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Órgano Oficial de la Asociación Dental Mexicana

2003, Number 6

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Rev ADM 2003; 60 (6)

Dens invaginatus: Treatment in a young permanent tooth

Lucas GV, Lucas ON

Language: Spanish
References: 20
Page: 229-232
PDF size: 108.42 Kb.


ABSTRACT

Dens invaginatus is a developmental alteration in the tooth morphology. A case report is presented describing the treatment of a maxillary left central incisor, with a dens invaginatus, in a 10 year old healthy girl. Clinical examination showed a tooth with apparent normal morphology and the presence of a small intraoral swelling, in the bucal area above the affected incisor, tender to percussion and palpation. The radiography revealed a tooth with an immature root and the presence of a dens invaginatus in the radicular cervical third, and an area of periapical radiolucency. The tooth, initially, was treated with a thick paste of calcium hydroxide powder to promote apexification. After 8 months, was filled with thermoplastizid gutta-percha, Grossman’s cement, and restored with a glass ionomerand composite resin. After two years the patient remains asymptomatic, and radiographically the radiolucent area disappeared.


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