Sažetak sa skupa
The Treatment Options of Dens Invaginatus: Report of 2 Cases
Hrvoje Brkić
Irina Filipović-Zore
Sažetak
Dens invaginatus is a developmental variation thought to arise as a result of invainatio in the surface of the tooth crown before calcification has occurred. The authors described two cases of dens invaginatus accompanied by different periapical complications in children, as wel as the therapy methods used. The two children were between the ages of 12 and 16 years. The type of dens invaginatus was classified according to Schulze and Brand.
Both cases had dens invaginatus on their permanent teeth in the maxilla. The complications occurred while the teeth were growing, and they were accompanied by swelling in the region of the dens invaginatus. In Case 1, pulp extripation was accompanied by profuse pulp chamber bleeding. Intraradicular instrumentation was adapted to conform with the existent morphological deviation of the endodontic space. The root canal was temporally filled with calcium hydroxide for a period of 10 days. The pain disappeared on the first day and the swelling gradually reduced. On the tenth day, the temporary root filling was replaced, and the root canals were dilled using the lateral condensation with standardized gutta percha points and paste. In Case 2, the clinical examination found fluctuation in the vestibular region. An intraoral incision with drainage was performed and antibiotic treatment continued. When the odontogenic infection has been controlled, the dens invaginatus tooth was surgically extracted.Pathohistological finding of the periradicular cyst confirmed the diagnosis of a follicular cyst. Given the significant size of the post-surgical bone defect, it required corresponding treatment with Bio-Oss spongiosa block and membrane for GBR.
The periapical complications required early diagnostic and endodontic treatment to prevent further difficulties at a later stage.
Ključne riječi
Hrčak ID:
3060
URI
Datum izdavanja:
15.9.2003.
Posjeta: 2.142 *