Type 3 Dens Invagination. Diagnosis and comprehensive treatment

Authors

  • V. V. Degasiuk "Imperia Dentis" LLC, Kyiv, Ukraine

DOI:

https://doi.org/10.33295/1992-576X-2021-1-30

Keywords:

dens invaginatus, tooth in tooth, endodontic treatment, bone augmentation, apical surgery

Abstract

Object: researching the combination of endodontic and surgical treatment of a tooth with developing dens invaginatus pathology.
Materials and methods. X-ray diagnostics were performed with the Veraview X800 Morita. Irrigation with sodium hypochlorite solution 5.25 % with additional ultrasound treatmentabd 17 % EDTA solution we e used for drug treatment of invagination and the main channel. The root canal and invagination, due to a non-standard structure, were handled by VDW hand tools combined with the Aurum BLUE (Meta Biomed) machine tool. Constant obturation was performed by the method of vertical compaction «Siller-AN plus». During the surgical stage, Langer (Hu-Friedy) periodontal curettes, CL 8 (Hu-Friedy) curettage spoon, 141-004-31W Oval Spoon Excavator (Hu-Friedy) were used; access to the focus was formed using a piezo surgical spherical nozzle (CE 1, Piezotome Solo (Satelec, Akteon). 4583 Kohler needle holder was used for suturing, suture material—polypropylene 5.0. The bone defect was filled with xenogenic material BIO GEN cancellous size 2/3 mm, 2.0 (Biotek), the barrier membrane—BIOCOLLAGEN (Biotek), the periodontal defect was filled with BIO GEN mix (Biotek).

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Author Biography

V. V. Degasiuk, "Imperia Dentis" LLC, Kyiv, Ukraine

dentist, orthopedist, surgeon of the highest category

References

Hülsmann M. Dens invaginatus: aetiology, classification, prevalence, diagnosis, and treatment considerations // Int. Endod. J. – 1997; 30 (2): 79–90.

Patel S. The use of cone beam computed tomography in the conservative management of dens invaginatus: a case report. Int Endod J. 2010 Aug; 43 (8): 707–713.

Kaneko T, Sakaue H, Okiji T, Sudya H. Clinical management of dens invaginatus in a maxillary lateral incisor with the aid of cone-beam computed tomography – a case report // Dent Traumatol. – 2011. – Dec.; 27 (6): 478–483.

Durack C, Patel S. The use of cone beam computed tomography in the management of dens invaginatus affecting a strategic tooth in a patient affected by hypodontia: a case report // Int. Endod. J. – 2011; 44: 474–483.

Vier Pelisser FV, Pelisser A, Recuero LC, Sу MVR, Borba MG, Figueiredo JAP. Use of cone beam computed tomography in the diagnosis, planning and follow up of a type III dens invaginatus case // Int. Endod. J. – 2012. – Feb.; 45 (2): 198–208.

Arnold M., Friedrichs C., Tulus G., Verch S., Dennhardt H., Sanner F. Intrakoronale und intrakanaläre Diagnostik. (IKD) // Endodontie. – 2013; 22: 9–21.

Published

2021-03-15

How to Cite

Degasiuk В. В. (2021). Type 3 Dens Invagination. Diagnosis and comprehensive treatment. Actual Dentistry, (1), 30–35. https://doi.org/10.33295/1992-576X-2021-1-30

Issue

Section

PREVENTIVE DENTISTRY