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Successful management of a case of true radicular dens invaginatus using platelet‐rich fibrin and guided tissue regeneration
Author(s) -
Mohan Aparna,
Krishnan Unni,
Akber Mohammed,
Nair Mali G.,
Balan Anita
Publication year - 2020
Publication title -
australian endodontic journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.703
H-Index - 34
eISSN - 1747-4477
pISSN - 1329-1947
DOI - 10.1111/aej.12377
Subject(s) - dens invaginatus , platelet rich fibrin , invagination , cone beam computed tomography , medicine , radicular cyst , maxillary lateral incisor , dentistry , fibrin , coronal plane , crown (dentistry) , regeneration (biology) , orthodontics , anatomy , computed tomography , maxillary central incisor , pathology , surgery , odontogenic , biology , immunology , microbiology and biotechnology
A radicular variant of dens invaginatus ( DI ) is a rare form of dens invaginatus which develops in the root of the tooth after the crown development is completed. This report involves successful management of a case with guided tissue regeneration and describes the cone beam computed tomography ( CBCT ) characteristics of true radicular DI . A 20‐year‐old woman reported with recurrent swelling and pus discharge associated with her maxillary left central incisor (#21). Cone beam computed tomography ( CBCT ) of the region revealed #21 had an invagination in the mesial aspect of the coronal third of the root with a para radicular low‐density region perforating both the cortices. A diagnosis of true radicular variant of DI was made by exclusion. The case was managed with Biodentine ® , platelet‐rich fibrin and freeze‐dried demineralised bone graft. A 2‐year review showed that the tooth was functional with normal periodontal parameters and normal response to electric pulp sensibility test.