Guided endodontics: a case report of maxillary lateral incisors with multiple dens invaginatus
Navigation of the main root canal and dealing with a dens invaginatus (DI) is a challenging task in clinical practice. Recently, the guided endodontics technique has become an alternative method for accessing root canals, surgical cavities, and calcified root canals without causing iatrogenic damage...
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Korean Academy of Conservative Dentistry
2019-11-01
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| Series: | Restorative Dentistry & Endodontics |
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| Online Access: | http://rde.ac/upload/pdf/rde-44-e38.pdf |
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| author | Afzal Ali Hakan Arslan |
| author_facet | Afzal Ali Hakan Arslan |
| author_sort | Afzal Ali |
| collection | DOAJ |
| description | Navigation of the main root canal and dealing with a dens invaginatus (DI) is a challenging task in clinical practice. Recently, the guided endodontics technique has become an alternative method for accessing root canals, surgical cavities, and calcified root canals without causing iatrogenic damage to tissue. In this case report, the use of the guided endodontics technique for two maxillary lateral incisors with multiple DIs is described. A 16-year-old female patient was referred with the chief complaint of pain and discoloured upper front teeth. Based on clinical and radiographic findings, a diagnosis of pulp necrosis and chronic periapical abscess associated with double DI (Oehler's type II) was established for the upper left lateral maxillary incisor (tooth #22). Root canal treatment and the sealing of double DI with mineral trioxide aggregate was planned for tooth #22. For tooth #12 (Oehler's type II), preventive sealing of the DI was planned. Minimally invasive access to the double DI and the main root canal of tooth #22, and to the DI of tooth #12, was achieved using the guided endodontics technique. This technique can be a valuable tool because it reduces chair-time and, more importantly, the risk of iatrogenic damage to the tooth structure. |
| format | Article |
| id | doaj-art-4b4393a032dc42f8a7a83c28d024d44e |
| institution | OA Journals |
| issn | 2234-7658 2234-7666 |
| language | English |
| publishDate | 2019-11-01 |
| publisher | Korean Academy of Conservative Dentistry |
| record_format | Article |
| series | Restorative Dentistry & Endodontics |
| spelling | doaj-art-4b4393a032dc42f8a7a83c28d024d44e2025-08-20T02:38:29ZengKorean Academy of Conservative DentistryRestorative Dentistry & Endodontics2234-76582234-76662019-11-01444e3810.5395/rde.2019.44.e38876Guided endodontics: a case report of maxillary lateral incisors with multiple dens invaginatusAfzal Ali0Hakan Arslan1Department of Conservative Dentistry and Endodontics, Pacific Dental College and Hospital, Udaipur, RJ, IndiaDepartment of Endodontics, Faculty of Dentistry, Istanbul Health Sciences University, Istanbul, TurkeyNavigation of the main root canal and dealing with a dens invaginatus (DI) is a challenging task in clinical practice. Recently, the guided endodontics technique has become an alternative method for accessing root canals, surgical cavities, and calcified root canals without causing iatrogenic damage to tissue. In this case report, the use of the guided endodontics technique for two maxillary lateral incisors with multiple DIs is described. A 16-year-old female patient was referred with the chief complaint of pain and discoloured upper front teeth. Based on clinical and radiographic findings, a diagnosis of pulp necrosis and chronic periapical abscess associated with double DI (Oehler's type II) was established for the upper left lateral maxillary incisor (tooth #22). Root canal treatment and the sealing of double DI with mineral trioxide aggregate was planned for tooth #22. For tooth #12 (Oehler's type II), preventive sealing of the DI was planned. Minimally invasive access to the double DI and the main root canal of tooth #22, and to the DI of tooth #12, was achieved using the guided endodontics technique. This technique can be a valuable tool because it reduces chair-time and, more importantly, the risk of iatrogenic damage to the tooth structure.http://rde.ac/upload/pdf/rde-44-e38.pdfdens invaginatusguided endodontics3d printingendodontics |
| spellingShingle | Afzal Ali Hakan Arslan Guided endodontics: a case report of maxillary lateral incisors with multiple dens invaginatus Restorative Dentistry & Endodontics dens invaginatus guided endodontics 3d printing endodontics |
| title | Guided endodontics: a case report of maxillary lateral incisors with multiple dens invaginatus |
| title_full | Guided endodontics: a case report of maxillary lateral incisors with multiple dens invaginatus |
| title_fullStr | Guided endodontics: a case report of maxillary lateral incisors with multiple dens invaginatus |
| title_full_unstemmed | Guided endodontics: a case report of maxillary lateral incisors with multiple dens invaginatus |
| title_short | Guided endodontics: a case report of maxillary lateral incisors with multiple dens invaginatus |
| title_sort | guided endodontics a case report of maxillary lateral incisors with multiple dens invaginatus |
| topic | dens invaginatus guided endodontics 3d printing endodontics |
| url | http://rde.ac/upload/pdf/rde-44-e38.pdf |
| work_keys_str_mv | AT afzalali guidedendodonticsacasereportofmaxillarylateralincisorswithmultipledensinvaginatus AT hakanarslan guidedendodonticsacasereportofmaxillarylateralincisorswithmultipledensinvaginatus |