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Conservative Endodontic Treatment of Type Ⅲ Dens Invaginatus : Case Report

Wansun Jo 1 LEE NAN YOUNG 2 LEE, SANG-HO 2

1조선대학교 치의학전문대학원 소아치과학교실
2조선대학교

Accredited

ABSTRACT

Dens invaginatus is a developmental anomaly resulting from an infolding of the enamel organ into the dentalpapilla prior to calcification of the dental tissue. Clinical and radiographic presentation of dens invaginatus shows a lot of variation. The classification proposedby Oehlers(1957) is most commonly used among classifications of dens invaginatus. Several treatments have been suggested to treat Type Ⅲ dens invaginatus where the pulp remains healthybut the invagination is associated with a periodontitis. The top priority objective is to preserve pulp as sound aspossible. Thus, if there is no definite evidence of pulpal disease, the conservative access which treat invaginationas distinct from the pulp is necessary. But, Endodontic treatment of Type Ⅲ dens invaginatus has the particular problems associated with achievingadequate chemomechanical debridement of the root canal system and invagination, predictable length controland consistent filling. In this case report, the endodontic treatment limited within invagination was performed for treatment of TypeⅢ dens invaginatus, and filling with Mineral Trioxide Aggregate(MTA) resulted in good prognosis.

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* References for papers published after 2023 are currently being built.