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Root invagination treatment: a conservative approach in endodontics
1Department of Endodontology, The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University, Israel.
Journal of Endodontics
|November 1, 1993
Summary
Dens invaginatus, a tooth anomaly, can be treated by disinfecting only the invagination. This "root invagination treatment" preserves tooth vitality by avoiding pulp intervention when no pulp communication exists.
Area of Science:
- Dentistry
- Endodontics
- Developmental Biology
Background:
- Dens invaginatus is a developmental anomaly with a reported occurrence of 0.04-10%.
- Current treatments often assume communication between the invagination and pulp, potentially leading to tooth extraction or endodontic surgery.
- Histological studies reveal that invaginated tissue is primarily connective tissue, not always connected to the pulp.
Observation:
- A case study examined a patient with dens invaginatus where the invaginated tissue was contaminated.
- Crucially, no direct communication was found between the invaginated tissue and the pulp cavity.
- The invaginated tissue was successfully instrumented and disinfected.
Findings:
- Histological analysis confirmed the invaginated tissue was primarily connective tissue without pulp components.
- The treatment focused solely on the invagination, leaving the pulp unaffected.
- Tooth vitality was successfully preserved.
Implications:
- This case introduces a novel treatment approach termed "root invagination treatment."
- This method offers a conservative alternative to extraction or extensive endodontic procedures.
- Preserving tooth vitality in cases of dens invaginatus is achievable through targeted disinfection of the invagination when pulp communication is absent.