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KMID : 0358920140410020174
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Journal of the Korean Academy of Pedodontics
2014 Volume.41 No. 2 p.174 ~ p.179
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Conservative Endodontic Treatment of Type III Dens Invaginatus : Case Report
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Jo Wan-Sun
Lee Nan-Young
Lee Sang-Ho
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Abstract
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Dens invaginatus is a developmental anomaly resulting from an infolding of the enamel organ into the dental papilla prior to calcification of the dental tissue. Clinical and radiographic presentation of dens invaginatus shows a lot of variation. The classification proposed by Oehlers(1957) is most commonly used among classifications of dens invaginatus. Several treatments have been suggested to treat Type III dens invaginatus where the pulp remains healthy but the invagination is associated with a periodontitis. The top priority objective is to preserve pulp as sound as possible. Thus, if there is no definite evidence of pulpal disease, the conservative access which treat invagination as distinct from the pulp is necessary. But, Endodontic treatment of Type III dens invaginatus has the particular problems associated with achieving adequate chemomechanical debridement of the root canal system and invagination, predictable length control and consistent filling. In this case report, the endodontic treatment limited within invagination was performed for treatment of Type III dens invaginatus, and filling with Mineral Trioxide Aggregate(MTA) resulted in good prognosis.
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KEYWORD
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Dens Invaginatus, Endodontic Treatment, Mineral Trioxide Aggregate(MTA)
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