Combined surgical and conservative endodontic management of Oehler's type 3b dens invaginatus aided by guided tissue regeneration.
BMJ Case Rep
; 16(9)2023 Sep 27.
Article
in En
| MEDLINE
| ID: mdl-37758663
ABSTRACT
The present case describes the successful healing of a periapical lesion associated with the left maxillary lateral incisor (# 22, Federation Dentaire Internationale) having a type 3b dens invaginatus tooth morphology. The treatment was complicated by the presence of blunderbuss root apex and large periapical lesion (>10 mm) with through and through bone defect (Bucco palatal cortical bone perforation, Von Arx Type 1b). An adolescent boy reported palatal swelling and pus discharge in relation to tooth #22. A thorough clinical and radiographic examination revealed tooth #22 as having a type 3b dens invaginatus with an open apex and a diagnosis of pulp necrosis and acute apical abscess. The case was managed by non-surgical root canal treatment followed by endodontic surgery using principles of guided tissue regeneration. A 5-year recall revealed an asymptomatic functional tooth with complete healing.
Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Periapical Abscess
/
Dens in Dente
/
Guided Tissue Regeneration
Limits:
Adolescent
/
Humans
/
Male
Language:
En
Journal:
BMJ Case Rep
Year:
2023
Document type:
Article
Affiliation country:
India