World Journal of Dentistry

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VOLUME 10 , ISSUE 6 ( November-December, 2019 ) > List of Articles

CASE REPORT

Endodontic Management of Dens Evaginatus Using Bioceramic Material

K Kranthi Raja, Nazmul Haque, Padmini Hari, Kiran P Singbal

Keywords : Bioceramics, Cone-beam computed tomography, Dens evaginatus, Mandibular premolar, OrthoMTA

Citation Information : Kranthi Raja K, Haque N, Hari P, Singbal KP. Endodontic Management of Dens Evaginatus Using Bioceramic Material. World J Dent 2019; 10 (6):461-465.

DOI: 10.5005/jp-journals-10015-1682

License: CC BY-NC 4.0

Published Online: 01-12-2019

Copyright Statement:  Copyright © 2019; The Author(s).


Abstract

Aim: This case report aims to describe nonsurgical endodontic treatment in a second mandibular premolar (tooth #45) with type II dens evaginatus using a new bioceramic material (OrthoMTA). Background: A 13-year-old boy reported recurrent swelling related to mandibular premolars (#44 and #45) with discharging sinus in the periapical area. Case description: Orthograde obturation with OrthoMTA was done after thorough disinfection using activated sodium hypochlorite (NaOCl) and calcium hydroxide (Ca(OH)2) medicament. Conclusion: A 1-year post-obturation follow-up, using clinical and radiographic examination [cone-beam computed tomography (CBCT)] showed good apical sealing. Clinical significance: The synergistic effect of the chemomechanical preparation and intracanal medicament, followed by the filling of OrthoMTA helped, in the successful management of this case.


