Endodontic re-treatment and restorative treatment of a dens invaginatus type II through new technologies.

Clicks: 272
ID: 26085
2019
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Ranked #199 of 461 articles by views in Journal of clinical and experimental dentistry

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Abstract
The complex anatomy of dens invaginatus makes access cavity to root canal system difficult, which has an impact on the prognosis of these teeth. A novel technique, based on new technologies, is proposed to make access cavity conservative and guided with minimal dental structure lost.This case report shows the root canal retreatment and the endodontic surgery of a dens invaginatus type II in a left lateral upper incisor previously treated which was affected by a chronic apical abscess and an apical fracture. A Cone Beam Computed Tomography was performed to better diagnosis the dental anatomy. An intraoral scan was performed to get a digital 3D model. A computer-guided implant planning software was used to plan the access cavity and design the splint guided. Finally, the clinical crown was restored by a resin nanoceramic veneer made by a chairside system made up of an intraoral scanning unit and a grinding unit. Last, the authors carried through the endodontic surgery to extract the apical fractured fragment.Follow-up appointments at 6, 12 and 18 months showed a radiographic reduction of the periapical lesion and absence of clinical signs.The splint guide allowed a guided and conservative access cavity to root canal system. It facilitates the root canal retreatment and improves the prognosis of the teeth with dental malformations. CAD-CAM, Cone-Beam Computed Tomography, dens in dente, dens invaginatus, dental pulp cavity, endodontics.
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zubizarretamacho2019endodonticjournal Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Zubizarreta-Macho, Álvaro;Ferreiroa, Alberto;Agustín-Panadero, Rubén;Rico-Romano, Cristina;Lobo-Galindo, Ana-Belén;Mena-Álvarez, Jesús;
Journal Journal of clinical and experimental dentistry
Year 2019
DOI
10.4317/jced.55840
URL
Keywords Keywords not found

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