DENS İNVAJİNATUS VE TEDAVİ YAKLAŞIMLARI: DÖRT OLGU SUNUMU

Dens invajinatus, diş dokularının kalsifikasyonundan önce, mine organının dental papilla içerisine uzanmasıyla meydana gelen, sıklıkla daimi üst lateral dişlerde görülen gelişimsel bir anomalidir. Yapılan çalışmalarda, prevalansının %0,04-12 arasında değiştiği bildirilmiştir. Tedavi yaklaşımları, dens invajinatus tipine, kök-kanal morfolojisine ve periapikal patoloji varlığına göre değişkenlik gösterebilmektedir. Bu dişlerin erken dönemlerde teşhis edilmesi, uygun tedavi planlamasının yapılması ve düzenli aralıklarla kontrol edilmesi dişlerde gelişebilecek patolojilerin önlenebilmesi açısından önemli olmaktadır. Bu olgu raporunda, üst lateral dişlerinde Tip I ve Tip II dens invajinatusa sahip dört olgunun klinik ve radyografik bulgularını ve bu dişlere uygulanan tedavi yaklaşımlarını sunmak amaçlanmıştır. Anahtar kelimeler: Dens invajinatus, Endodontik tedavi, Oehlers sınıflaması, Revaskülarizasyon Dens invaginatus and treatment approaches: Report of four cases ABSTRACT Dens invaginatus is a developmental anomaly often seen in permanent upper lateral teeth formed by the enamel organ extending into the dental papillae before calcification of dental tissues. In the studies, it has been reported that the prevalence varies between 0.04-12%. Treatment approaches may vary depending on the type of dens invaginatus, root-canal morphology and the presence of periapical pathology. Early diagnosis, proper treatment planning and regular control of these teeth are important to prevent pathologies that may develop in the teeth. In this case report, we aimed to present the clinical and radiographic findings of four patients with Type I and Type II dens invaginatus in the upper lateral teeth and the treatment approaches applied to these teeth. Keywords: Dens invaginatus, Endodontic treatment, Oehlers classification, Revascularization

Anahtar Kelimeler:

Dens invajinatus, Endodontik tedavi, Oehlers sınıflaması

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