Surgical treatment of a lateroradicular lesion on an invaginated lateral incisor (dens in dente).
The complex anatomy of invaginated teeth makes their endodontic treatment difficult. The case described here reports the successful management of an invaginated tooth presenting with a lateroradicular lesion. After the root was surgically exposed and the radicular defect was cleaned, gutta percha was sealed with a zinc oxide eugenol cement, heat-compacted under 5 degrees, and then cold-burnished. The osseous cavity was filled with Biocorail. Radiographs at 1 month and 5 years show periapical healing with osseous formation. This procedure, resulting in minimal loss of hard tissues, permitted retention of the tooth.
Sauveur
G
G
Department of Restorative Dentistry and Endodontics, Université Paris, France.
Sobel
M
M
Boucher
Y
Y
D000328:Adult; D003719:Dens in Dente / Q000150:complications* / Q000601:surgery; D003751:Dental Fistula / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008297:Male; D010484:Periapical Granuloma / Q000209:etiology / Q000601:surgery*; D012184:Retrograde Obturation / Q000379:methods*