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  1. Viswanathan S, Nagaraj V, Adimoulame S, et al. Dens evaginatus in proximal surface of mandibular premolar: a rare presentation. Case Rep Dent 2012;2012:603583. DOI: 10.1155/2012/603583.
  2. Manuja N, Chaudhary S, Nagpal R, et al. Bilateral dens evaginatus (talon cusp) in permanent maxillary lateral incisors: a rare developmental dental anomaly with great clinical significance. BMJ Case Rep 2013;2013:bcr2013009184. DOI: 10.1136/bcr-2013-009184.
  3. Lin C-S, Llacer-Martinez M, Sheth CC, et al. Prevalence of premolars with dens evaginatus in a taiwanese and spanish population and related complications of the fracture of its tubercle. Eur Endod J 2018;3(2):118–122. DOI: 10.14744/eej.2018.08208.
  4. Echeverri EA, Wang MM, Chavaria C, et al. Multiple dens evaginatus: diagnosis, management, and complications: case report. Pediatr Dent 1994;16(4):314–317.
  5. Tsurumachi T, Suguro H, Ogata H, et al. Endodontic treatment of bilateral dens evaginatus premolars with large periapical lesions. J Oral Sci 2009;51(3):475–479. DOI: 10.2334/josnusd.51.475.
  6. Levitan ME, Himel VT. Dens evaginatus: literature review, pathophysiology, and comprehensive treatment regimen. J Endod 2006;32(1):1–9. DOI: 10.1016/j.joen.2005.10.009.
  7. Borie EE, Oporto VG, Aracena RD. Dens evaginatus in hemophilic patient: a case report. Int J Morphol 2010;28(2):375–378. DOI: 10.4067/S0717-95022010000200006.
  8. Ferraz JA, de Carvalho Júnior JR, Saquy PC, et al. Dental anomaly: dens evaginatus (talon cusp). Braz Dent J 2001;12(2):132–134.
  9. Oehlers FA. Dens invaginatus (dilated composite odontome). I. Variations of the invagination process and associated anterior crown forms. Oral Surg Oral Med Oral Pathol 1957;10(11):1204–1218. DOI: 10.1016/0030-4220(57)90077-4 contd.
  10. Ali A, Saraf P, Patil J. Endodontic management of type IIIB dens invaginatus: an unusual case report. Saudi Endod J 2018;8(2):144–148. DOI: 10.4103/sej.sej_18_17.
  11. Shekhar MG, Vijaykumar S, Tenny J, et al. Conservative management of dens evaginatus: report of two unusual cases. Int J Clin Pediatr Dent 2010;3(2):121–124. DOI: 10.5005/jp-journals-10005-1067.
  12. Al-Rawi B, Hassan B, Vandenberge B, et al. Accuracy assessment of three-dimensional surface reconstructions of teeth from cone beam computed tomography scans. J Oral Rehabil 2010;37(5):352–358. DOI: 10.1111/j.1365-2842.2010.02065.x.
  13. Patel S, Dawood A, Ford TP, et al. The potential applications of cone beam computed tomography in the management of endodontic problems. Int Endod J 2007;40(10):818–830. DOI: 10.1111/j.1365-2591.2007.01299.x.
  14. Vier-Pelisser FV, Morgental RD, Fritscher G, et al. Management of type III dens invaginatus in a mandibular premolar: a case report. Braz Dent J 2014;25(1):73–78. DOI: 10.1590/0103-6440201302351.
  15. Hill FJ, Bellis WJ. Dens evaginatus and its management. Br Dent J 1984;156(11):400. DOI: 10.1038/sj.bdj.4805383.
  16. Koh ET, Ford TR, Kariyawasam SP, et al. Prophylactic treatment of dens evaginatus using mineral trioxide aggregate. J Endod 2001;27(8): 540–542. DOI: 10.1097/00004770-200108000-00010.
  17. Alenazy M, Murwahi A, Altwaijri S, et al. Endodontic management of dens invaginatus of maxillary lateral incisor: report of two cases. Saudi Endod J 2017;7(3):194–198. DOI: 10.4103/1658-5984.213481.
  18. Sathorn C, Parashos P, Messer H. Antibacterial efficacy of calcium hydroxide intracanal dressing: a systematic review and meta-analysis. Int Endod J 2007;40(1):2–10. DOI: 10.1111/j.1365-2591.2006.01197.x.
  19. Nerwich A, Figdor D, Messer HH. pH changes in root dentin over a 4-week period following root canal dressing with calcium hydroxide. J Endod 1993;19(6):302–306. DOI: 10.1016/S0099-2399(06)80461-9.
  20. Punia SK, Nadig P, Punia V. An in vitro assessment of apical microleakage in root canals obturated with gutta-flow, resilon, thermafil and lateral condensation: a stereomicroscopic study. J Conserv Dent 2011;14(2):173–177. DOI: 10.4103/0972-0707.82629.
  21. Yoo JS, Chang S-W, Oh SR, et al. Bacterial entombment by intratubular mineralization following orthograde mineral trioxide aggregate obturation: a scanning electron microscopy study. Int J Oral Sci 2014;6(4):227. DOI: 10.1038/ijos.2014.30.
  22. Santos J, Tjaderhane L, Ferraz C, et al. Long-term sealing ability of resin-based root canal fillings. Int Endod J 2010;43(6):455–460. DOI: 10.1111/j.1365-2591.2010.01687.x.
  23. Brosco VH, Bernardineli N, Torres SA, et al. Bacterial leakage in obturated root canals-part 2: a comparative histologic and microbiologic analyses. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010;109(5):788–794. DOI: 10.1016/j.tripleo.2009.11.036.
  24. Demartis P, Dessi C, Cotti M, et al. Endodontic treatment and hypotheses on an unusual case of dens invaginatus. J Endod 2009;35(3):417–421. DOI: 10.1016/j.joen.2008.12.002.
  25. Reddy YP, Karpagavinayagam K, Subbarao CV. Management of dens invaginatus diagnosed by spiral computed tomography: a case report. J Endod 2008;34(9):1138–1142. DOI: 10.1016/j.joen.2008.06.001.
  26. Forghani M, Bidar M, Shahrami F, et al. Effect of MTA and Portland cement on fracture resistance of dentin. J Dent Res Dent Clin Dent Prospects 2013;7(2):81–85. DOI: 10.5681/joddd. 2013.014.
  27. Bortoluzzi EA, Souza EM, Reis JM, et al. Fracture strength of bovine incisors after intra-radicular treatment with MTA in an experimental immature tooth model. Int Endod J 2007;40(9):684–691. DOI: 10.1111/j.1365-2591.2007.01266.x.
  28. Chang SW. Chemical composition and porosity characteristics of various calcium silicate-based endodontic cements. Bioinorg Chem Appl 2018;2018:6. DOI: 10.1155/2018/2784632.
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