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Non-surgical removal of dens invaginatus in maxillary lateral incisor using CBCT: Two-year follow-up case report

Authors
  • Pradhan, Babita1
  • Gao, Yuan1
  • He, Libang1
  • Li, Jiyao1
  • 1 State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Department of Cariology and Endodontics West China Hospital of Stomatology, Sichuan University, #14, 3rd Section of RenMin South Road, Chengdu 610041 , (China)
Type
Published Article
Journal
Open Medicine
Publisher
De Gruyter
Publication Date
Oct 19, 2019
Volume
14
Issue
1
Pages
767–771
Identifiers
DOI: 10.1515/med-2019-0089
Source
De Gruyter
Keywords
License
Green

Abstract

A 14-year female presented with an atypical looking tooth #7 with a sinus tract on tooth #8. A gutta-percha point inserted into the sinus tract confirmed the affected tooth #7. A radiographic examination of tooth showed a lateral radiolucency with respect to tooth #7. Cone-beam computed tomographic imaging was done for the three-dimensional reconstruction analysis. Dens invaginatus (Oehler’s type III) with pulp necrosis and chronic apical periodontitis was the definitive diagnosis. Use of the dental operating microscope and ultrasonics helped in the removal of the invaginated structure. At the two year follow-up, no clinical and radiographic evidence of infection was observed.

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