Holtzman L, Lezion R
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1996 Oct;82(4):452-5. doi: 10.1016/s1079-2104(96)80314-3.
A conservative approach to endodontic treatment of a maxillary canine with dens invaginatus is presented. Pulp involvement and periapical abscess subsequent to contamination through the invagination space occurred at an early dental age before root completion. Treatment was initially to achieve apical closure before the completion of root canal treatment. Apexification with calcium hydroxide was performed to provide favorable conditions for healing and eventually for successful obturation. Difficulties and entanglements posed by the complex internal morphology and the root developmental stage are presented. Clinical considerations are discussed and a treatment approach used to overcome those obstacles described.
本文介绍了对上颌中切牙内陷畸形进行牙髓治疗的保守方法。在牙根发育完成前的早期牙龄阶段，通过内陷间隙污染后发生了牙髓受累和根尖周脓肿。治疗最初是在根管治疗完成前实现根尖闭合。采用氢氧化钙进行根尖诱导成形术，为愈合并最终成功充填提供有利条件。文中介绍了复杂内部形态和牙根发育阶段带来的困难与问题。讨论了临床注意事项，并描述了用于克服这些障碍的治疗方法。
