title: A clinical report of Type III dens invaginatus: relevant aspects of a combined therapeutic approach.
abstract: Dens invaginatus is a developmental abnormality that alters dental morphology; as a result, treating this condition is a challenge for endodontic practices. This article describes how a combination of nonsurgical and surgical therapies was utilized to treat a maxillary central incisor with Type III dens invaginatus and vital pulp. The treatment plan included using computed tomography (CT) for a detailed analysis of the dental anatomy and periapical area, endodontic and surgical procedures, and a 4-year follow-up period that included periodic clinical and radiographic examinations. The follow-up examinations revealed a regression of the apical lesion and no other signs or symptoms. Based on the present case report, the authors concluded that this combination of surgical and nonsurgical approaches was effective and that CT is a valuable auxiliary tool for the study of dental anatomy.
authors.affiliation: Department of Endodontics, Federal University of Para, Brazil.
authors.forename: Patricia de Almeida Rodrigues
authors.initials: Pde A
authors.lastname: Silva E Souza
authors.forename: Bruno Vila Nova
authors.initials: BV
authors.lastname: de Almeida
authors.forename: Talita
authors.initials: T
authors.lastname: Tartari
authors.forename: Ana Claudia Braga Amoras
authors.initials: AC
authors.lastname: Alves
authors.forename: Farbicio Mesquita
authors.initials: FM
authors.lastname: Tuji
authors.forename: Mario Honorato
authors.initials: MH
authors.lastname: Silva E Souza
mesh_terms: D002648:Child; D003719:Dens in Dente / Q000000981:diagnostic imaging / Q000628:therapy*; D003751:Dental Fistula / Q000000981:diagnostic imaging* / Q000628:therapy; D006801:Humans; D007180:Incisor / Q000002:abnormalities* / Q000000981:diagnostic imaging; D008297:Male; D010485:Periapical Periodontitis / Q000000981:diagnostic imaging* / Q000628:therapy; D012390:Root Canal Therapy / Q000379:methods*; D014057:Tomography, X-Ray Computed / Q000379:methods