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- Title
REGENERATIVE ENDODONTIC PROCEDURE OF IMMATURE TYPE I DENS INVAGINATUS: A CASE REPORT WITH A 4-YEAR FOLLOW-UP.
- Authors
Camelo, Alexandra; dos Santos Frozoni, Marcos Roberto; Alves, Clerice Rodrigues; Prado, Maíra; De-Jesus-Soares, Adriana
- Abstract
Purpose: Dens invaginatus is a developmental dental malformation generally thought to occur as a result of an infolding of the enamel organ into the dental papilla prior to calcification. This study reports a case of regenerative endodontic procedure of immature type I dens invaginatus with a 4-year follow-up. Case report: A 9-year-old girl was referred to a private dental clinic. Clinical examination revealed fistula on the buccal face of the maxillary left lateral incisor. Radiographic and tomographic images showed incomplete root formation, with extremely thin dentinal walls and the presence of type I dens invaginatus. Regenerative endodontic procedure was chosen because of pulp necrosis. During the access procedure, the dens invaginatus was removed under a clinical microscope using ultrasound. Calcium hydroxide and 2% chlorhexidine gel were used as intracanal medicaments for 14 days. MTA was used for sealing of the middle-cervical thirds and composite resin for coronal sealing. Conclusion: The present report showed the successful regenerative endodontic procedure of immature teeth with type I dens invaginatus using calcium hydroxide and 2% chlorhexidine gel as intracanal dressings for 14 days. The follow-up at 4 years showed no signs and symptoms and the radiographic images showed periodontal tissues in good condition with continuous root formation and apical closure.
- Subjects
DENTAL enamel; CALCIUM hydroxide; ROOT formation; DENTAL clinics; TOMOGRAPHY
- Publication
International Journal of Clinical Dentistry, 2018, Vol 10, Issue 3, p227
- ISSN
1939-5833
- Publication type
Article