상악측절치의 치내치 치험례
Endodontic Treatment of 2 Maxillary Lateral Incisors with Dens Invaginatus; 2 Case Reports
이재민, 김기덕, 정복영, 박원서, 이강희, 박혜정, 방난심,
소속 상세정보
이재민 ( Lee Jae-Min ) - 연세대학교 치과대학 통합진료학과
김기덕 ( Kim Ki-Deok ) - 연세대학교 치과대학 통합진료학과
정복영 ( Jung Bock-Young ) - 연세대학교 치과대학 통합진료학과
박원서 ( Park Won-Se ) - 연세대학교 치과대학 통합진료학과
이강희 ( Lee Kang-Hee ) - 연세대학교 치과대학 통합진료학과
박혜정 ( Park Hye-Jeong ) - 연세대학교 치과대학 통합진료학과
방난심 ( Pang Nan-Sim ) - 연세대학교 치과대학 통합진료학과
KMID : 1146620140030010029
Abstract
Dens invaginatus is a developmental variation resulting from the infolding of the dental papilla before calcification of the dental tissue. Permanent maxillary lateral incisors are most commonly affected. The most widely used classification system for dens invaginatus was described by Oehlers. The purpose of this paper was to describe treatments of 2 cases on Type II dens invaginatus with open apex. In the first case, the invaginated barrier was removed, apexification and nonsurgical endodontic treatment was performed. At the 8-month follow-up, no clinical symptoms or radiographic apical lesion were observed. In the second case, because of the morphologic variation, it was unable to clean and shape the root canal system. Thus, apical surgery was performed. After 5 months, no signs of sinus tract or radiographic apical lesion was observed. In these cases, satisfactory clinical and radiographic outcomes were observed. It is important to know about root canal anatomy for successful endodontic treatment of dens invaginatus.
키워드
Dens invaginatus; Endodontic treatment; Maxillary lateral incisor
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