A complex treatment of dens invaginatus.
Dens invaginatus is a developmental malformation of teeth. A case is presented of successful treatment of a peg lateral incisor with a severe dens invaginatus extending to the root apex. Both conventional endodontic therapy and periapical surgery were ineffective in resolving a persistent, long-standing sinus tract. Removal of the tooth in the present case would have created a difficult prosthetic problem. Intentional replantation, with improved access to the apical part of the canal was attempted as a last resort. A 10-month recall radiograph is presented showing successful healing of the periapical lesion. Pre-treatment and post-treatment photographs are presented to show successful esthetic treatment, using bonded composite resin.
Lindner
C
C
Department of Endodontics, Royal Dental Hospital, Melbourne, Australia.
Messer
H H
HH
Tyas
M J
MJ
D000328:Adult; D003188:Composite Resins; D003719:Dens in Dente / Q000150:complications / Q000601:surgery*; D001840:Dental Bonding; D003751:Dental Fistula / Q000209:etiology / Q000601:surgery*; D017220:Dentin-Bonding Agents; D005260:Female; D006801:Humans; D062425:Hydroxybenzoate Ethers; D062385:Hydroxybenzoates; D010483:Periapical Diseases / Q000150:complications / Q000209:etiology / Q000601:surgery; D015995:Prevalence; D012086:Reoperation; D012184:Retrograde Obturation / Q000379:methods*; D012387:Root Canal Filling Materials; D014090:Tooth Replantation
D003188:Composite Resins; D017220:Dentin-Bonding Agents; D062425:Hydroxybenzoate Ethers; D062385:Hydroxybenzoates; D012387:Root Canal Filling Materials; C015199:ethoxybenzoic acid; C084074:Super EBA