DENS INVAGINATUS AND DENS EVAGINATUS IN AN IMMATURE MANDIBULAR CENTRAL INCISOR WITH SYMPTOMATIC APICAL PERIODONTITIS AND A SUCCESSFUL REGENERATION PROCEDURE. CASE REPORT AND MINIREWIEW

Anca Melian, Sorina Mihaela Solomon , Cristian Levente Giuroiu,Tudor Petru Hamburda, Gabriel Melian, Mihaela Salceanu

Abstract.

Dens invaginatus and dens evaginatus are developmental malformation extremely rare in a single tooth, as rare as a the occurence in a central mandibular incisor. In Type III Oehlers lesions any infection within the invagination can led to a periapical pathology call ‘peri-invagination periodontitis’(PIP).

The purpose of this article is to describe the successful case of regenerative treatment of a immature mandibular left central incisor, diagnosed with dens evaginatus (talon cusp) and infected invagination (type IIIB) associated with symptomatic apical periodontitis maintaining vitality of the surrounding pulp.

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