Endodontic clinical management of a dens invaginatus case by using a unique treatment approach: a case report.
BACKGROUND
Dens invaginatus is a developmental anomaly that poses treatment challenges when nonsurgical root canal therapy is deemed necessary. Teeth with complex root canal morphology often require a comprehensive treatment approach to effectively clean, shape, and disinfect the pulp canal space before obturation. Endodontic clinical management of a tooth with dens invaginatus might include using cone-beam computed tomography (CBCT) to aid in the diagnosis and treatment-planning phase and use of the surgical operating microscope in performing the clinical phase of treatment. A novel approach could include using the revascularization technique as the final treatment step in the management of a dens invaginatus case in which the root apex has not completed formation.


METHODS
This case report will provide both an overview of the feasibility of using CBCT scans in diagnosis and treatment planning and a step-by-step clinical technique, by using surgical operating microscope and the revascularization technique, in the successful endodontic management of a complex dens invaginatus case.


CONCLUSIONS
Five-month and 12-month follow-up clinical and radiographic findings will provide a candid view of inherent advantages and challenges of this technique.
Department of Endodontics, University of Medicine and Dentistry of New Jersey, 110 Bergen St., Newark, NJ 07101, USA. pushpaknarayana@yahoo.com
Pushpak
P
Narayana
Gary R
GR
Hartwell
Robert
R
Wallace
Umadevi P
UP
Nair
D017607:Aluminum Compounds / Q000627:therapeutic use; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D017610:Calcium Compounds / Q000627:therapeutic use; D002648:Child; D054893:Cone-Beam Computed Tomography / Q000379:methods; D003719:Dens in Dente / Q000473:pathology / Q000628:therapy*; D003786:Dental Pulp Cavity / Q000002:abnormalities; D003807:Dentin Sensitivity / Q000628:therapy; D003809:Dentin, Secondary / Q000000981:diagnostic imaging; D004338:Drug Combinations; D005240:Feasibility Studies; D005500:Follow-Up Studies; D005899:Glass Ionomer Cements / Q000737:chemistry; D006801:Humans; D008277:Magnesium Oxide / Q000737:chemistry; D008297:Male; D008853:Microscopy / Q000295:instrumentation; D010087:Oxides / Q000627:therapeutic use; D010347:Patient Care Planning; D011076:Polycarboxylate Cement / Q000737:chemistry; D012387:Root Canal Filling Materials / Q000627:therapeutic use; D012388:Root Canal Irrigants / Q000627:therapeutic use; D018915:Root Canal Preparation / Q000295:instrumentation; D012390:Root Canal Therapy / Q000379:methods*; D017640:Silicates / Q000627:therapeutic use; D012973:Sodium Hypochlorite / Q000627:therapeutic use; D014092:Tooth Root / Q000002:abnormalities; D015034:Zinc Oxide / Q000737:chemistry
D017607:Aluminum Compounds; D000900:Anti-Bacterial Agents; D017610:Calcium Compounds; D004338:Drug Combinations; D005899:Glass Ionomer Cements; D010087:Oxides; D011076:Polycarboxylate Cement; D012387:Root Canal Filling Materials; D012388:Root Canal Irrigants; D017640:Silicates; C086631:mineral trioxide aggregate; D008277:Magnesium Oxide; C040235:Ketac-cem; D012973:Sodium Hypochlorite; D015034:Zinc Oxide