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Management of a Permanent Maxillary Lateral Incisor with Vital Pulp and Necrotic Dens Invaginatus Type III

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This is a case report on the management of a vital lateral incisor with a radiolucent cervical area associated with the presence of necrotic pulp due to a dens invaginatus (DI) type III. A nine-year-old boy presented to a university pediatric dental clinic with dental trauma. The examination showed poor oral hygiene, an uncomplicated fracture in the permanent maxillary left central incisor, and a fistula near the permanent maxillary right lateral incisor. A radiograph showed that the right lateral incisor had incomplete root development and a type III DI. Although sensitive to thermal pulp testing, tracing of the fistula indicated that the radiolucent area was associated with the DI, extending laterally to the periodontal ligament. Endodontic treatment was performed only in the invagination, keeping the root canal of the lateral incisor vital. After two years of follow-up, complete root formation and injury repair associated with invagination were observed.
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Document Type: Case Report

Affiliations: 1: PhD candidate, Department of Pediatric Dentistry and Orthodontics, at the School of Dentistry, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil 2: Adjunct professor, Department of Dental Clinics, at the School of Dentistry, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil 3: Professor, Department of Pediatric Dentistry and Orthodontics, at the School of Dentistry, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil 4: Adjunct professor, Department of Pediatric Dentistry and Orthodontics, at the School of Dentistry, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil;, Email: [email protected]

Publication date: 01 September 2017

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  • Acquired after the merger between the American Society of Dentistry for Children and the American Academy of Pediatric Dentistry in 2002, the Journal of Dentistry for Children (JDC) is an internationally renowned journal whose publishing dates back to 1934. Published three times a year, JDC promotes the practice, education and research specifically related to the specialty of pediatric dentistry. It covers a wide range of topics related to the clinical care of children, from clinical techniques of daily importance to the practitioner, to studies on child behavior and growth and development. JDC also provides information on the physical, psychological and emotional conditions of children as they relate to and affect their dental health.
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