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http://dx.doi.org/10.5933/JKAPD.2012.39.2.181

ENDODONTIC TREATMENT OF A PERIRADICULAR LESION ON AN INVAGINATED TYPE III MAXILLARY LATERAL INCISOR  

Kim, Ki-Rim (Department of Pediatric Dentistry, College of Dentistry Yonsei University)
Lee, Jae-Ho (Department of Pediatric Dentistry, College of Dentistry Yonsei University)
Kim, Seong-Oh (Department of Pediatric Dentistry, College of Dentistry Yonsei University)
Song, Je-Seon (Department of Pediatric Dentistry, College of Dentistry Yonsei University)
Choi, Byung-Jai (Department of Pediatric Dentistry, College of Dentistry Yonsei University)
Kim, Seung-Hye (Department of Pediatric Dentistry, College of Dentistry Yonsei University)
Choi, Hyung-Jun (Department of Pediatric Dentistry, College of Dentistry Yonsei University)
Publication Information
Journal of the korean academy of Pediatric Dentistry / v.39, no.2, 2012 , pp. 181-185 More about this Journal
Abstract
Dens invaginatus is a developmental anomaly resulting in a deepening or invagination of the enamel organ into the dental papilla prior to calcification of the dental tissues. The most widely used classification of dens invaginatus is the system described by Oehler categorizes invaginations into three classes as determined by how far they extend radiographically from the crown into the root. Oehler's classification type III is that the invagination extends through the root and communicates with the periodontal ligament. There is usually no communication with the pulp. In Type III lesions, any infection within the invagination can lead to an inflammatory response within the periodontal tissues giving rise to a 'peri-invagination periodontitis'. In the cases presented here, we treated two patients who were refered for 'peri-invagination periodontitis' on maxillary lateral incisor with Oehler's type III invagination by different approaches each, and they have shown satisfactory outcomes. Although there are several approaches to the management of dens invaginatus, the most important objective is to preserve the health of the pulp, which can be achieved by early diagnosis and the prophylactic treatment regardless of severity. When disease has developed, decision has to be made whether to treat the invagination and the pulp separately.
Keywords
Maxillary lateral incisor; Dens invaginatus; Endodontic treatment; Oehler's classification;
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1 Hulsmann M: Dens invaginatus: aetiology, classification, prevalence, diagnosis, and treatment considerations. Int Endod J, 30:79-90, 1997.   DOI
2 Wells DW, Meyer RD: Vital root canal treatment of a dens in dente. J Endod, 19:616-617, 1993.   DOI
3 Mupparapu M, Singer SR: A rare presentation of dens invaginatus in a mandibular lateral incisor occurring concurrently with bilateral maxillary dens invaginatus: case report and review of literature. Aust Dent J, 49:90-93, 2004.   DOI
4 Khabbaz MG, Konstantaki MN, Sykaras SN: Dens invaginatus in a mandibular lateral incisor. Int Endod J, 28:303-305, 1995.   DOI
5 Hovland EJ, Block RM: Nonrecognition and subsequent endodontic treatment of dens invaginatus. J Endod, 3:360-362, 1977.   DOI
6 De Sousa SM, Bramante CM: Dens invaginatus: treatment choices. Endod Dent Traumatol, 14:152-158, 1998.
7 Brkic H, Filipovic-Zore I, Kokic N: The treatment options of dens invaginatus complications in children: report of 3 cases. J Dent Child (Chic), 70:77-81, 2003.
8 Er K, Kustarci A, Ozan U, et al.: Nonsurgical endodontic treatment of dens invaginatus in a mandibular premolar with large periradicular lesion: a case report. J Endod, 33:322-324, 2007.   DOI
9 Tarjan I, Rozsa N: Endodontic treatment of immature tooth with dens invaginatus: a case report. Int J Paediatr Dent, 9:53-56, 1999.
10 Mupparapu M, Singer SR, Pisano D: Diagnosis and clinical significance of dens invaginatus to practicing dentist. N Y State Dent J, 72:42-46, 2006.
11 이정진, 최병재, 이제호, et al.: 하악 중절치에 발생한 치내치. 대한소아치과학회지, 35:313-318, 2008.
12 Grahnen H, Lindahl B, Omnell K: Dens invaginatus. I. A clinical, roentgenological and genetical study of permanent upper lateral incisors. Odontologisk Revy, 10:115-137, 1959.
13 Backman B, Wahlin YB: Variations in number and morphology of permanent teeth in 7-year-old Swedish children. Int J Paediatr Dent, 11:11-17, 2001.   DOI
14 Casamassimo PS, Nowak AJ, Ettinger RL, et al.: An unusual triad: microdontia, taurodontia, and dens invaginatus. Oral Surg Oral Med Oral Pathol, 45:107-112, 1978.   DOI
15 Oehlers FA: Dens invaginatus (dilated composite odontome). I. Variations of the invagination process and associated anterior crown forms. Oral Surg Oral Med Oral Pathol, 10:1204-1218, 1957.   DOI
16 Ridell K, Mejare I, Matsson L: Dens invaginatus: a retrospective study of prophylactic invagination treatment. Int J Paediatr Dent, 11:92-97, 2001.
17 윤석희, 이재천, 김영재: 상악 측절치의 치내치에 대한 증례 보고. 대한소아치과학회지, 31:495-499, 2004.
18 Bishop K, Alani A: Dens invaginatus. Part 2: clinical, radiographic features and management options. Int Endod J, 41:1137-1154, 2008.   DOI   ScienceOn
19 Morfis AS, Lentzari A: Dens invaginatus with an open apex: a case report. Int Endod J, 22:190-192, 1989.   DOI
20 Holtzman L, Lezion R: Endodontic treatment of maxillary canine with dens invaginatus and immature root. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 82:452-455, 1996.   DOI   ScienceOn
21 Grossman LI: Endodontic case reports. Dent Clin North Am, 18:509-527, 1974.
22 Creaven J: Dens invaginatus-type malformation without pulpal involvement. J Endod, 1:79-80, 1975.   DOI
23 Fristad I, Molven O: Root resorption and apical breakdown during orthodontic treatment of a maxillary lateral incisor with dens invaginatus. Endod Dent Traumatol, 14:241-244, 1998.   DOI
24 Pitt Ford HE: Peri-radicular inflammation related to dens invaginatus treated without damaging the dental pulp: a case report. Int J Paediatr Dent, 8:283-286, 1998.   DOI
25 Szajkis S, Kaufman AY: Root invagination treatment: a conservative approach in endodontics. J Endod, 19:576-578, 1993.   DOI   ScienceOn
26 Schwartz SA, Schindler WG: Management of a maxillary canine with dens invaginatus and a vital pulp. J Endod, 22:493-496, 1996.   DOI
27 Gound TG, Maixner D: Nonsurgical management of a dilacerated maxillary lateral incisor with type III dens invaginatus: a case report. J Endod, 30:448-451, 2004.   DOI
28 Tsurumachi T, Hayashi M, Takeichi O: Non-surgical root canal treatment of dens invaginatus type 2 in a maxillary lateral incisor. Int Endod J, 35:310-314, 2002.
29 Girsch WJ, McClammy TV: Microscopic removal of dens invaginatus. J Endod, 28:336-339, 2002.   DOI
30 Silberman A, Cohenca N, Simon JH: Anatomical redesign for the treatment of dens invaginatus type III with open apexes: a literature review and case presentation. J Am Dent Assoc, 137:180-185, 2006.   DOI
31 Olmez S, Uzamis M, Er N: Dens invaginatus of a mandibular central incisor: surgical endodontic treatment. J Clin Pediatr Dent, 20:53-56, 1995.