DOI:

10.37988/1811-153X_2023_2_111

Lateral incisors treatment: a case report

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Authors

  • O.A. Pavlovskaya 1, PhD in Medical Sciences, associate professor of the Pediatric dentistry, orthodontics and maxillofacial surgery Department
    ORCID: 0000-0003-3453-9058
  • M.N. Mitropanova 1, PhD in Medical Sciences, head of the Pediatric dentistry, orthodontics and maxillofacial surgery Department
    ORCID: 0000-0002-7083-5025
  • A.R. Gazarova 1, 5th year student at the Dentistry Faculty
    ORCID: 0000-0003-0422-6835
  • N.A. Evdokimova 1, assistant at the Pediatric dentistry, orthodontics and Maxillofacial surgery Department
    ORCID: 0000-0001-5825-1783
  • 1 Kuban State Medical University, 350063, Krasnodar, Russia

Abstract

An invagination is an anomaly of tooth development in which the enamel organ forms a protrusion during odontogenesis. The exact cause of changes in tooth structure has not been established to date. Early diagnosis of this pathology is important because changes in the anatomic structure of the tooth in some cases contribute to the development of periapical lesions. According to the literature, the prevalence of the anomaly ranges from 0.17 to 9%. Treatment of such patients can be difficult because of the unique anatomic structure of each tooth. The aim of the study was to estimate the long-term results of treatment of invaginated lateral incisors of the upper jaw in school-age children.
Materials and methods.
There are three cases of treatment of invaginated lateral incisors of the upper jaw in school-age children described in the publication. During treatment we used infiltration anesthesia, endodontic treatment of canals by hand instruments with irrigation with sodium hypochlorite 3.25% solution with ultrasound activation, calcium hydroxide, Pulposeptin, Trioxident, canal filling by methods of lateral condensation, chemically plasticized cold gutta-percha, teeth restoration by composite material, sealing of the invaginated cavity.
Results.
The used methods of diagnostics and treatment of invaginated lateral incisors are effective in the nearest and distant terms of observation.
Conclusion.
These clinical cases confirm the effectiveness of treatment of invaginated incisors and demonstrate positive long-term results of treatment in complex anatomical conditions.

Key words:

invaginated tooth, dens in dente, teeth structure anomalies, diagnosis, long-term results, endodontic treatment, children

For Citation

[1]
Pavlovskaya O.A., Mitropanova M.N., Gazarova A.R., Evdokimova N.A. Lateral incisors treatment: a case report. Clinical Dentistry (Russia).  2023; 26 (2): 111—117. DOI: 10.37988/1811-153X_2023_2_111

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Received

March 13, 2023

Accepted

June 2, 2023

Published on

July 6, 2023