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Endodontic therapy for dens invaginatus in a maxillary second premolar
Oral Surgery, Oral Medicine, and Oral Pathology
|February 1, 1987
Summary
This case study details a unique endodontic therapy for dens invaginatus in a maxillary second premolar. The treatment involved calcium hydroxide and gutta-percha obturation, offering a novel approach to this dental anomaly.
Area of Science:
- Endodontic therapy
- Dental anomalies
- Restorative dentistry
Background:
- Dens invaginatus is a developmental anomaly that can lead to complex endodontic challenges.
- Maxillary second premolars are frequently affected by dens invaginatus, requiring specialized treatment.
- Conventional endodontic approaches may be insufficient for managing the unique anatomy associated with dens invaginatus.
Observation:
- A case of dens invaginatus in a maxillary second premolar presented with complex root canal anatomy.
- The tooth exhibited radiographic and clinical signs necessitating endodontic intervention.
- The specific morphology of the invagination posed challenges for standard root canal treatment protocols.
Findings:
- A unique endodontic management strategy was successfully implemented.
- The treatment involved a two-stage approach: initial disinfection with calcium hydroxide for 5 months.
- Subsequent obturation was performed using gutta-percha and a suitable sealer, achieving a favorable outcome.
Implications:
- This case highlights a viable and effective endodontic treatment protocol for dens invaginatus in maxillary second premolars.
- The prolonged use of calcium hydroxide demonstrated its efficacy in managing complex root canal systems.
- The successful outcome suggests this approach can be considered for similar challenging cases, improving treatment predictability.