Invaginated Tooth

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Yves Boucher - One of the best experts on this subject based on the ideXlab platform.

  • Surgical treatment of a lateroradicular lesion on an Invaginated lateral incisor (dens in dente)
    Oral Surgery Oral Medicine Oral Pathology Oral Radiology and Endodontology, 1997
    Co-Authors: Gabriel Sauveur, Morton Sobel, Yves Boucher
    Abstract:

    Abstract The complex anatomy of Invaginated teeth makes their endodontic treatment difficult. The case described here reports the successful management of an Invaginated Tooth presenting with a lateroradicular lesion. After the root was surgically exposed and the radicular defect was cleaned, gutta percha was sealed with a zinc oxide eugenol cement, heat-compacted under 5°, and then cold-burnished. The osseous cavity was filled with Biocorail. Radiographs at 1 month and 5 years show periapical healing with osseous formation. This procedure, resulting in minimal loss of hard tissues, permitted retention of the Tooth.

  • Surgical treatment of a periradicular lesion on an Invaginated maxillary lateral incisor (dens in dente)
    International Endodontic Journal, 1997
    Co-Authors: Gabriel Sauveur, Morton Sobel, F. Roth, Yves Boucher
    Abstract:

    Summary The complex anatomy of Invaginated teeth make their root canal treatment difficult. Moreover, this treatment may compromise the future of the Tooth if it is destined to support a post-retained coronal restoration. This case reports the successful surgical root canal treatment of an Invaginated Tooth using a retrograde filling with gutta-percha. After surgical exposure of the root-end and cleaning of the root canal, the gutta-percha was compacted in the root canal which had been coated previously with a zinc oxide-eugenol cement. The gutta-percha was then cold-burnished. Periapical radiographic examination after 1, 2, 3, 6 and 12 months showed periapical healing with osseous formation. This procedure, resulting in minimal loss of hard tissues, permitted subsequent restoration of the Tooth.

Gustavo Avilaortiz - One of the best experts on this subject based on the ideXlab platform.

  • maxillary cyst associated with an Invaginated Tooth a case report and literature review
    Quintessence International, 2003
    Co-Authors: Pablo Galindomoreno, Maria J Parravazquez, Elena Sanchezfernandez, Gustavo Avilaortiz
    Abstract:

    Dental invagination or dens in dente is a rare malformation with a widely varied morphology. Radiographically, the affected Tooth shows an infolding of the enamel and dentin that can extend to within the pulp cavity and the root and sometimes to the root apex. It can occur in both primary and permanent teeth, and its prevalence is reported to be 1.7% to 10%. The dental anomalies observed in association with dental invagination include taurodontia, microdontia, supernumerary teeth, gemination, and dentinogenesis imperfecta. This article presents a clinical case in which a radiographic finding could be compatible with the presence of a nasopalatine or globulomaxillary cyst and a dens in dente. It was decided to extract the Invaginated Tooth, and by 15 days postextraction, the radiolucid area had completely disappeared. The complex surgery that would have been required to remove the patient's supposed cyst was thus avoided. Clinical and radiographic examination is suggested before making further decisions that could complicate treatment when a lesion is associated with other dental anomalies.

Mona Rahmani - One of the best experts on this subject based on the ideXlab platform.

  • Treatment of Dens Invagination in a Maxillary Lateral Incisor: A Case Report.
    Iranian endodontic journal, 2015
    Co-Authors: Azar Heydari, Mona Rahmani
    Abstract:

    Dens invagination is a developmental anomaly requiring specific treatment approaches. Oehler's Type III dens in dente, extends into the root and perforates at the apical area or lateral surface of the root. In this case endodontic treatment of the Invaginated Tooth was carried out through the central lumen of the invagination with calcium hydroxide without manipulation of the main pulp canal, thereby leaving the Tooth vital. The 18-month follow-up examinations were indicative of treatment success; the periapical lesion resolved completely and the Tooth remained vital. Information about the three dimensional anatomy of the teeth especially those with an abnormality is necessary for a successful treatment.

