Emre Köse MD, EMRE KÖSE, DUYGU GÖLLER BULUT, Özge ULUSAN

Rastlantısal Bir Bulgu Olarak Maksiller Lateral Dişlerde Dens İnvajinatus, Tanı ve Tedavide Konik Işınlı Bilgisayarlı Tomografinin Rolü

Dens invajinatus (Dİ), mine organının diş gelişimi sırasında bitişiğindeki dental papillaya doğru katlanması sonucu oluştuğu düşünülen bir dental malformasyondur. Morfolojik olarak geniş bir varyasyon yelpazesi gösterir ve sıklıkla maksiller lateral dişleri etkiler. Bu çalışmada, rastlantısal radyolojik bulgu olarak tip 1 Dİ tespit edilen maksiller lateral dişler ve periapikal lezyonu olan çürüksüz sağ maksiller lateral diş ve bu dişin cerrahi olmayan endodontik tedavisi anlatılmaktadır.

Incidental Finding of Bilateral Dens Invaginatus in the Maxillary Lateral Incisors and Role of Cone Beam Computed Tomography in Diagnose and Treatment

Dens invaginatus (DI) is a dental malformation commonly thought to occur as a result of an infolding of the enamel organ into the adjacent dental papilla during the development of the tooth. It shows a wide spectrum of variations in morphology and usually affects the maxillary lateral incisors. This study presents type 1 DI involving bilateral maxillary lateral incisors, which presented as an incidental radiographic finding in the laterals and was associated with a periapical lesion in the right one without caries. The case was successfully treated using nonsurgical endodontic treatment.

PDF

___

1. Heydari A, Rahmani M. Treatment of dens invagination in a maxillary lateral incisor: a case report. Iran Endod J 2015; 10: 207-9.
2. Mupparapu M, Singer SR, Goodchild JH. Dens evaginatus and dens invaginatus in a maxillary lateral incisor: report of a rare occurrence and review of literature. Aust Dent J 2004; 49: 201-3.
3. Hülsmann M. Dens invaginatus: aetiology, classification, prevalence, diagnosis, and treatment considerations. Int Endod J 1997; 30: 79-90.
4. Hallett GE. The incidence, nature, and clinical significance of palatal invaginations in the maxillary incisor teeth. Proc R Soc Med 1953; 46: 491-9.
5. Jimenez-Rubio A, Segura JJ, Jimenez-Planas A, Llamas R. Multiple dens invaginatus affecting maxillary lateral incisors and a supernumerary tooth. Endod Dent Traumatol 1997; 13: 196-8.
6. Thakur S, Thakur NS, Bramta M, Gupta M. Dens invagination: A review of literature and report of two cases. J Nat Sci Biol Med 2014; 5: 218-21.
7. Tagger M. Nonsurgical endodontic therapy of tooth invagination. Report of a case. Oral Surg Oral Med Oral Pathol 1977; 43: 124-9.
8. Patel S. The use of cone beam computed tomography in the conservative management of dens invaginatus: a case report. Int Endod J 2010; 43: 707-13.
9. Ceyhanli KT, Celik D, Altintas SH, Taşdemir T, S Sezgin O. Conservative treatment and follow-up of type III dens invaginatus using cone beam computed tomography. J Oral Sci 2014; 56: 307-10.