Sažetak sa skupa
Dens Invaginatus - Treatment method
Jozo Šutalo
Alena Knežević
Višnja Negovetić-Mandić
Zrinka Tarle
Vlatko Pandurić
Sažetak
Dens invaginatus is a developmental anomaly, manifested by insertion of enamel and dentin inside the crown and root. This aberration is revealed by the broad spectrum of morphological variations, from the foramen coecum to the smaller larger insertion in the root, sometimes extending to the very apex. Current anomaly classification, presented by Oehlers in 1957, divides the anomaly
into three categories. It is usually detected by roentgen examination. If there is a communication between the invagination and the pulp or a periradicular tissue, soon after tooth eruption change occurs in the pulp vitality in the form of affectation, necrosis and periapical pathological transformation wich necessitates urgent dental intervention. The treatment depends on the type of anomaly
and its communication with the pulp and the periapical tissue. The purpose of the study was to present endodontic treatment possibility for the stated anomaly. A 20 yearold patient contacted the Department of Restorative Dentistry at the University of Zagreb school of Dental Medicine complaining of pain in the area of the upper right central incisor. Clinical examination determined palatal
protuberation and Y shape form of the palatal tooth surface including three foramens. Radiological examination showed class II invgination according to Oehlers with periapical communication and extensive periapical process. Endodontic treatment was performed simultaneously with enlargement of both invagination foramens as well as the central area inbetween. Distal root canal was C-shaped
while the mesial was oval. Method of instrumentation was combined Profile and “step-back” techniqe. Working lenght of the root canal was verified using electronic device Endometer ES-03. Root canals were filled using thermoplastic techniqe and the control X-rays was made after the endodontic treatment. Finally, the crown was
esthetically reconstucted with composite resin. Follow through after one, three and six months revealed a reduction of the pathological process as well as disppearance of clinical symtoms.
Ključne riječi
Hrčak ID:
3567
URI
Datum izdavanja:
15.9.2003.
Posjeta: 1.583 *