Endodontic treatment of an invaginated maxillary lateral incisor with a periradicular lesion and a healthy pulp
Abstract
Aim To report the healing of a periradicular lesion following nonsurgical root canal treatment of a dental invagination.
Summary A case of dens invaginatus type 3 with a periradicular lesion and a healthy pulp is reported. Nonsurgical root canal treatment of the invagination was performed successfully and resolved an associated periradicular lesion. Despite the complex anatomy and a diagnosis of apical periodontitis, pulp health was retained after endodontic treatment of the invaginated canal. Clinical considerations and treatment are discussed and reported.
Key learning points
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Dens invaginatus can present in a variety of forms, knowledge of which can usefully inform endodontic diagnosis and treatment.
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In certain cases, success can be achieved by treating the invagination alone.
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Pulp health may be preserved during and after treatment of an infected invagination.
