Regenerative Endodontics in Necrotic Immature dens Evaginatus Tooth: Case Report
Keywords:
Dens evaginatus, Immature open apex, Regenerative endodonticsAbstract
Dens evaginatus is a developmental anomaly of dentinogenesis, which appears as a tubercle on the occlusal surface. There is usually an extension of the dental pulp in the tubercle. In young patients, pulpitis and pulp necrosis may be caused by tubercle fractures due to occlusal trauma, resulting in an open apex, and thin root canal walls, which make the roots are prone to fracture. Regenerative endodontics is one option for treatment in necrotic immature teeth that can promote bone healing, continuation of root development, and strengthen the root structure. In this report, the regenerative endodontic treatment was done in necrotic immature dens evaginatus tooth and restored with resin composite. After 6 months of follow-up, the tooth can function normally. Radiograph shows healing of periapical lesion which is the primary goal of success and continuation of root development. However, the follow-up period must continue to detect secondary and tertiary goals.
Keywords: Dens evaginatus, Immature open apex, Regenerative endodontics
References
Oehlers FA, Lee KW, Lee EC. Dens Evaginatus (evaginated odontome). Its Structure and Responses to External Stimuli. The dental practitioner and dental record. 1967;17(7):239-44.
Merrill RG. Occlusal Anomalous Tubercles on Premolars of Alaskan Eskimos and Indians. Oral Surg Oral Med Oral Pathol. 1964;17:484-96.
ชินาลัย ปิยะชน, วรสิทธิ์ วิทยศิริ. การศึกษาเด็นส์อิแวจินาตัสในฟันของคนไทยจำนวนหนึ่ง. วารสารมหาวิทยาลัยศรีนครินทรวิโรฒ (สาขาวิทยาศาสตร์และเทคโนโลยี). 2553;2 (1):40-6.
จินตนา สาระบรรจง, จิรา จินดาสมบัติเจริญ, ระวีวรรณ อารยะสันติภาพ. ความชุกของเดนส์อีแวจินาทัสในฟันกรามน้อยและความชุกของการเกิดเนื้อเยื่อรอบปลายรากฟันอักเสบของฟันเดนส์อีแวจินาทัสในเด็กไทยกลุ่มหนึ่ง ในกรุงเทพมหานคร. วิทยาสารทันตแพทยศาสตร์มหิดล. 2556;33 (1):38-47.
Nimkulrat S, Panichuttra A, Ratisoontorn C, Porntaveetus T. Evaluation of Dens Evaginatus by CBCT and Exome Sequencing in Thai Population. Journal of the dental association of Thaland. 2022;72(2):500-8.
Huang X, Xu X, Bringas P, Jr., Hung YP, Chai Y. Smad4-Shh-Nfic Signaling Cascade-Mediated Epithelial-Mesenchymal Interaction is Crucial in Regulating Tooth Root Development. Journal of bone and mineral research. 2010;25(5):1167-78.
Moorrees CFA, Fanning EA, Hunt EE. Age Variation of Formation Stages for Ten Permanent Teeth. Journal of dental research. 1963;42(6):1490-502.
Levitan ME, Himel VT. Dens Evaginatus: Literature review, Pathophysiology, and Comprehensive Treatment Regimen. Journal of endodontics. 2006; 32(1):1-9.
Suksamai S. The Prevalance of Dens Evaginatus and Apical Periodontitis in Dens Evaginatus in a Group of Thai Schoolchildren. Chulalongkorn university dental journal. 2008;31:43-52.
Kim SG, Malek M, Sigurdsson A, Lin LM, Kahler B. Regenerative Endodontics: a Comprehensive Review. International endodontic journal. 2018;51(12):1367-88.
Diogenes A, Ruparel NB. Regenerative Endodontic Procedures: Clinical Outcomes. Dent Clin North Am. 2017;61(1):111-25.
Purra AR, Ahangar FA, Chadgal S, Farooq R. Mineral Trioxide Aggregate Apexification: a Novel Approach. Journal of conservative dentistry and endodontics. 2016;19(4):377-80.
Rafter M. Apexification: a review. Dental Traumatology. 2005;21:1-2.
AAE. Glossary Of Endodontic Terms-tenth edition. 2020.
