Endodontic Management of Dens Evaginatus Using Bioceramic Material

JOURNAL TITLE: World Journal of Dentistry

Author
1. Kiran P Singbal
2. Nazmul Haque
3. K Kranthi Raja
4. Padmini Hari
ISSN
0976-6006
DOI
10.5005/jp-journals-10015-1682
Volume
10
Issue
6
Publishing Year
2019
Pages
4
Author Affiliations
1. com.mps.common.model.Contributor@4b73ffe9 ,
2. com.mps.common.model.Contributor@4781878b ,
3. com.mps.common.model.Contributor@74ef9e7c ,
4. com.mps.common.model.Contributor@416d8f31
Article keywords
Bioceramics, Cone-beam computed tomography, Dens evaginatus, Mandibular premolar, OrthoMTA

Abstract

Aim: This case report aims to describe nonsurgical endodontic treatment in a second mandibular premolar (tooth #45) with type II dens evaginatus using a new bioceramic material (OrthoMTA). Background: A 13-year-old boy reported recurrent swelling related to mandibular premolars (#44 and #45) with discharging sinus in the periapical area. Case description: Orthograde obturation with OrthoMTA was done after thorough disinfection using activated sodium hypochlorite (NaOCl) and calcium hydroxide (Ca(OH)2) medicament. Conclusion: A 1-year post-obturation follow-up, using clinical and radiographic examination [cone-beam computed tomography (CBCT)] showed good apical sealing. Clinical significance: The synergistic effect of the chemomechanical preparation and intracanal medicament, followed by the filling of OrthoMTA helped, in the successful management of this case.

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