Combined endodontic and surgical management of a mandibular lateral incisor with a rare type of dens invaginatus.
Dens invaginatus is a developmental malformation of teeth that most commonly affects permanent maxillary lateral incisors. Presence of dens invaginatus in mandibular permanent teeth is relatively rare. The purpose of this report is to describe the combined nonsurgical and surgical management of a mandibular lateral incisor associated with a rare type of dens invaginatus. Pulp involvement of the malformed tooth, periapical abscess, and severe periodontal destruction were observed. The signs (sinus tracts) and symptoms ceased after completion of the treatment. Satisfactory healing of the periradicular lesion was observed at the 6-month and 2-year follow-up examinations.
Chaniotis
Antonios M
AM
Department of Endodontics, Dental School, University of Athens, Athens, Greece.
Tzanetakis
Giorgos N
GN
Kontakiotis
Evangelos G
EG
Tosios
Konstantinos I
KI
D000328:Adult; D003719:Dens in Dente / Q000601:surgery / Q000628:therapy*; D003751:Dental Fistula / Q000601:surgery; D003782:Dental Pulp / Q000002:abnormalities; D003790:Dental Pulp Necrosis / Q000628:therapy; D005500:Follow-Up Studies; D006801:Humans; D007180:Incisor / Q000002:abnormalities* / Q000601:surgery; D008297:Male; D008334:Mandible; D008567:Membranes, Artificial; D010482:Periapical Abscess / Q000601:surgery; D010514:Periodontal Pocket / Q000601:surgery; D011842:Radicular Cyst / Q000601:surgery; D012390:Root Canal Therapy / Q000379:methods*; D013524:Surgical Flaps; D016896:Treatment Outcome; D014945:Wound Healing / Q000502:physiology
D008567:Membranes, Artificial