Endodontic management considerations for Type III dens invaginatus based on anatomical characteristics: A case series

IF 1.3 4区医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE

Australian Endodontic Journal Pub Date : 2024-04-23 DOI:10.1111/aej.12847

Jia Wang PhD, Chenguang Niu PhD, Pengfei Zhang MD, Shujun Ran PhD, Zhengwei Huang PhD

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引用次数: 0

Abstract

Dens invaginatus (DI) is a developmental anomaly of the teeth characterised by the in-folding of the enamel into the dentin. Oehlers' Type III DI is the most serious form, in which the inherently invaginated channels communicate with periodontal and dental pulp tissue, increasing the risk of bacterial contamination. However, varying and complex anatomical features make diagnosis and treatment challenging. Conventional endodontic therapies promote healing by avoiding unnecessary interventions (e.g., surgical or other invasive treatments). Radiographic examination can reveal the structural details of such malformations. We obtained multiple procedural details for treating Type III DI based on radiographic analyses from our clinical experience. In addition, we introduce a new classification strategy for the management of Type III DI that is more applicable to treatment needs. This study aimed to discuss the anatomical features and current treatment considerations of Type III DI.

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基于解剖学特征的 III 型牙髓隐窝的牙髓治疗考虑因素：病例系列

内陷牙（Dens invaginatus，DI）是一种牙齿发育异常，其特征是牙釉质向牙本质内折叠。Oehlers'III型DI是最严重的形式，其中固有的内陷通道与牙周和牙髓组织相通，增加了细菌污染的风险。然而，不同和复杂的解剖特征使得诊断和治疗具有挑战性。传统的牙髓疗法通过避免不必要的干预（如手术或其他侵入性治疗）来促进愈合。射线检查可以揭示此类畸形的结构细节。根据我们的临床经验，我们通过放射影像学分析获得了治疗 III 型 DI 的多种程序细节。此外，我们还为 III 型 DI 的治疗引入了一种新的分类策略，该策略更适用于治疗需求。本研究旨在讨论 III 型 DI 的解剖学特征和当前治疗的注意事项。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Australian Endodontic Journal DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

3.50

自引率

6.20%

发文量

审稿时长

>12 weeks

期刊介绍： The Australian Endodontic Journal provides a forum for communication in the different fields that encompass endodontics for all specialists and dentists with an interest in the morphology, physiology, and pathology of the human tooth, in particular the dental pulp, root and peri-radicular tissues. The Journal features regular clinical updates, research reports and case reports from authors worldwide, and also publishes meeting abstracts, society news and historical endodontic glimpses. The Australian Endodontic Journal is a publication for dentists in general and specialist practice devoted solely to endodontics. It aims to promote communication in the different fields that encompass endodontics for those dentists who have a special interest in endodontics.