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Surgical treatment of a periradicular lesion on an invaginated maxillary lateral incisor ( dens in dente )
Author(s) -
SAUVEUR G.,
ROTH F.,
SOBEL M.,
BOUCHER Y.
Publication year - 1997
Publication title -
international endodontic journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.988
H-Index - 119
eISSN - 1365-2591
pISSN - 0143-2885
DOI - 10.1046/j.1365-2591.1997.00063.x
Subject(s) - root canal , dentistry , coronal plane , medicine , gutta percha , orthodontics , anatomy
Summary The complex anatomy of invaginated teeth make their root canal treatment difficult. Moreover, this treatment may compromise the future of the tooth if it is destined to support a post‐retained coronal restoration. This case reports the successful surgical root canal treatment of an invaginated tooth using a retrograde filling with gutta‐percha. After surgical exposure of the root‐end and cleaning of the root canal, the gutta‐percha was compacted in the root canal which had been coated previously with a zinc oxide‐eugenol cement. The gutta‐percha was then cold‐burnished. Periapical radiographic examination after 1, 2, 3, 6 and 12 months showed periapical healing with osseous formation. This procedure, resulting in minimal loss of hard tissues, permitted subsequent restoration of the tooth.