title: Rapid endodontic management of type II dens invaginatus using an MTA plug: a case report.
abstract: Dens invaginatus is an anomaly characterized by an infolding of enamel and dentin that can lead to caries and pulpal death while the tooth is still immature, and present difficulties with diagnosis and treatment. Generally such open apices are managed by long term apexifaction procedures. This article demonstrated rapid management of a maxillary lateral incisor having a type 2 dens invaginatus, necrotic pulp, open apex and very large periradicular lesion using calcium hydroxide for one week prior to placement of a mineral trioxide aggregate (MTA) plug. After setting of the MTA, the remaining canal space was obturated using a warm vertical gutta percha technique. At 6 months follow-up the patient was asymptomatic, the lesion had almost entirely resolved, and, the root was already completely surrounded by bone.
authors: UCLA School of Dentistry, Los Angeles, USA. sara_fayyazi58@yahoo.com
authors: Sara
authors: S
authors: Fayazi
authors: Saeed
authors: S
authors: Bayat-Movahed
authors: Shane N
authors: SN
authors: White
mesh_terms: D000293:Adolescent; D017607:Aluminum Compounds / Q000627:therapeutic use*; D017610:Calcium Compounds / Q000627:therapeutic use*; D002126:Calcium Hydroxide / Q000627:therapeutic use; D003719:Dens in Dente / Q000628:therapy*; D003751:Dental Fistula / Q000628:therapy; D003790:Dental Pulp Necrosis / Q000628:therapy; D004338:Drug Combinations; D005500:Follow-Up Studies; D006171:Gutta-Percha / Q000627:therapeutic use; D006801:Humans; D007180:Incisor / Q000002:abnormalities*; D008297:Male; D010087:Oxides / Q000627:therapeutic use*; D010483:Periapical Diseases / Q000628:therapy; D012387:Root Canal Filling Materials / Q000627:therapeutic use*; D018915:Root Canal Preparation / Q000379:methods; D012390:Root Canal Therapy / Q000379:methods*; D017640:Silicates / Q000627:therapeutic use*; D019227:Tooth Apex / Q000473:pathology; D014945:Wound Healing / Q000502:physiology
chemical_list: D017607:Aluminum Compounds; D017610:Calcium Compounds; D004338:Drug Combinations; D010087:Oxides; D012387:Root Canal Filling Materials; D017640:Silicates; C086631:mineral trioxide aggregate; D006171:Gutta-Percha; D002126:Calcium Hydroxide