Endodontic management of type II dens invaginatus with open apex and large periradicular lesion using the XP-endo Finisher : a case report
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Endodontic management of type II dens invaginatus with open apex and large periradicular lesion using the XP-endo Finisher : a case report

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Endodontic management of type II dens invaginatus with open apex and large periradicular lesion using the XP-endo Finisher : a case report

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dc.contributor.author Rodrigues, Evaldo-Almeida es
dc.contributor.author Belladonna, Felipe-Gonçalves es
dc.contributor.author De-Deus, Gustavo es
dc.contributor.author Silva, Emmanuel João Nogueira Leal da es
dc.date.accessioned 2018-11-28T12:52:00Z
dc.date.available 2018-11-28T12:52:00Z
dc.date.issued 2018 es
dc.identifier.uri http://hdl.handle.net/10550/68136
dc.description.abstract Dens invaginatus (DI) represents an endodontic challenge because of its complex root canal morphology. This case report presents the clinical management of a 22-year-old woman with type II DI in right maxillary lateral incisor with a painful swelling. Pulp testing revealed no response with the tooth. Type II DI with open apex and large periradicular lesion was seen on radiograph. The treatment was planned by using cone-beam computed tomography (CBCT) imaging. Canal treatment was completed in two appointments with the aid of a dental operating microscope. In the first appointment, the internal anatomy was modified using an ultrasonic tip, and chemo-mechanical preparation was performed using the XP-endo Finisher instrument and NaOCl; calcium hydroxide intracanal dressing was used for one month. In the second appointment, an apical plug of mineral trioxide aggregate (MTA) Repair HP was performed and the remaining pulp space was then filled with gutta-percha and AH Plus sealer using the continuous wave of condensation technique. At the fourteen-month reevaluation, the patient was asymptomatic, the tooth had remained functional, and radiographic and CBCT assessment showed significant osseous healing of the lesion. Successful non-surgical management of the present type II DI was achieved in the present case. The association of CBCT, dental operating microscope, XP-endo Finisher, NaOCl and MTA Repair HP were important for ensuring a predictable outcome. es
dc.source Rodrigues, Evaldo-Almeida ; Belladonna, Felipe-Gonçalves ; De-Deus, Gustavo ; Silva, Emmanuel João Nogueira Leal da. Endodontic management of type II dens invaginatus with open apex and large periradicular lesion using the XP-endo Finisher : a case report. En: Journal of Clinical and Experimental Dentistry, 10 10 2018: 1040-1044 es
dc.title Endodontic management of type II dens invaginatus with open apex and large periradicular lesion using the XP-endo Finisher : a case report es
dc.type info:eu-repo/semantics/article en
dc.type info:eu-repo/semantics/publishedVersion en
dc.subject.unesco UNESCO::CIENCIAS MÉDICAS es
dc.identifier.doi 10.4317/jced.55031 es

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