West China Journal of Stomatology ›› 2022, Vol. 40 ›› Issue (6): 716-720.doi: 10.7518/hxkq.2022.06.014

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Regenerative endodontic treatment of dens in dente in maxillary lateral incisor with immature root: a case report

Yuan Jing1(), Yu Sijing1, You Meng2, Zhang Qiong3, Ye Ling1, Gao Bo1()   

  1. 1.State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of Cariology and Endodontics, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
    2.State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of Radiology, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
    3.State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Di-seases & Dept. of Pediatric Dentistry, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
  • Received:2022-01-09 Revised:2022-03-21 Online:2022-12-01 Published:2022-11-23
  • Contact: Gao Bo E-mail:2283992105@qq.com;gaob@scu.edu.cn
  • Supported by:
    Key Research and Development Program of Department of Science and Technology of Sichuan Province(2020YFS0202);Correspondence: Gao Bo, E-mail: gaob@scu.edu.cn

Abstract:

Dens invaginatus (DI) is a developmental anomaly as a result of a deepening or invagination of the enamel organ into the dental papilla during tooth development. In addition, DI is a malformation with varying anatomical features, which poses numerous challenges to treatment. Endodontic treatment of dens in dente is one of the most complica-ted cases of DI. Herein, an immature lateral incisor that employed regenerative endodontic treatment was presented. The mentioned tooth was diagnosed with DI, pulp necrosis, and chronic apical periodontitis. Hence, a favorable prognosis has been shown by a 2-year review with cone beam computed tomography. The tooth was functional with normal periodontal parameters and exhibited a normal response to the electric pulp sensibility test. Thus, regenerative endodontic treatment can also be recommended to endodontists for teeth with DI.

Key words: dens in dente, regenerative endodontic theatment, cone beam computed tomography

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