  • Treatment of Dens Invagination in a Maxillary Lateral Incisor: A Case Report
    iranian endodontic journal, 2015
    Co-Authors: Azar Heydari, Mona Rahmani
    Abstract:

    Article Type: Ca se Report Dens invagination is a developmental anomaly requiring specific treatment approaches. Oehler's Type III dens in dente, extends into the root and perforates at the apical area or lateral surface of the root. In this case endodontic treatment of the Invaginated Tooth was carried out through the central lumen of the invagination with calcium hydroxide without manipulation of the main pulp canal, thereby leaving the Tooth vital. The 18-month follow-up examinations were indicative of treatment success; the periapical lesion resolved completely and the Tooth remained vital. Conclusion: Information about the three dimensional anatomy of the teeth especially those with an abnormality is necessary for a successful treatment.

Gabriel Sauveur - One of the best experts on this subject based on the ideXlab platform.

  • Surgical treatment of a lateroradicular lesion on an Invaginated lateral incisor (dens in dente)
    Oral Surgery Oral Medicine Oral Pathology Oral Radiology and Endodontology, 1997
    Co-Authors: Gabriel Sauveur, Morton Sobel, Yves Boucher
    Abstract:

    Abstract The complex anatomy of Invaginated teeth makes their endodontic treatment difficult. The case described here reports the successful management of an Invaginated Tooth presenting with a lateroradicular lesion. After the root was surgically exposed and the radicular defect was cleaned, gutta percha was sealed with a zinc oxide eugenol cement, heat-compacted under 5°, and then cold-burnished. The osseous cavity was filled with Biocorail. Radiographs at 1 month and 5 years show periapical healing with osseous formation. This procedure, resulting in minimal loss of hard tissues, permitted retention of the Tooth.

  • Surgical treatment of a periradicular lesion on an Invaginated maxillary lateral incisor (dens in dente)
    International Endodontic Journal, 1997
    Co-Authors: Gabriel Sauveur, Morton Sobel, F. Roth, Yves Boucher
    Abstract:

    Summary The complex anatomy of Invaginated teeth make their root canal treatment difficult. Moreover, this treatment may compromise the future of the Tooth if it is destined to support a post-retained coronal restoration. This case reports the successful surgical root canal treatment of an Invaginated Tooth using a retrograde filling with gutta-percha. After surgical exposure of the root-end and cleaning of the root canal, the gutta-percha was compacted in the root canal which had been coated previously with a zinc oxide-eugenol cement. The gutta-percha was then cold-burnished. Periapical radiographic examination after 1, 2, 3, 6 and 12 months showed periapical healing with osseous formation. This procedure, resulting in minimal loss of hard tissues, permitted subsequent restoration of the Tooth.

Pelin Güneri - One of the best experts on this subject based on the ideXlab platform.

  • Amputation of an Extra-root with an Endodontic Lesion in an Invaginated Vital Maxillary Lateral Incisor: A Rare Case with Seven-year Follow-up
    iranian endodontic journal, 2016
    Co-Authors: M. K. Çalışkan, Saeed Asgary, Ugur Kagan Tekin, Pelin Güneri
    Abstract:

    The developmental abnormality of Tooth resulting from the infolding of enamel/dentin into the root is called dens invaginatus. Management of such cases is usually challenging due to the morphological complexity of root canal system. This report presents a rare treatment protocol of a clinical case of Oehler’s type III dens invaginatus combined with an endodontic lesion in a vital maxillary lateral incisor. Access to the endodontic lesion located between the central and lateral incisors was achieved by reflection of a full mucoperiosteal flap. Granulomatous tissue as well as aberrant root was removed and the surface of the root and adjacent coronal region were reshaped. Three years later, the patient was orthodontically treated. Seven years after completion of surgical/orthodontic management, the Tooth remained asymptomatic and functional with normal periodontium/vital pulp. Radiographically, the healing of the lesion was observed. Actually, vitality of the Invaginated Tooth and communication between the invagination and the root canal were the most important factors in determining such minimally invasive treatment protocol. Depending on the anatomy of the root canal system, surgical amputation of an Invaginated root can be performed to achieve a successful outcome in Oehler’s type III dens invaginatus cases, even though it is associated with apical periodontitis. Keywords: Apical Periodontitis; Dens Invaginatus; Endodontic Therapy; Lateral Incisor; Periradicular Surgery