Sahipli Köpeklerde Dens İnvajinatus Görülme Sıklığı: Bir Retrospektif Çalışma

Abstract Objectives: The oral cavity is considered a gateway to the body because dental disease may result in many systemic conditions. Dogs and cats are sporadically affected by developmental dental anomalies and dens invaginatus is one such anomaly. Dens invaginatus predisposes the affected tooth to caries and endodontic infection. The purpose of the this study was twofold: (a) to determine the number of missing teeth and (b) to detect the prevalence of dens invaginatus in dogs and to discuss its clinical importance Methods: In this retrospective study, we investigated the prevalence of dens invaginatus. All of the existing maxillary and mandibular teeth were examined clinically and radiographically in order to determine the number of missing teeth and the presence of dens invaginatus. Results: Of the 188 mandibular first molar teeth examined three (1.6%) of them were identified to have dens invaginatus. Conclusion: Even if the anomalous teeth may not seem to cause any pathology at the time they are first discovered, they need to be followed up periodically for any developing pathology as early intervention will prevent occurrence of severe complications. Full-mouth intraoral radiography has a tremendous role in the diagnosis and follow-up of patients with anomalous teeth. ÖZET Amaç: Diş hastalıkları birçok sistemik hastalıkla bağlantılı olduğundan ağız boşluğu vücuda açılan bir kapı olarak kabul edilir. Gelişimsel diş anomalileri kediler ve köpekleri sıklıkla etkilemektedir, dens invaginatus da bu anomalilerden biridir. Dens invaginatus, etkilenen dişi çürük ve endodontik enfeksiyona yatkın hale getirir. Bu çalışmanın amacı iki yönlüydü: (a) köpeklerde diş eksikliklerini belirlemek ve (b) dens invaginatus prevalansını saptamak ve klinik önemini tartışmak. Metod: Bu retrospektif çalışmada, köpeklerde dens invaginatus prevalansı araştırıldı. Eksik diş sayısı ve dens invaginatus varlığının tespiti için mevcut maksiller ve mandibular dişlerin tamamı klinik ve radyografik olarak incelendi. Bulgular: İncelenen 188 mandibular birinci molar dişten üçünde (%1.6) dens invaginatus varlığı tespit edildi. Sonuç: Anomalili dişler ilk keşfedildikleri anda herhangi bir patolojiye neden oluyor gibi görünmese bile, erken müdahale ciddi komplikasyonların oluşumunu önleyeceği için gelişen herhangi bir patolojiye karşı periyodik olarak takip edilmeleri gerekir. Bu amaçla full mouth ağız içi radyografları, anomalili dişleri olan köpeklerin tanı ve takibinde büyük bir role sahiptir.

