Nonconventional Therapeutic Protocol for Type III Dens Invaginatus
Gustavo G Kunert1, Itaborai R Kunert1, José Ap de Figueiredo1
1Dental School, Unit of Endodontology, Pontifical Catholic University of Rio Grande do Sul (PUCRS), Porto Alegre, Rio Grande do Sul, Brazil.
The Journal of Contemporary Dental Practice
|March 5, 2017
Summary
A conservative pulpotomy approach for type III dens invaginatus successfully preserved dental pulp and allowed complete root formation over 21 years. This nonconventional protocol offers a less invasive alternative to endodontic surgery.
Area of Science:
- Endodontics
- Dental Development
Background:
- Dens invaginatus (DI) is a developmental anomaly where enamel invaginates into dentin, complicating endodontic treatment.
- Type III DI presents unique challenges due to extensive invagination affecting coronal and radicular structures.
- Traditional treatments for DI often involve invasive surgical procedures.
Observation:
- A clinical case of type III dens invaginatus is presented, focusing on a conservative therapeutic protocol.
- Endodontic treatment was performed on the main necrotic canal of the invaginated tooth.
- The tooth was observed for 21 years following the conservative intervention.
Findings:
- Complete root formation was observed after 21 years of follow-up.
- Preservation of the dental pulp in the pulpotomized portion of the tooth was achieved.
- The conservative approach successfully maintained the tooth's vitality and structure.
Implications:
- Conservative measures like pulpotomy can be an effective alternative for managing type III dens invaginatus.
- This approach allows for less invasive procedures, potentially avoiding the need for endodontic surgery.
- Long-term preservation of dental pulp and root development is achievable with nonconventional protocols in complex DI cases.
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