DENS İNVAJİNATUS VE TEDAVİ YAKLAŞIMLARI: DÖRT OLGU SUNUMU

Year 2020, Volume: 30 Issue: 2, 300 - 305, 15.04.2020

Esra Öz , Zuhal Kırzıoğlu

https://doi.org/10.17567/ataunidfd.649169

Abstract

Dens
invajinatus, diş dokularının kalsifikasyonundan önce, mine organının dental
papilla içerisine uzanmasıyla meydana gelen, sıklıkla daimi üst lateral
dişlerde görülen gelişimsel bir anomalidir. Yapılan çalışmalarda, prevalansının
%0,04-12 arasında değiştiği bildirilmiştir. Tedavi yaklaşımları, dens
invajinatus tipine, kök-kanal morfolojisine ve periapikal patoloji varlığına
göre değişkenlik gösterebilmektedir. Bu dişlerin erken dönemlerde teşhis
edilmesi, uygun tedavi planlamasının yapılması ve düzenli aralıklarla kontrol
edilmesi dişlerde gelişebilecek patolojilerin önlenebilmesi açısından önemli
olmaktadır. Bu olgu raporunda, üst lateral dişlerinde Tip I ve Tip II dens
invajinatusa sahip dört olgunun klinik ve radyografik bulgularını ve bu dişlere
uygulanan tedavi yaklaşımlarını sunmak amaçlanmıştır.

Anahtar
kelimeler: Dens
invajinatus, Endodontik tedavi, Oehlers sınıflaması, Revaskülarizasyon

Dens invaginatus and treatment
approaches: Report of four cases

ABSTRACT

Dens
invaginatus is a developmental anomaly often seen in permanent upper lateral
teeth formed by the enamel organ extending into the dental papillae before
calcification of dental tissues. In the studies, it has been reported that the
prevalence varies between 0.04-12%. Treatment approaches may vary depending on
the type of dens invaginatus, root-canal morphology and the presence of
periapical pathology. Early diagnosis, proper treatment planning and regular
control of these teeth are important to prevent pathologies that may develop in
the teeth. In this case report, we aimed to present the clinical and
radiographic findings of four patients with Type I and Type II dens invaginatus
in the upper lateral teeth and the treatment approaches applied to these teeth.

Keywords: Dens
invaginatus, Endodontic treatment, Oehlers classification, Revascularization

