A case report of multiple bilateral dens invaginatus in maxillary anteriors
The present report presents a case of dens invaginatus (DI) in a patient with 4 maxillary incisors. A 24-year-old female complained of swelling of the maxillary left anterior region and discoloration of the maxillary left anterior tooth. The maxillary left lateral incisor (tooth #22) showed pulp nec...
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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-e39.pdf |
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| author | Shin Hye Chung You-Jeong Hwang Sung-Yeop You Young-Hye Hwang Soram Oh |
| author_facet | Shin Hye Chung You-Jeong Hwang Sung-Yeop You Young-Hye Hwang Soram Oh |
| author_sort | Shin Hye Chung |
| collection | DOAJ |
| description | The present report presents a case of dens invaginatus (DI) in a patient with 4 maxillary incisors. A 24-year-old female complained of swelling of the maxillary left anterior region and discoloration of the maxillary left anterior tooth. The maxillary left lateral incisor (tooth #22) showed pulp necrosis and a chronic apical abscess, and a periapical X-ray demonstrated DI on bilateral maxillary central and lateral incisors. All teeth responded to a vitality test, except tooth #22. The anatomic form of tooth #22 was similar to that of tooth #12, and both teeth had lingual pits. In addition, panoramic and periapical X-rays demonstrated root canal calcification, such as pulp stones, in the maxillary canines, first and second premolars, and the mandibular incisors, canines, and first premolars bilaterally. The patient underwent root canal treatment of tooth #22 and non-vital tooth bleaching. After a temporary filling material was removed, the invaginated mass was removed using ultrasonic tips under an operating microscope. The working length was established, and the root canal was enlarged up to #50 apical size and obturated with gutta-percha and AH 26 sealer using the continuous wave of condensation technique. Finally, non-vital bleaching was performed, and the access cavity was filled with composite resin. |
| format | Article |
| id | doaj-art-8b6864d983e54e95bc732a445f77cd44 |
| institution | Kabale University |
| 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-8b6864d983e54e95bc732a445f77cd442025-08-20T03:28:52ZengKorean Academy of Conservative DentistryRestorative Dentistry & Endodontics2234-76582234-76662019-11-01444e3910.5395/rde.2019.44.e39877A case report of multiple bilateral dens invaginatus in maxillary anteriorsShin Hye Chung0You-Jeong Hwang1Sung-Yeop You2Young-Hye Hwang3Soram Oh4Dental Research Institute and Department of Dental Biomaterials, School of Dentistry, Seoul National University, Seoul, KoreaDepartment of Dentistry, CHA Bundang Medical Center, CHA University, Seongnam, KoreaPrivate Practice, Seongnam, KoreaDepartment of Endodontic Dentistry, Seoul Dental Hospital for the Disabled, Seoul, KoreaDepartment of Conservative Dentistry, Kyung Hee University Dental Hospital, Seoul, KoreaThe present report presents a case of dens invaginatus (DI) in a patient with 4 maxillary incisors. A 24-year-old female complained of swelling of the maxillary left anterior region and discoloration of the maxillary left anterior tooth. The maxillary left lateral incisor (tooth #22) showed pulp necrosis and a chronic apical abscess, and a periapical X-ray demonstrated DI on bilateral maxillary central and lateral incisors. All teeth responded to a vitality test, except tooth #22. The anatomic form of tooth #22 was similar to that of tooth #12, and both teeth had lingual pits. In addition, panoramic and periapical X-rays demonstrated root canal calcification, such as pulp stones, in the maxillary canines, first and second premolars, and the mandibular incisors, canines, and first premolars bilaterally. The patient underwent root canal treatment of tooth #22 and non-vital tooth bleaching. After a temporary filling material was removed, the invaginated mass was removed using ultrasonic tips under an operating microscope. The working length was established, and the root canal was enlarged up to #50 apical size and obturated with gutta-percha and AH 26 sealer using the continuous wave of condensation technique. Finally, non-vital bleaching was performed, and the access cavity was filled with composite resin.http://rde.ac/upload/pdf/rde-44-e39.pdfdens invaginatusdental pulp calcificationoperating microscoperoot canal treatmentultrasonic tip |
| spellingShingle | Shin Hye Chung You-Jeong Hwang Sung-Yeop You Young-Hye Hwang Soram Oh A case report of multiple bilateral dens invaginatus in maxillary anteriors Restorative Dentistry & Endodontics dens invaginatus dental pulp calcification operating microscope root canal treatment ultrasonic tip |
| title | A case report of multiple bilateral dens invaginatus in maxillary anteriors |
| title_full | A case report of multiple bilateral dens invaginatus in maxillary anteriors |
| title_fullStr | A case report of multiple bilateral dens invaginatus in maxillary anteriors |
| title_full_unstemmed | A case report of multiple bilateral dens invaginatus in maxillary anteriors |
| title_short | A case report of multiple bilateral dens invaginatus in maxillary anteriors |
| title_sort | case report of multiple bilateral dens invaginatus in maxillary anteriors |
| topic | dens invaginatus dental pulp calcification operating microscope root canal treatment ultrasonic tip |
| url | http://rde.ac/upload/pdf/rde-44-e39.pdf |
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