Leyla B. AYRANCI, Hakan ARSLAN, H. Sinan TOPÇUOĞLU

Non-surgical management of dens invaginatus in a mandibular premolar with periapical lesion: report of a type II invagination

Dens invaginatus minenin dental papilla içerisine katlanması ile karakterize bir gelişimsel anomalidir. Bu oluşum genellikle üst çene daimi lateral kesicileri etkiler. Bu dental anomaliler alt çene dişlerinde daha az yaygındır. Bu vaka raporunun amacı dens invaginatusun periapikal lezyonlu daimi alt birinci küçük azı dişinde nadir olarak görüldüğü bir vakayı sunmaktır. Klinik ve radyolojik değerlendirmeler invaginasyonun kuron ve kök içerisine girdiğini göstermiştir. Diş non-vital (cansız) olmakla birlikte labial mukozada fistül ve periapikalde lezyon vardı. Tedavi cerrahi dışı yaklaşımla endodontik olarak döner aletlerle gerçekleştirildi. Tedavi prosedürü boyunca kalsiyum hidroksit kanal içi medikamenti olarak kullanıldı.Bir yıllık takip sonucunda periapikal lezyonun azaldığı ve hastanın asemptomatik olduğu görüldü. İyileşme ileriki bir cerrahi müdahaleye gerek kalmadan gerçekleşmiş oldu

Periapikal lezyonlu bir mandibular premolardaki dens invaginatusun cerrahi olmayan tedavisi: bir tip II invaginasyon raporu

Dens invaginatus is a developmental malformation characterized by infolding of enamel organ into the dental papilla. It typically affects permanent maxillary lateral incisors. These dental malformations are less common in mandibular teeth. The aim of this case report was to report a rare case of dens invaginatus in a permanent mandibular first premolar with periapical lesion. Clinical and radiographic examination revealed an invagination penetrating into the crown and root. The tooth was non-vital and there were a labial fistula and a periapical lesion. The tooth was treated endodontically using a nonsurgical technique with rotary files. During treatment procedure, calcium hydroxide was used for intracanal dressing. Follow-up after one year revealed the reduction of periapical lesion and the patient has remained asymptomatic. Healing was achieved without any need for further surgical intervention.

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