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Related Experiment Videos

Dens invaginatus in first mandibular premolar

S M Tavano1, S M de Sousa, C M Bramante

  • 1Department of Endodontics, Bauru Dental School, University of São Paulo, Brazil.

Endodontics & Dental Traumatology
|February 1, 1994
PubMed
Summary

This case study shows successful non-surgical endodontic therapy for dens invaginatus in a mandibular first premolar. This developmental anomaly, often challenging to treat, was managed effectively with root canal treatment.

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Area of Science:

  • Dentistry
  • Endodontics
  • Dental Morphology

Background:

  • Dens invaginatus is a developmental anomaly resulting from abnormal tooth morphodifferentiation.
  • Invaginated teeth possess complex anatomy, posing significant clinical management challenges.

Observation:

  • A case involving dens invaginatus in a mandibular first premolar with an associated periapical lesion was observed.
  • Clinical and radiographic assessments guided the treatment selection process.

Findings:

  • Non-surgical endodontic therapy was successfully performed on the affected mandibular first premolar.
  • The primary root canal of the invaginated tooth was treated, addressing the periapical lesion.

Implications:

  • This case demonstrates the feasibility of non-surgical endodontic treatment for select cases of dens invaginatus.
  • Successful endodontic management can be an alternative to more invasive procedures like surgery or extraction for this dental anomaly.

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