Treatment of extensive cystic lesion in the maxilla associated with dens in dente

Authors

  • Aline Lie Ishida State University of Maringá - Maringá - PR - Brazil.
  • Marcos Sergio Endo State University of Maringá - Maringá - PR - Brazil.
  • Alfredo Franco Queiroz State University of Maringá - Maringá - PR - Brazil.
  • Willian Pecin Jacomacci State University of Maringá - Maringá - PR - Brazil.
  • Gustavo Zanna Ferreira State University of Maringá - Maringá - PR - Brazil.
  • Flavia Carneiro Tagliari Bisol State University of Maringá - Maringá - PR - Brazil.
  • Liogi Iwaki Filho State University of Maringá - Maringá - PR - Brazil.

DOI:

https://doi.org/10.14295/bds.2016.v19i3.1269

Abstract

Dens in dente is a dental development malformation that involves more commonly the upper lateral incisors. Infection of the canal of these teeth can cause the formation of chronic periapical lesions. The present study aimed to describe an integrated approach between the endodontic therapy and surgical intervention in an upper lateral incisor with dens in dente type II. A female patient, 14 years old, looked for dental care complaining of left palatal and paranasal bulging. Clinical, radiological and histopathological findings suggested periradicular cyst. First, marsupialization was performed to reduce the size of the lesion and to favor its enucleation, with less risk of injuring the tooth and vital structures. After diagnosis of pulp necrosis and in attempt to reduce the infection via canal, we used the reciprocating instrumentation associated with irrigation with sodium hypochlorite, intracanal medication based on calcium hydroxide and filled with a thermoplastic filling. After a year of marsupialization, fistulectomy and complete enucleation of the lesion were performed. Proservation was performed 1, 3, 6 and 12 months following marsupialization. Six months after enucleation, we observed the periradicular repair and remission of symptoms. The extensive apical lesion associated with dens in dente type II can be treated with a combination of surgical and endodontic therapy.

Author Biographies

Aline Lie Ishida, State University of Maringá - Maringá - PR - Brazil.

Resident - UEM

Marcos Sergio Endo, State University of Maringá - Maringá - PR - Brazil.

Adjunct Professor - UEM

Alfredo Franco Queiroz, State University of Maringá - Maringá - PR - Brazil.

Assistent Professor - UEM

Willian Pecin Jacomacci, State University of Maringá - Maringá - PR - Brazil.

Resident - UEM

Gustavo Zanna Ferreira, State University of Maringá - Maringá - PR - Brazil.

Colaborate Professor - UEM

Flavia Carneiro Tagliari Bisol, State University of Maringá - Maringá - PR - Brazil.

Graduation - UEM

Liogi Iwaki Filho, State University of Maringá - Maringá - PR - Brazil.

Associate Professor - UEM

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Published

2016-09-29

Issue

Section

Case Report or Clinical Technique