Journal
INTERNATIONAL ENDODONTIC JOURNAL
Volume 41, Issue 12, Pages 1137-1154Publisher
WILEY
DOI: 10.1111/j.1365-2591.2008.01469.x
Keywords
dens in dente; dens invaginatus; microscopy; mineral trioxide aggregate; root canal treatment
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To describe the possible clinical and radiographic features of this developmental anomaly, review previous treatment recommendations and suggest management options based on the classification of the problem. This paper describes the clinical and radiographic features related to the different types of dens invaginatus and highlights those features which may indicate the presence of a previously undetected invagination. Aids to clinical diagnosis are described together with a description of the possible radiographic features, which may suggest the presence of an invagination. Previous treatment suggestions are described and suggestions as to possible management options, based on current endodontic knowledge and the classification of the problems are described. center dot Thorough clinical and radiographic examination is required to diagnose and successfully treat minor to severe invaginations. center dot Modern clinical techniques may facilitate the management of invaginations once considered untreatable.
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