A RETROSPECTIVE LOOK AT THE PREVALENCE OF DENS INVAGINATUS IN CLIENT-OWNED DOGS

___

  • 1. Kim C-G, Lee S-Y, Kim J-W, Park H-M. Assessment of dental abnormalities by full-mouth radiography in small breed dogs. Journal of the American Animal Hospital Association. 2013;49(1):23-30.
  • 2. Colmery B, 3rd. The gold standard of veterinary oral health care. Vet Clin North Am Small Anim Pract. 2005;35(4):781-7, v.
  • 3. Stein KE, Marretta SM, Eurell JAC. Dens invaginatus of the mandibular first molars in a dog. Journal of veterinary dentistry. 2005;22(1):21-5.
  • 4. Coffman CR, Visser CJ, Visser L. Endodontic treatment of dens invaginatus in a dog. Journal of veterinary dentistry. 2009;26(4):220-5.
  • 5. Duncan HL. Diagnostic Imaging in Veterinary Dental Practice. Journal of the American Veterinary Medical Association. 2010;237(11):1251-3.
  • 6. Mulligan T AM, Williams CA. . Atlas of canine and feline dental radiography. (NJ) T, editor1998.
  • 7. Woodward TM. Dental radiology. Topics in companion animal medicine. 2009;24(1):20-36.
  • 8. Gorrel C. Radiographic evaluation. Vet Clin North Am Small Anim Pract. 1998;28(5):1089-110.
  • 9. Verstraete FJ, Kass PH, Terpak CH. Diagnostic value of full-mouth radiography in dogs. Am J Vet Res. 1998;59(6):686-91.
  • 10. Tsugawa AJ, Verstraete FJ. How to obtain and interpret periodontal radiographs in dogs. Clinical techniques in small animal practice. 2000;15(4):204-10.
  • 11. Tsugawa AJ, Verstraete FJ, Kass PH, Görrel C. Diagnostic value of the use of lateral and occlusal radiographic views in comparison with periodontal probing for the assessment of periodontal attachment of the canine teeth in dogs. Am J Vet Res. 2003;64(3):255-61.
  • 12. Harvey CE EP. Small animal dentistry. St. Louis (MO): Mosby; 1993.
  • 13. Gallacher A, Ali R, Bhakta S. Dens invaginatus: diagnosis and management strategies. British Dental Journal. 2016;221(7):383-7.
  • 14. Eden EK, Koca H, Sen BH. Dens invaginatus in a primary molar: report of case. ASDC J Dent Child. 2002;69(1):49-53, 12.
  • 15. Gound TG. Dens invaginatus--a pathway to pulpal pathology: a literature review. Pract Periodontics Aesthet Dent. 1997;9(5):585-94; quiz 96.
  • 16. Chen YH, Tseng CC, Harn WM. Dens invaginatus. Review of formation and morphology with 2 case reports. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1998;86(3):347-52.
  • 17. Kulild JC, Weller RN. Treatment considerations in dens invaginatus. J Endod. 1989;15(8):381-4.
  • 18. Rotstein I, Stabholz A, Heling I, Friedman S. Clinical considerations in the treatment of dens invaginatus. Endod Dent Traumatol. 1987;3(5):249-54.
  • 19. Oehlers F. Dens invaginatus (dilated composite odontome): I. Variations of the invagination process and associated anterior crown forms. Oral Surgery, Oral Medicine, Oral Pathology. 1957;10(11):1204-18.
  • 20. Wells DW, Meyer RD. Vital root canal treatment of a dens in dente. J Endod. 1993;19(12):616-7.
  • 21. Ruprecht A, Sastry KA, Batniji S, Lambourne A. The clinical significance of dental invagination. J Pedod. 1987;11(2):176-81.
  • 22. Colby RA KD, Robinson HBG. . Color atlas of oral pathology. Philadelphia: JB Lippincott; 1961.
  • 23. Hunter HA. Dilated composite odontome; reports of two cases, one bilateral and one radicular. Oral Surg Oral Med Oral Pathol. 1951;4(5):668-73.
  • 24. Peyneau PD, da Costa ED, Verner FS, de Freitas DQ, Almeida SM, Ambrosano GMB. Cone beam computed tomography in the diagnosis of dens invaginatus: Case report. International journal of odontostomatology. 2017;11(1):89-94.
  • 25. Thakur S, Thakur NS, Bramta M, Gupta M. Dens invagination: A review of literature and report of two cases. Journal of natural science, biology, and medicine. 2014;5(1):218.
  • 26. Coraini C, Mascarello T, de Palma CM, Gobbato EA, Costa R, de Micheli L, et al. Endodontic and periodontal treatment of dens invaginatus: report of 2 clinical cases. Giornale Italiano di Endodonzia. 2013;27(2):86-94.
  • 27. Alani A, Bishop K. Dens invaginatus. Part 1: classification, prevalence and aetiology. International endodontic journal. 2008;41(12):1123-36.
  • 28. Hamasha AA, Alomari QD. Prevalence of dens invaginatus in Jordanian adults. International endodontic journal. 2004;37(5):307-10.
  • 29. Kirzioglu Z, Ceyhan D. The prevalence of anterior teeth with dens invaginatus in the western Mediterranean region of Turkey. International endodontic journal. 2009;42(8):727-34.