: Discussionmentioning

confidence: 99%

CBCT Evaluation and Conservative Management of a Large Periapical Lesion Associated with Dens Invaginatus Type II

Azzahim

Nissrin

Abdallaoui

2022

Case Reports in Dentistry

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“…The reported prevalence of DI ranges from 0.04% to 12% [2,8], with the maxillary lateral incisor the most frequently involved tooth [2,8,9,15]. Numerous attempts have been made to classify the degree of malformation associated with the affected tooth [2,8].…”

Section: Introductionmentioning

confidence: 99%

Successful non-surgical endodontic management of type III dens invaginatus by using cone-beam computed tomography: a case report

Alessandro Moreira Freire,

Paulo Otávio Carmo Souza,

Carlos Eduardo Castro Dourado

et al. 2023

RSBO

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Dens invaginatus (DI) is a rare malformation of a tooth caused by the invagination of tooth crown before biological mineralization occurs. In DI type III invagination extends beyond the cementum-enamel junction, with the second foramen extending into the periapical tissues or into the periapical area. DI type III may pose real challenges for the clinician, especially when endodontic treatment is required. Objective: The present case report describes the successful non-surgical endodontic management of a tooth with DI type III with the aid of cone-beam computed tomography (CBCT). Case report: A 20-year-old male patient was referred for endodontic evaluation and treatment of the left maxillary lateral incisor (tooth #22), which presented a darker and unusual crown shape. Periapical radiography and CBCT scans revealed the presence of a type III DI, and a larger periapical lesion associated with external root resorption and discontinuous buccal cortical plate Results: The diagnosis of Oehlers type III DI with asymptomatic apical periodontitis was established, and non-surgical endodontic treatment was initiated. After 5 months, a decrease in the periapical lesion and arrest of external resorption was detected. The root canals were then filled, and the tooth restored. At the 3-years follow-up, clinical and imaging assessments revealed successful outcome of the treatment. Conclusion: CBCT is an inestimable tool for non-surgical endodontic management of teeth with complex internal anatomy, such as DI type III with associated large periapical lesion.

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