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Endodontic and periodontal treatment of dens invaginatus: Report of 2 clinical cases
Authors:Cristian Coraini  Tommaso Mascarello  Cristina Maria de Palma  Edoardo Alvise Gobbato  Roberto Costa  Luca de Micheli  Davide Castro  Carmen Giunta  Sylvie Rossi  Chiara Casto
Affiliation:1. Italian Stomatological Institute, CAD-CAM Prosthetic Department, Milan, Italy;2. Italian Stomatological Institute, Department of Periodontology-Implantology III, Milan, Italy;3. Dental School – Lingotto, University of Turin, Italy
Abstract:Objectives, materials and methodsThe purpose of this work is to describe the treatment of two lateral incisors affected by developmental abnormalities (Oehlers, types I and II) treated respectively through periodontal regenerative therapy associated with conservative correction of shape anomaly, and orthograde retreatment.ResultsBoth therapies used resulted in complete remission of the initial symptoms and total healing of the lesions present.Conclusions“Dens invaginatus” is a dental development malformation that can predispose to the onset of caries, pulpal involvement and periodontal lesions, the treatment of which may require a specialized and often multidisciplinary approach. This malformation should therefore be recognized in time in order to establish effective prevention protocols, when possible, or prevent related consequences generating non-recoverable endodontic, periodontal or combined disease.
Keywords:Dens invaginatus  Classification of Oehlers  Upper lateral incisor  Abnormal tooth development  Pro-Root MTA  Dens invaginatus  Classificazione di Oehlers  Incisivo laterale superiore  Anomalie sviluppo dentale  MTA-Pro root
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