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http://dx.doi.org/10.5933/JKAPD.2015.42.2.188

Regenerative Endodontic Treatment of Infected Immature Permanent Teeth with Dens Invaginatus : A Report of Two Cases  

Shin, Gayoung (Department of Pediatric Dentistry, College of Dentistry, Wonkwang University)
Lee, Kwanghee (Department of Pediatric Dentistry, College of Dentistry, Wonkwang University)
An, Soyoun (Department of Pediatric Dentistry, College of Dentistry, Wonkwang University)
Song, Jihyun (Department of Pediatric Dentistry, College of Dentistry, Wonkwang University)
Heo, Narang (Department of Pediatric Dentistry, College of Dentistry, Wonkwang University)
Ra, Jiyoung (Department of Pediatric Dentistry, College of Dentistry, Wonkwang University)
Publication Information
Journal of the korean academy of Pediatric Dentistry / v.42, no.2, 2015 , pp. 188-196 More about this Journal
Abstract
Endodontic management of an immature permanent tooth with dens invaginatus poses a challenge to efficient treatment planning for the clinicians. Because it is difficult to shape, disinfect, and seal the canal space effectively, teeth with complex root canal structures often require particularly extensive and thorough treatment approaches. The purpose of this case report was to share clinical insight from the results of short-term follow-ups after regenerative endodontic treatment with a dens invaginatus. Two immature maxillary lateral incisors with Oehlers type I and III dens invaginatus and infected necrotic pulp were treated using regenerative endodontic procedures. For the type III dens invaginatus case, an unusual approach toward redesigning the complex internal structure was taken, in order to have sufficient infection control and sealing. Cone-beam computed tomography (CBCT) and a surgical operating microscope were used to aid visualization and treatment. As a result, regenerative endodontic treatment appears to be effective for managing immature permanent teeth with complex dens invaginatus, and can lead not only to clinical and radiographic resolution, but also increased thickness of the dentinal walls.
Keywords
Regenerative endodontics; Dens invaginatus; Immature permanent tooth;
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Times Cited By KSCI : 1  (Citation Analysis)
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