Cevat Emre ERİK, Ayşe ERİK AYDOĞMUŞ, MURAT MADEN, DERYA YILDIRIM, M. Fatih ŞENTÜRK

Dens İnvajinatus'lu Dişlere Endodontik Yaklaşım: Olgu Serisi

Amaç: Gelişimsel dental anomalilerin şekil bozukluklarından olan dens invajinatus dişin gelişimi esnasında mine organının içe doğru katlanmasıyla meydana gelir. Diş gelişimi sırasında kron veya kökte oluşabilir, pulpayı ve kök kanalını içerebilir. En çok maksiller lateral kesici dişlerde görülür. Klinikte kron morfolojisi çoğunlukla normal görünen dens invajinatus genellikle radyografik olarak teşhis edilir. Bu olgu serisinde amacımız dens invajinatuslu dişlerde farklı endodontik tedavi metotlarını sunmaktır.Olgu: Maksiller lateral kesici dişlerinde iki tanesi Tip I ve diğeri Tip II dens invajinatus ile birlikte periapikal lezyon teşhis edilen üç olgu sunuldu. Tip II vakalarından birine apikal endodontik cerrahi uygulandı. Diğer iki olguya konvansiyonel endodontik tedavi uygulandı.Sonuç: Bu raporda sunduğumuz olgular 12 ay süreyle takip edildi,klinik ve radyografik olarak başarılı bir endodontik tedavi gözlendi. Dens invajinatuslu dişlerin klinik açıdan önemi, anormal morfolojisi sebebiyle invajinasyon alanının plak retansiyonuna neden olup çürük, periodontal enflamasyon ve pulpa nekrozu riskini artırmasıdır.

Endodontic Approach With Dense Invaginatus Teeth: Case Series

Objective: Dens invaginatus is a developmental shape malformation of teeth that results from infolding of the enamel organ into the dental papilla. It may occur crown or root of the tooth during development and it may include root canal and pulp. Teeth most affected are maxillary lateral incisors. Crown morphology usually appears clinically normal while dense invaginatus diagnosed radiographically. The purpose of this case series was to present different endodontic treatment methods of teeth with dense invaginatus.Case: In this case series, two type I and one type II dens invaginatus cases of maxillary lateral incisors with periapical lesions was presented. One of the type II cases was treated by apical endodontic surgery and routine endodontic therapy was performed for the other two cases. Conclusion: Present cases were followed for 12 months and successful endodontic treatment results were observed clinically and radiographically. Plaque retention related with the abnormal morphology of dens invaginatus increases the risk of caries, periodontal inflammation and pulpal necrosis.

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