Endodontic treatment of bilateral dens evaginatus premolars with large periapical lesions
Dens evaginatus is a developmental anomaly characterized by the presence of an accessory cusp composed of enamel and dentine, usually containing pulp tissue. This condition is clinically important because of fracture or wear of the tubercle, which can frequently lead to the major complication of pul...
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| Veröffentlicht in: | Journal of Oral Science 2009, Vol.51(3), pp.475-479 |
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| container_title | Journal of Oral Science |
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| creator | Tsurumachi, Tamotsu Suguro, Hisashi Ogata, Hidehiro Hatori, Keisuke Kobayashi, Chiaki Ogiso, Bunnai |
| description | Dens evaginatus is a developmental anomaly characterized by the presence of an accessory cusp composed of enamel and dentine, usually containing pulp tissue. This condition is clinically important because of fracture or wear of the tubercle, which can frequently lead to the major complication of pulp necrosis and periapical infection. Treatment varies according to pulp condition, tubercle integrity, and stage of root development. Here we report a case of bilateral dens evaginatus with large periapical lesions. Non-surgical root canal treatment using calcium hydroxide medication was performed for both mandibular second premolars. At the 3-year postoperative recall examination, the teeth were asymptomatic and radiographically showed healing of the periapical lesions. (J Oral Sci 51, 475-479, 2009) |
| doi_str_mv | 10.2334/josnusd.51.475 |
| format | Article |
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This condition is clinically important because of fracture or wear of the tubercle, which can frequently lead to the major complication of pulp necrosis and periapical infection. Treatment varies according to pulp condition, tubercle integrity, and stage of root development. Here we report a case of bilateral dens evaginatus with large periapical lesions. Non-surgical root canal treatment using calcium hydroxide medication was performed for both mandibular second premolars. At the 3-year postoperative recall examination, the teeth were asymptomatic and radiographically showed healing of the periapical lesions. 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This condition is clinically important because of fracture or wear of the tubercle, which can frequently lead to the major complication of pulp necrosis and periapical infection. Treatment varies according to pulp condition, tubercle integrity, and stage of root development. Here we report a case of bilateral dens evaginatus with large periapical lesions. Non-surgical root canal treatment using calcium hydroxide medication was performed for both mandibular second premolars. At the 3-year postoperative recall examination, the teeth were asymptomatic and radiographically showed healing of the periapical lesions. (J Oral Sci 51, 475-479, 2009)</description><subject>Adolescent</subject><subject>Apexification - methods</subject><subject>Bicuspid - abnormalities</subject><subject>Calcium Hydroxide</subject><subject>dens evaginatus</subject><subject>Dental Pulp Cavity - abnormalities</subject><subject>Dental Pulp Necrosis - complications</subject><subject>Dental Pulp Necrosis - therapy</subject><subject>Dentistry</subject><subject>Drug Combinations</subject><subject>Female</subject><subject>Humans</subject><subject>Mandible</subject><subject>periapical lesion</subject><subject>Periapical Periodontitis - diagnostic imaging</subject><subject>Periapical Periodontitis - etiology</subject><subject>Periapical Periodontitis - therapy</subject><subject>premolar</subject><subject>Radiography</subject><subject>Root Canal Filling Materials</subject><subject>Root Canal Irrigants - therapeutic use</subject><subject>Root Canal Obturation - methods</subject><subject>root canal treatment</subject><subject>Silicones</subject><subject>Tooth Abnormalities - complications</subject><subject>Tooth Crown - abnormalities</subject><issn>1343-4934</issn><issn>1880-4926</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpNkE1PAyEURYnR2FrdujTsXLVCYYbO0jT1I2niRheuCMM8WpoZGIHR-O_FtKluHjd5592Qg9A1JbM5Y_xu56MbYjMr6IyL4gSN6WJBpryal6c5M85yZnyELmLcEcLnpSjO0YhWQpQFrcbofeUa33iXrMYpgEoduIS9wbVtVYKgWtyAixg-1cY6lYaI-wCdb1WI-MumLc5pA7iHYFVvdeZbiNa7eInOjGojXB3eCXp7WL0un6brl8fn5f16qllVFVOhuWFMac4IbUxZCs3qGupKA53rsiY1N6AaTWtRmkrlPxNdVIbqRd5yYIZN0O2-tw_-Y4CYZGejhrZVDvwQpWCcFIIKkcnZntTBxxjAyD7YToVvSYn8tSkPNmVBZbaZD24O1UPdQfOHH_RlYLkHdjGpDRwBFbLPFv73sf3Itcet3qogwbEfZ2uNdg</recordid><startdate>2009</startdate><enddate>2009</enddate><creator>Tsurumachi, Tamotsu</creator><creator>Suguro, Hisashi</creator><creator>Ogata, Hidehiro</creator><creator>Hatori, Keisuke</creator><creator>Kobayashi, Chiaki</creator><creator>Ogiso, Bunnai</creator><general>Nihon