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ALT LATERAL KESİCİ BİR DİŞTE BULUNAN TİP II DENS İNVAJİNATUS OLGUSUNUN ENDODONTİK TEDAVİSİ: BİR OLGU BİLDİRİMİ

ENDODONTIC TREATMENT OF TYPE II DENS INVAGINATUS IN A MANDIBULAR LATERAL INCISOR: A CASE REPORT

Journal Name:

  • İstanbul Üniversitesi Diş Hekimliği Fakültesi Dergisi

Publication Year:

  • 2006

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
Dens invaginatus is a rare developmental malformation of teeth possibly resulting from an invagination of the enamel organ. This case report presents the conventional endodontic treatment of an Oehlers Type II invaginalcd mandibular lateral incisor. There was a large chronic apical lesion with an extraoral fistula around the mandibular right incisors and left central incisor. All three teeth responded negatively to the vitality tests. The invaginatus in the #42 was removed completely using various diamond burs on an air turbine under water spray. After a 1-month treatment with calcium hydroxide dressings, the extraoral fistula disappeared and the root canals of all three incisors were filled laterally condensed gutta-percha and sealer. To treat dens invaginatus. both conventional and surgical endodontic treatment techniques may be considered. In dens invaginatus cases, success of the treatments depends on the diagnosis of the malformation and its type. Through complete removal of the malformation from the root canal, debridement, calcium hydroxide medication and obturation, fistula disappeared and the teeth were asympthomatic.
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Abstract (Original Language): 
Dens invajinatus, muhtemelen , mine organının içe doğru kıvnlmasıyla oluşan, nadir görülen bir gelişim anomalisidir. Bu olgu bildirisinde, Oehlers sınıflamasına göre tip II invajinasyon gösteren bir alt lateral kesici dişin geleneksel endodontik tedavisi anlatıldı. Sağ alt kesici dişlerin ve sol alt santral kesici dişin çevresinde, ekstraoral fistülle birlikte seyreden büyük bir kronik apikal lezyon bulunmaktaydı. Her üç diş de vitalite testine negatif yanıt verdi. 42 numaralı dişte bulunan invajinasyon, aerotora takılmış çeşitli elmas f'rezlcr kullanılarak, su soğutması altında tamamen kaldırıldı. 1 ay süreli kalsiyum hidroksil tedavisinden sonra, ekstraoral fistülün iyileştiği görüldü ve her 3 dişin kök kanalları scaler ve güta-perka kon kullanılarak, lateral kondensasyon yöntemiyle dolduruldu. Dens invajinatusu tedavi etmek için, hem geleneksel hem de cerrahi endodontik tedavi yöntemleri düşünülebilir. Dens invajinatus olgularında tedavinin başarısı, anomalinin ve bu anomalinin tipinin teşhisine bağlı olarak değişebilir, tnvajinasyonun kök kanalından tamamen kaldırılması; kanalın temizlenmesi, kalsiyum hidroksitle de/enfeksiyonu ve doldurulması ile fistülün kapandığı ve dişin asemptomatik hale geldiği belirlendi.
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REFERENCES

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Rüstem Kemal SUBAY. Bülent YILMAZ
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