Conservative Nonsurgical Approach for Management of a Case of Type II Dens in Dente
Dens in dente is a developmental dental anomaly which poses a challenge for the endodontist due to its complex pulpal anatomy. In this case report, a class 2 dens in dente was managed nonsurgically. A 32-year-old female reported with a palatal swelling and pain in the upper front region of the jaw....
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| Format: | Article |
| Language: | English |
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Wiley
2024-01-01
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| Series: | Case Reports in Dentistry |
| Online Access: | http://dx.doi.org/10.1155/2024/8843758 |
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| author | Navin S. Agarwal Shishir Singh Padmini Chandrasekhar Gaurav Kulkarni Rajesh Podar |
| author_facet | Navin S. Agarwal Shishir Singh Padmini Chandrasekhar Gaurav Kulkarni Rajesh Podar |
| author_sort | Navin S. Agarwal |
| collection | DOAJ |
| description | Dens in dente is a developmental dental anomaly which poses a challenge for the endodontist due to its complex pulpal anatomy. In this case report, a class 2 dens in dente was managed nonsurgically. A 32-year-old female reported with a palatal swelling and pain in the upper front region of the jaw. On examination, #7 was observed to be malformed and showed a negative pulpal sensibility test. Radiographic and CBCT analysis revealed Ohler’s type 2 dens in dente with a periapical radiolucency. In the first visit, invagination was removed using diamond-coated ultrasonic tips, the canal was minimally instrumented, and premixed calcium hydroxide was injected in the canal which accidentally extruded periapically. After two weeks, a draining sinus was observed on the palatal side which when traced, lead to #7. Intracanal dressing was replaced with a mix of powdered calcium hydroxide and saline. The dressing was replaced every two weeks, and radiographs were taken, which revealed the resorption of extruded calcium hydroxide and reduction in the osseous defect. Biodentine was used to obturate the entire canal space. Subsequent follow-up radiographs till 24 months showed significant periapical healing and resorption of extruded calcium hydroxide. |
| format | Article |
| id | doaj-art-a424294d26a3446abbaaf3081f54d871 |
| institution | Kabale University |
| issn | 2090-6455 |
| language | English |
| publishDate | 2024-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Dentistry |
| spelling | doaj-art-a424294d26a3446abbaaf3081f54d8712025-02-03T06:47:14ZengWileyCase Reports in Dentistry2090-64552024-01-01202410.1155/2024/8843758Conservative Nonsurgical Approach for Management of a Case of Type II Dens in DenteNavin S. Agarwal0Shishir Singh1Padmini Chandrasekhar2Gaurav Kulkarni3Rajesh Podar4Department of Conservative Dentistry and EndodonticsDepartment of Conservative Dentistry and EndodonticsDepartment of Conservative Dentistry and EndodonticsDepartment of Conservative Dentistry and EndodonticsDepartment of Conservative Dentistry and EndodonticsDens in dente is a developmental dental anomaly which poses a challenge for the endodontist due to its complex pulpal anatomy. In this case report, a class 2 dens in dente was managed nonsurgically. A 32-year-old female reported with a palatal swelling and pain in the upper front region of the jaw. On examination, #7 was observed to be malformed and showed a negative pulpal sensibility test. Radiographic and CBCT analysis revealed Ohler’s type 2 dens in dente with a periapical radiolucency. In the first visit, invagination was removed using diamond-coated ultrasonic tips, the canal was minimally instrumented, and premixed calcium hydroxide was injected in the canal which accidentally extruded periapically. After two weeks, a draining sinus was observed on the palatal side which when traced, lead to #7. Intracanal dressing was replaced with a mix of powdered calcium hydroxide and saline. The dressing was replaced every two weeks, and radiographs were taken, which revealed the resorption of extruded calcium hydroxide and reduction in the osseous defect. Biodentine was used to obturate the entire canal space. Subsequent follow-up radiographs till 24 months showed significant periapical healing and resorption of extruded calcium hydroxide.http://dx.doi.org/10.1155/2024/8843758 |
| spellingShingle | Navin S. Agarwal Shishir Singh Padmini Chandrasekhar Gaurav Kulkarni Rajesh Podar Conservative Nonsurgical Approach for Management of a Case of Type II Dens in Dente Case Reports in Dentistry |
| title | Conservative Nonsurgical Approach for Management of a Case of Type II Dens in Dente |
| title_full | Conservative Nonsurgical Approach for Management of a Case of Type II Dens in Dente |
| title_fullStr | Conservative Nonsurgical Approach for Management of a Case of Type II Dens in Dente |
| title_full_unstemmed | Conservative Nonsurgical Approach for Management of a Case of Type II Dens in Dente |
| title_short | Conservative Nonsurgical Approach for Management of a Case of Type II Dens in Dente |
| title_sort | conservative nonsurgical approach for management of a case of type ii dens in dente |
| url | http://dx.doi.org/10.1155/2024/8843758 |
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