Andreason J, Farik B, Munksgaard E. Long-term Calcium Hydroxide as a Root Canal Dressing may Increase Risk of Root Fracture. Dental traumatology. 2002(18):134-7.
Huang GT. Apexification: the Beginning of Its End. International endodontic journal. 2009;42(10):855-66.
Cvek M. Prognosis of Luxated Non-Vital Maxillary Incisors Treated with Calcium Hydroxide and Filled with Gutta-percha. A Retrospective Clinical Study. Dental traumatology. 1992;8(2):45-55.
Panda P, Mishra L, Govind S, Panda S, Lapinska B. Clinical Outcome and Comparison of Regenerative and Apexification Intervention in Young Immature Necrotic Teeth-A Systematic Review and Meta-Analysis. Journal of clinical medicine. 2022;11:1-35.
Banchs F, Trope M. Revascularization of Immature Permanent Teeth with Apical Periodontitis: New Treatment Protocol? Journal of endodontics. 2004; 30(4):196-200.
Li J, Zheng L, Daraqel B, Liu J, Hu Y. Treatment Outcome of Regenerative Endodontic Procedures for Necrotic Immature and Mature Permanent Teeth: A Systematic Review and Meta-Analysis Based on Randomised Controlled Trials. Oral health & preventive dentistry. 2023;21(1):141-52.
Jiang X, Liu H, Peng C. Continued Root Development of Immature Permanent Teeth after Regenerative Endodontics with or without a Collagen Membrane: A Randomized, Controlled Clinical Trial. International journal of paediatric dentistry. 2022;32(2) :284-93.
Parasuraman V, Muljibhai B. 3Mix-MP in Endodontics-An overview. Journal of dental and medical sciences. 2012;3(1):36-45.
AAE. Clinical Considerations for a Regenerative Procedure Revised 5/18/2021.
Lerdrungroj K, Banomyong D, Nakornchai S, Ngoenwiwatkul Y, Porkaew P. Outcomes and Predisposing Factors of Two Prophylactic Treatments in Dens Evaginatus Premolars: A Retrospective Study. Journal of endodontics. 2022;48(7):864-71.
Sayed AE, Elsayed MN, Elmotayam K. Healing Potential of Immature Permanent Teeth with Necrotic Pulps and Periapical Radiolucency. Egyptian dental journal. 2017;63:61-6.
Jeeruphan T, Jantarat J, Yanpiset K, Suwannapan L, Khewsawai P, Hargreaves KM. Mahidol study 1: Comparison of Radiographic and Survival Outcomes of Immature Teeth Treated with either Regenerative Endodontic or Apexification Methods: a Retrospective Study. Journal of Endodontics 2012;38(10):1330-6.
Silujjai J, Linsuwanont P. Treatment Outcomes of Apexification or Revascularization in Nonvital Immature Permanent Teeth: A Retrospective Study. Journal of endodontics. 2017;43(2):238-45.
Wikström A, Brundin M, Romani Vestman N, Rakhimova O, Tsilingaridis G. Endodontic Pulp Revitalization in Traumatized Necrotic Immature Permanent Incisors: Early Failures and Long-term Outcomes-A Longitudinal Cohort Study. International of endodontic journal. 2022;55(6):630-45.
Rybak MJ, Mcgrath BJ. Combination Antimicrobial Therapy for Bacterial Infections. Guidelines for the Clinician. Drugs. 1996;52(3):390-405.
Chrepa V, Joon R, Austah O, Diogenes A, Hargreaves KM, Ezeldeen M, et al. Clinical Outcomes of Immature Teeth Treated with Regenerative Endodontic Procedures-A San Antonio Study. Journal of endodontics. 2020;46(8):1074-84.
พีรยา บุญทวี, วรรณกมล ปัญญารักษ์, ธนิดา ศรีสุวรรณ. มิติใหม่ในการใช้เทคนิคการถ่ายภาพทางการแพทย์ขั้นสูงในงานเอ็นโดดอนติกส์. เอ็นโดสาร. 2022;1(1):17-32.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Region 3 Medical and Public Health Journal - วารสารวิชาการแพทย์และสาธารณสุข เขตสุขภาพที่ 3
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
