Jaramillo Alejandro, Fernández Rafael, Villa Paula
Department of Endodontics, Instituto de Ciencias de la Salud CES, Medellín, Colombia.
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006 Jan;101(1):e15-21. doi: 10.1016/j.tripleo.2005.08.008.
Dens invaginatus is an anomaly of the tooth formation of embryonic origin that presents itself in several morphologic types. The complex anatomy of these teeth makes nonsurgical endodontic treatment complex and more so when its apex is immature. The 2 cases reported illustrate the nonsurgical endodontic management of a dens invaginatus type II and type III with an immature apex and periapical lesions, in which mineral trioxide aggregate (MTA) in one case, and calcium hydroxide in the other one, were the materials used. A 5-year follow-up of both cases shows a complete periapical healing with bone formation at the site of the lesions.
牙内陷是一种胚胎源性牙齿发育异常，有多种形态类型。这些牙齿复杂的解剖结构使得非手术根管治疗变得复杂，当根尖未发育成熟时更是如此。所报告的2例病例说明了对根尖未发育成熟且伴有根尖周病变的II型和III型牙内陷进行非手术根管治疗的情况，其中1例使用了三氧化矿物凝聚体（MTA），另1例使用了氢氧化钙。对这2例病例进行的5年随访显示，病变部位完全根尖周愈合并有骨形成。
