Ali Afzal, Arslan Hakan, Jethani Bhawna
Department of Conservative Dentistry and Endodontics, Pacific Dental College and Hospital, Udaipur, Rajasthan, India.
Department of Endodontics, Faculty of Dentistry, Istanbul Health Sciences University, Istanbul, Turkey.
J Conserv Dent. 2019 Sep-Oct;22(5):503-508. doi: 10.4103/JCD.JCD_30_20. Epub 2020 Aug 4.
Dens invaginatus (DI) is one of the rare malformations of teeth which results from an infolding of the dental papilla during the development of teeth. This defect gives rise to a possible communication between the pulp and oral environment, thereby increasing the susceptibility to caries, pulpitis, and pulp necrosis. Thus, early detection and conservative management of this invaginatus is of utmost importance. The present case series describes a conservative endodontic treatment technique for the management of teeth with Type II DI using a guided endodontic approach with three-dimensional printed surgical stents. This technique provides a precise and minimally invasive approach in the conservative management of DI, without compromising the vitality of main pulpal tissue.
牙内陷(DI)是一种罕见的牙齿发育畸形,由牙齿发育期间牙乳头的内陷引起。这种缺陷可能导致牙髓与口腔环境相通,从而增加患龋齿、牙髓炎和牙髓坏死的易感性。因此,早期发现并对这种牙内陷进行保守治疗至关重要。本病例系列描述了一种使用三维打印手术支架的引导性牙髓治疗方法,对Ⅱ型牙内陷牙齿进行保守牙髓治疗的技术。该技术在牙内陷的保守治疗中提供了一种精确且微创的方法,同时不损害主要牙髓组织的活力。