Non-surgical removal of dens invaginatus in maxillary lateral incisor using CBCT: Two-year follow-up case report
Pradhan Babita,
Gao Yuan,
He Libang,
Li Jiyao
Affiliations
Pradhan Babita
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, Chengdu, China
Gao Yuan
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, Chengdu, China
He Libang
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, Chengdu, China
Li Jiyao
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, Chengdu, China
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.
