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KMID : 1035020190200020082
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Endodontics and Dental Rehabilitation
2019 Volume.20 No. 2 p.82 ~ p.88
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Management of dens invaginatus using a combination surgical and non-surgical endodontic treatment
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Park Seong-Jun
Kim Jin-Woo
Cho Kyung-Mo
Park Se-Hee
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Abstract
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Dens invaginatus is a relatively common dental malformation resulting from an infolding of enamel organ into the dental papilla varying in depth into the tooth tissues. Because it has different anatomy from normal tooth, a clinician can confuse how to treat it during endodontic treatment. This case report present combined treatment option of dense invaginatus, non-surgical endodontic treatment and intentional replantation. In this report, CBCT used to determine anatomical complexity, size of lesion and extent of invagination. There are several treatment options for these teeth, prophylactic or preventive sealing, nonsurgical endodontic treatment, endodontic surgery, intentional replantation and extraction. Treatment options are selected according to status of pulp, development of root, extent of invagination and anatomical
complexity.
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KEYWORD
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dens invaginatus, Oehlers TypeⅢ, intentional replantation, CBCT
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