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Nonsurgical endodontic management of dens invaginatus: a report of two cases

Dens invaginatus is a malformation affecting mainly the superior lateral incisors. It is defined as an infolding of the crown hard tissues, including the enamel and dentin, and can extend up to the root apex. Root canal treatment of this abnormality is considered difficult due to the complex anatomy...

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Autores principales: Abu Hasna, Amjad, Ungaro, Daniela Maria de Toledo, de Melo, Allana Agnes Pereira, Yui, Karen Cristina Kazue, da Silva, Eduardo Galera, Martinho, Frederico Canato, Gomes, Ana Paula Martins
Formato: Online Artículo Texto
Lenguaje:English
Publicado: F1000 Research Limited 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6915815/
https://www.ncbi.nlm.nih.gov/pubmed/31885864
http://dx.doi.org/10.12688/f1000research.21188.1
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author Abu Hasna, Amjad
Ungaro, Daniela Maria de Toledo
de Melo, Allana Agnes Pereira
Yui, Karen Cristina Kazue
da Silva, Eduardo Galera
Martinho, Frederico Canato
Gomes, Ana Paula Martins
author_facet Abu Hasna, Amjad
Ungaro, Daniela Maria de Toledo
de Melo, Allana Agnes Pereira
Yui, Karen Cristina Kazue
da Silva, Eduardo Galera
Martinho, Frederico Canato
Gomes, Ana Paula Martins
author_sort Abu Hasna, Amjad
collection PubMed
description Dens invaginatus is a malformation affecting mainly the superior lateral incisors. It is defined as an infolding of the crown hard tissues, including the enamel and dentin, and can extend up to the root apex. Root canal treatment of this abnormality is considered difficult due to the complex anatomy presented by these teeth. This case series presents nonsurgical endodontic treatment in two cases of dens invaginatus (type II and III) in maxillary lateral incisors. This nonsurgical or conventional endodontic treatment results in healing of the periapical lesions associated with both cases, with no need for extra intervention e.g. surgical or invasive management. The manual instrumentation associated with sodium hypochlorite and calcium hydroxide were able to completely heal the lesions.  Radiographic exams were carried out to control and asses the healing. Nonsurgical treatment was successful in both cases with adequate repair after a 6-year follow-up with radiographic and tomographic assessments.
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spelling pubmed-69158152019-12-27 Nonsurgical endodontic management of dens invaginatus: a report of two cases Abu Hasna, Amjad Ungaro, Daniela Maria de Toledo de Melo, Allana Agnes Pereira Yui, Karen Cristina Kazue da Silva, Eduardo Galera Martinho, Frederico Canato Gomes, Ana Paula Martins F1000Res Clinical Practice Article Dens invaginatus is a malformation affecting mainly the superior lateral incisors. It is defined as an infolding of the crown hard tissues, including the enamel and dentin, and can extend up to the root apex. Root canal treatment of this abnormality is considered difficult due to the complex anatomy presented by these teeth. This case series presents nonsurgical endodontic treatment in two cases of dens invaginatus (type II and III) in maxillary lateral incisors. This nonsurgical or conventional endodontic treatment results in healing of the periapical lesions associated with both cases, with no need for extra intervention e.g. surgical or invasive management. The manual instrumentation associated with sodium hypochlorite and calcium hydroxide were able to completely heal the lesions.  Radiographic exams were carried out to control and asses the healing. Nonsurgical treatment was successful in both cases with adequate repair after a 6-year follow-up with radiographic and tomographic assessments. F1000 Research Limited 2019-12-02 /pmc/articles/PMC6915815/ /pubmed/31885864 http://dx.doi.org/10.12688/f1000research.21188.1 Text en Copyright: © 2019 Abu Hasna A et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Clinical Practice Article
Abu Hasna, Amjad
Ungaro, Daniela Maria de Toledo
de Melo, Allana Agnes Pereira
Yui, Karen Cristina Kazue
da Silva, Eduardo Galera
Martinho, Frederico Canato
Gomes, Ana Paula Martins
Nonsurgical endodontic management of dens invaginatus: a report of two cases
title Nonsurgical endodontic management of dens invaginatus: a report of two cases
title_full Nonsurgical endodontic management of dens invaginatus: a report of two cases
title_fullStr Nonsurgical endodontic management of dens invaginatus: a report of two cases
title_full_unstemmed Nonsurgical endodontic management of dens invaginatus: a report of two cases
title_short Nonsurgical endodontic management of dens invaginatus: a report of two cases
title_sort nonsurgical endodontic management of dens invaginatus: a report of two cases
topic Clinical Practice Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6915815/
https://www.ncbi.nlm.nih.gov/pubmed/31885864
http://dx.doi.org/10.12688/f1000research.21188.1
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