Keywords

Dens invajinatus, Endodontik tedavi, Oehlers sınıflaması

References

• 1. Hülsmann M. Dens invaginatus: Aetiology, classification, prevalence, diagnosis, and treatment considerations. Int Endod J 1997;30:79‑90.
• 2. Hovland EJ, Block RM. Nonrecognation and subsequent endodontic treatment of dens invaginatus. J Endod 1977;3:360-2.
• 3. Hamasha AA, Alomari QD. Prevalence of dens invaginatus in Jordanian adults. Int Endod J 2004;37:307-10.
• 4. Kirzioğlu Z, Ceyhan D. The prevalence of anterior teeth with dens invaginatus in the Western Mediterranean region of Turkey. Int Endod J 2009;42:727-34.
• 5. Cakici F, Celikoglu M, Arslan H, Topcuoglu HS, Erdogan AS. Assessment of the prevalence and characteristics of dens invaginatus in a sample of Turkish Anatolian population. Med Oral Patol Oral Cir Bucal 2010;15:855-8.
• 6. Çolak H, Tan E, Aylıkçı BU, Uzgur R, Turkal M, Hamidi MM. Radiographic study of the prevalence of dens invaginatus in a sample set of Turkish dental patients. J Clin Imaging Sci 2012;2:34.
• 7. Gündüz K, Çelenk P, Canger EM, Zengin Z, Sümer P. A retrospective study of the prevalence and characteristics of dens invaginatus in a sample of the Turkish population. Med Oral Patol Oral Cir Bucal 2013;18:27-32.
• 8. Ceyhanli KT, Buyuk SK, Sekerci AE, Karatas M, Celikoglu M, Benkli YA. Investigation of dens invaginatus in a Turkish subpopulation using cone-beam computed tomography. OHDM 2015;14:81-4.
• 9. Capar ID, Ertas H, Arslan H, Tarim Ertas E. A retrospective comparative study of cone-beam computed tomography versus rendered panoramic images in identifying the presence, types, and characteristics of dens invaginatus in a Turkish population. J Endod 2015;41:473-8.
• 10. Oehlers FA. Dens invaginatus (dilated composite odontome). I.Variations of the invagination process and associated anterior crown forms. Oral Surg Oral Med Oral Pathol 1957;10:1204‑18.
• 11. Grahnen H, Lındahl B, Omnell K. Dens invaginatus. I. A clinical, roentgenological and genetical study of permanent upper lateral incisors. Odontologisk Revy 1959;10:115-37.
• 12. Tebbeb N, Zaabar D, Zouiten S, Boughzala A. Dens invaginatus: A review and case series. Saudi Endod J 2018;8:44-9.
• 13. Yang J, Zhao Y, Qin M, Ge L. Pulp revascularization of immature dens invaginatus with periapical periodontitis. J Endod 2013;39:288-92.
• 14. Zhu J, Wang X, Fang Y, Von den Hoff JW, Meng L. An update on the diagnosis and treatment of dens invaginatus. Aust Dent J 2017;62:261-75.
• 15. Alani A, Bishop K. Dens invaginatus. Part 1: Classification, prevalence and aetiology. Int Endod J 2008;41:1123‑36.
• 16. Martins JN, da Costa RP, Anderson C, Quaresma SA, Corte-Real LS, Monroe AD. Endodontic management of dens invaginatus Type IIIb: Case series. Eur J Dent 2016;10:561-5.
• 17. Walzade PS, Samanthini MW, Shenoy VU, Mahajan RP. Management of bilateral Oehler’s Type II Dens Invaginatus in maxillary lateral incisor. J Contemp Dent 2017;7:125-9.
• 18. Abazarpour R, Parirokh M, Farhadi A, Jalali Z, Kheirabadi N. Successful ultraconservative management of a mandibular premolar with dens invaginatus. Iran Endod J 2017;12:390-5.
• 19. Srivastava R, Verma PK, Tripathi V, Tripathi P, Singh AR. Management of Oehlers Type II Dens in Dente with open apex and alveolar bone defect. J Clin Diagn Res 2016;10:ZJ05-05ZJ06.
• 20. Mabrouk NA. Successful management of a type II Dens invaginatus with an open apex and a large periapical lesion. A case report of a permanent maxillary canine. Dent Oral Craniofac Res 2018;4:1-5.
• 21. Hatırlı H, Yaşa B. Dens invajinatus anomalisinde farklı tedavi yaklaşımları: iki olgu sunumu. Atatürk Üniv. Diş Hek. Fak. Derg. 2016;26:124-8.
• 22. Jeeruphan T, Jantarat J, Yanpiset K, et al. Mahidol study 1: comparison of radiographic and survival outcomes of immature teeth treated with either regenerative endodontic or apexification methods: a retrospective study. J Endod 2012;38:1330-6.
• 23. Narayana P, Hartwell GR, Wallace R, Nair UP. Endodontic clinical management of a Dens Invaginatus case by using a unique treatment approach: A Case Report. J Endod 2012;38:1145-8.
• 24. Kaya-Buyukbayram I, Ozalp S, Aytugar E, Aydemir S. Regenerative endodontic treatment of an infected immature dens invaginatus with the aid of cone-beam computed tomography. Case Rep Dent 2014;2014:403045.
• 25. Plascencia H, Díaz M, Moldauer BI, Uribe M, Skidmore E. Non-Surgical endodontic management of Type II Dens Invaginatus with closed and open apex. Iran Endod J 2017;12:534-9.
• 26. Andreasen JO, Farik B, Munksgaard EC. Long-term calcium hydroxide as a root canal dressing may increase risk of root fracture. Dent Traumatol 2002;18:134-7.
• 27. Thibodeau B, Trope M. Pulp revascularization of a necrotic infected immature permanent tooth: case report and review of the literature. Pediatr Dent 2007;29:47-50.
• 28. Kumar H, Al-Ali M, Parashos P, Manton DJ. Management of 2 teeth diagnosed with dens invaginatus with regenerative endodontics and apexification in the same patient: a case report and review. J Endod 2014;40:725-31.
• 29. Gürhan C, Köseler İ, Güneri P, Çalışkan K. Diagnosis and regenerative endodontic treatment of mandibular premolar with Type II Dens Invaginatus: A Rare Case Report. J Dent Oral Biol 2017;2:1081.