University School of Dentistry</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>2009</creationdate><title>Endodontic treatment of bilateral dens evaginatus premolars with large periapical lesions</title><author>Tsurumachi, Tamotsu ; Suguro, Hisashi ; Ogata, Hidehiro ; Hatori, Keisuke ; Kobayashi, Chiaki ; Ogiso, Bunnai</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3995-7c4f33ac4301df667c3bbeb9ce12c6b0b4feadc1b76f9a5190c59f1c82c64e3f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adolescent</topic><topic>Apexification - methods</topic><topic>Bicuspid - abnormalities</topic><topic>Calcium Hydroxide</topic><topic>dens evaginatus</topic><topic>Dental Pulp Cavity - abnormalities</topic><topic>Dental Pulp Necrosis - complications</topic><topic>Dental Pulp Necrosis - therapy</topic><topic>Dentistry</topic><topic>Drug Combinations</topic><topic>Female</topic><topic>Humans</topic><topic>Mandible</topic><topic>periapical lesion</topic><topic>Periapical Periodontitis - diagnostic imaging</topic><topic>Periapical Periodontitis - etiology</topic><topic>Periapical Periodontitis - therapy</topic><topic>premolar</topic><topic>Radiography</topic><topic>Root Canal Filling Materials</topic><topic>Root Canal Irrigants - therapeutic use</topic><topic>Root Canal Obturation - methods</topic><topic>root canal treatment</topic><topic>Silicones</topic><topic>Tooth Abnormalities - complications</topic><topic>Tooth Crown - abnormalities</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tsurumachi, Tamotsu</creatorcontrib><creatorcontrib>Suguro, Hisashi</creatorcontrib><creatorcontrib>Ogata, Hidehiro</creatorcontrib><creatorcontrib>Hatori, Keisuke</creatorcontrib><creatorcontrib>Kobayashi, Chiaki</creatorcontrib><creatorcontrib>Ogiso, Bunnai</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of Oral Science</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tsurumachi, Tamotsu</au><au>Suguro, Hisashi</au><au>Ogata, Hidehiro</au><au>Hatori, Keisuke</au><au>Kobayashi, Chiaki</au><au>Ogiso, Bunnai</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Endodontic treatment of bilateral dens evaginatus premolars with large periapical lesions</atitle><jtitle>Journal of Oral Science</jtitle><addtitle>J Oral Sci</addtitle><date>2009</date><risdate>2009</risdate><volume>51</volume><issue>3</issue><spage>475</spage><epage>479</epage><pages>475-479</pages><issn>1343-4934</issn><eissn>1880-4926</eissn><abstract>Dens evaginatus is a developmental anomaly characterized by the presence of an accessory cusp composed of enamel and dentine, usually containing pulp tissue. This condition is clinically important because of fracture or wear of the tubercle, which can frequently lead to the major complication of pulp necrosis and periapical infection. Treatment varies according to pulp condition, tubercle integrity, and stage of root development. Here we report a case of bilateral dens evaginatus with large periapical lesions. Non-surgical root canal treatment using calcium hydroxide medication was performed for both mandibular second premolars. At the 3-year postoperative recall examination, the teeth were asymptomatic and radiographically showed healing of the periapical lesions. (J Oral Sci 51, 475-479, 2009)</abstract><cop>Japan</cop><pub>Nihon University School of Dentistry</pub><pmid>19776519</pmid><doi>10.2334/josnusd.51.475</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Journal of Oral Science, 2009, Vol.51(3), pp.475-479 |
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| source | J-STAGE Free; MEDLINE; Open Access Titles of Japan; EZB-FREE-00999 freely available EZB journals |
| subjects | Adolescent Apexification - methods Bicuspid - abnormalities Calcium Hydroxide dens evaginatus Dental Pulp Cavity - abnormalities Dental Pulp Necrosis - complications Dental Pulp Necrosis - therapy Dentistry Drug Combinations Female Humans Mandible periapical lesion Periapical Periodontitis - diagnostic imaging Periapical Periodontitis - etiology Periapical Periodontitis - therapy premolar Radiography Root Canal Filling Materials Root Canal Irrigants - therapeutic use Root Canal Obturation - methods root canal treatment Silicones Tooth Abnormalities - complications Tooth Crown - abnormalities |
| title | Endodontic treatment of bilateral dens evaginatus premolars with large periapical lesions |
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