Azzahim Laïla, Bassim Nisrin, Abdallaoui Faïza
Faculty of Dentistry of Rabat, Mohamed V University, Rabat, Morocco.
Case Rep Dent. 2022 Feb 14;2022:1529835. doi: 10.1155/2022/1529835. eCollection 2022.
This case report illustrated the conservative management of an invaginated type II tooth with a large periapical lesion. This dental malformation is characterized by the complexity of root canal anatomy, which when associated with a periapical lesion complicates the performance of conventional endodontic treatment, hence resulting to the difficulty of obtaining the optimal disinfection of the root canal system, which is an essential element for the success of any endodontic treatment. In the present case report, clinical and radiographic examinations were supplemented by CBCT examination to identify the root canal configuration and the extension of the periapical lesion. Conservative orthograde endodontic treatment was performed by combining mechanical and chemical action. Additionally, active nonsurgical decompression was performed and the follow-up visits revealed a favorable outcome.
本病例报告展示了对伴有大型根尖周病变的II型内陷牙的保守治疗。这种牙齿畸形的特点是根管解剖结构复杂，当与根尖周病变相关联时，会使传统牙髓治疗的操作变得复杂，从而导致难以实现根管系统的最佳消毒，而这是任何牙髓治疗成功的关键要素。在本病例报告中，通过CBCT检查补充了临床和影像学检查，以确定根管形态和根尖周病变的范围。采用机械和化学作用相结合的方式进行保守的顺行性牙髓治疗。此外，还进行了积极的非手术减压，随访结果显示预后良好。
