Endodontic treatment of maxillary canine with dens invaginatus and immature root. 1996

L Holtzman, and R Lezion

A conservative approach to endodontic treatment of a maxillary canine with dens invaginatus is presented. Pulp involvement and periapical abscess subsequent to contamination through the invagination space occurred at an early dental age before root completion. Treatment was initially to achieve apical closure before the completion of root canal treatment. Apexification with calcium hydroxide was performed to provide favorable conditions for healing and eventually for successful obturation. Difficulties and entanglements posed by the complex internal morphology and the root developmental stage are presented. Clinical considerations are discussed and a treatment approach used to overcome those obstacles described.

UI MeSH Term Description Entries
D008297 Male Males
D008437 Maxilla One of a pair of irregularly shaped bones that form the upper jaw. A maxillary bone provides tooth sockets for the superior teeth, forms part of the ORBIT, and contains the MAXILLARY SINUS. Maxillae,Maxillary Bone,Bone, Maxillary,Bones, Maxillary,Maxillary Bones,Maxillas
D010482 Periapical Abscess Acute or chronic inflammation of tissues surrounding the apical portion of a tooth, associated with the collection of pus, resulting from infection following pulp infection through a carious lesion or as a result of an injury causing pulp necrosis. (Dorland, 27th ed) Abscess, Periapical,Alveolar Abscess, Apical,Dentoalveolar Abscess, Apical,Periapical Periodontitis, Suppurative,Periodontitis, Apical, Suppurative,Abscess, Apical Alveolar,Abscess, Apical Dentoalveolar,Abscesses, Apical Alveolar,Abscesses, Apical Dentoalveolar,Abscesses, Periapical,Alveolar Abscesses, Apical,Apical Alveolar Abscess,Apical Alveolar Abscesses,Apical Dentoalveolar Abscess,Apical Dentoalveolar Abscesses,Dentoalveolar Abscesses, Apical,Periapical Abscesses,Periapical Periodontitides, Suppurative,Periodontitides, Suppurative Periapical,Periodontitis, Suppurative Periapical,Suppurative Periapical Periodontitides,Suppurative Periapical Periodontitis
D002126 Calcium Hydroxide A white powder prepared from lime that has many medical and industrial uses. It is in many dental formulations, especially for root canal filling. Hydroxide, Calcium
D003481 Cuspid The third tooth to the left and to the right of the midline of either jaw, situated between the second INCISOR and the premolar teeth (BICUSPID). (Jablonski, Dictionary of Dentistry, 1992, p817) Canine Tooth,Canine Teeth,Cuspids,Teeth, Canine,Tooth, Canine
D003719 Dens in Dente Anomaly of the tooth, found chiefly in upper lateral incisors. It is characterized by invagination of the enamel at the incisal edge. Dens in Dentes,Dente, Dens in,Dentes, Dens in,in Dente, Dens,in Dentes, Dens
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000293 Adolescent A person 13 to 18 years of age. Adolescence,Youth,Adolescents,Adolescents, Female,Adolescents, Male,Teenagers,Teens,Adolescent, Female,Adolescent, Male,Female Adolescent,Female Adolescents,Male Adolescent,Male Adolescents,Teen,Teenager,Youths
D012389 Root Canal Obturation Phase of endodontic treatment in which a root canal system that has been cleaned is filled through use of special materials and techniques in order to prevent reinfection. Endodontic Obturation,Canal Obturation, Root,Canal Obturations, Root,Endodontic Obturations,Obturation, Endodontic,Obturation, Root Canal,Obturations, Endodontic,Obturations, Root Canal,Root Canal Obturations
D014092 Tooth Root The part of a tooth from the neck to the apex, embedded in the alveolar process and covered with cementum. A root may be single or divided into several branches, usually identified by their relative position, e.g., lingual root or buccal root. Single-rooted teeth include mandibular first and second premolars and the maxillary second premolar teeth. The maxillary first premolar has two roots in most cases. Maxillary molars have three roots. (Jablonski, Dictionary of Dentistry, 1992, p690) Root, Tooth,Roots, Tooth,Tooth Roots

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