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Endodontic treatment of dens evaginatus by performing a splint guided access cavity

Aim Dens evaginatus (DE) is described as an unusual dental malformation. Tooth structure variations attached to this anatomical disturbance complicates the performance of a conservative access cavity for a conventional root canal treatment. Author's purpose is to describe the treatment of a typ...

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Published in:Journal of esthetic and restorative dentistry 2017-11, Vol.29 (6), p.396-402
Main Authors: Mena‐Álvarez, Jesús, Rico‐Romano, Cristina, Lobo‐Galindo, Ana Belén, Zubizarreta‐Macho, Álvaro
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cited_by cdi_FETCH-LOGICAL-c3574-9581a8ee2eaee7b8270c1411d541b70d08c397cf7aaeba95672471b498e7c0af3
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container_issue 6
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container_title Journal of esthetic and restorative dentistry
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creator Mena‐Álvarez, Jesús
Rico‐Romano, Cristina
Lobo‐Galindo, Ana Belén
Zubizarreta‐Macho, Álvaro
description Aim Dens evaginatus (DE) is described as an unusual dental malformation. Tooth structure variations attached to this anatomical disturbance complicates the performance of a conservative access cavity for a conventional root canal treatment. Author's purpose is to describe the treatment of a type V DE by using splits as guides to perform access cavity. Clinical considerations This clinical case shows a root canal treatment of a type V DE diagnosed by using a cone beam computed tomography (CBCT). Access cavity was planned through an osseointegrated implant planning software and guided by a stereolithographied split. After endodontic treatment, tooth was sculpted for placing a veneer, processed by a chair‐side system in a single session. Conclusions CBCT is an effective method for obtaining internal anatomical information of teeth with anatomical malformations. The osseointegrated implant planning software is an effective method for planning root canal treatment and designing stereolithograped splits (for performing minimally invasive access cavities). CLINICAL SIGNIFICANCE Stereolithographed splints allow performing a guided and conservative access cavity of teeth affected by dental malformations whereas digital technology allows us to esthetically reconstruct a tooth in a single session.
doi_str_mv 10.1111/jerd.12314
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Tooth structure variations attached to this anatomical disturbance complicates the performance of a conservative access cavity for a conventional root canal treatment. Author's purpose is to describe the treatment of a type V DE by using splits as guides to perform access cavity. Clinical considerations This clinical case shows a root canal treatment of a type V DE diagnosed by using a cone beam computed tomography (CBCT). Access cavity was planned through an osseointegrated implant planning software and guided by a stereolithographied split. After endodontic treatment, tooth was sculpted for placing a veneer, processed by a chair‐side system in a single session. Conclusions CBCT is an effective method for obtaining internal anatomical information of teeth with anatomical malformations. The osseointegrated implant planning software is an effective method for planning root canal treatment and designing stereolithograped splits (for performing minimally invasive access cavities). CLINICAL SIGNIFICANCE Stereolithographed splints allow performing a guided and conservative access cavity of teeth affected by dental malformations whereas digital technology allows us to esthetically reconstruct a tooth in a single session.</description><identifier>ISSN: 1496-4155</identifier><identifier>EISSN: 1708-8240</identifier><identifier>DOI: 10.1111/jerd.12314</identifier><identifier>PMID: 28681488</identifier><language>eng</language><publisher>England: Blackwell Publishing Ltd</publisher><subject>Adolescent ; chairside system ; Computed tomography ; Computer programs ; Computer-Aided Design ; Cone-Beam Computed Tomography ; dens evaginatus ; Dens in Dente - diagnostic imaging ; Dens in Dente - surgery ; Dental caries ; Dental implants ; Dental Prosthesis Design - methods ; Dental restorative materials ; Dental veneers ; Dentistry ; Endodontics ; Female ; guided endodontics ; Humans ; Incisor - abnormalities ; Incisor - diagnostic imaging ; Maxilla ; Osseointegration ; Printing, Three-Dimensional ; Root Canal Therapy - methods ; Root canals ; Splints ; Teeth</subject><ispartof>Journal of esthetic and restorative dentistry, 2017-11, Vol.29 (6), p.396-402</ispartof><rights>2017 Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3574-9581a8ee2eaee7b8270c1411d541b70d08c397cf7aaeba95672471b498e7c0af3</citedby><cites>FETCH-LOGICAL-c3574-9581a8ee2eaee7b8270c1411d541b70d08c397cf7aaeba95672471b498e7c0af3</cites><orcidid>0000-0003-0533-9065</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28681488$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mena‐Álvarez, Jesús</creatorcontrib><creatorcontrib>Rico‐Romano, Cristina</creatorcontrib><creatorcontrib>Lobo‐Galindo, Ana Belén</creatorcontrib><creatorcontrib>Zubizarreta‐Macho, Álvaro</creatorcontrib><title>Endodontic treatment of dens evaginatus by performing a splint guided access cavity</title><title>Journal of esthetic and restorative dentistry</title><addtitle>J Esthet Restor Dent</addtitle><description>Aim Dens evaginatus (DE) is described as an unusual dental malformation. Tooth structure variations attached to this anatomical disturbance complicates the performance of a conservative access cavity for a conventional root canal treatment. Author's purpose is to describe the treatment of a type V DE by using splits as guides to perform access cavity. Clinical considerations This clinical case shows a root canal treatment of a type V DE diagnosed by using a cone beam computed tomography (CBCT). Access cavity was planned through an osseointegrated implant planning software and guided by a stereolithographied split. After endodontic treatment, tooth was sculpted for placing a veneer, processed by a chair‐side system in a single session. Conclusions CBCT is an effective method for obtaining internal anatomical information of teeth with anatomical malformations. The osseointegrated implant planning software is an effective method for planning root canal treatment and designing stereolithograped splits (for performing minimally invasive access cavities). 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Calcified Tissue Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of esthetic and restorative dentistry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mena‐Álvarez, Jesús</au><au>Rico‐Romano, Cristina</au><au>Lobo‐Galindo, Ana Belén</au><au>Zubizarreta‐Macho, Álvaro</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Endodontic treatment of dens evaginatus by performing a splint guided access cavity</atitle><jtitle>Journal of esthetic and restorative dentistry</jtitle><addtitle>J Esthet Restor Dent</addtitle><date>2017-11</date><risdate>2017</risdate><volume>29</volume><issue>6</issue><spage>396</spage><epage>402</epage><pages>396-402</pages><issn>1496-4155</issn><eissn>1708-8240</eissn><abstract>Aim Dens evaginatus (DE) is described as an unusual dental malformation. Tooth structure variations attached to this anatomical disturbance complicates the performance of a conservative access cavity for a conventional root canal treatment. Author's purpose is to describe the treatment of a type V DE by using splits as guides to perform access cavity. Clinical considerations This clinical case shows a root canal treatment of a type V DE diagnosed by using a cone beam computed tomography (CBCT). Access cavity was planned through an osseointegrated implant planning software and guided by a stereolithographied split. After endodontic treatment, tooth was sculpted for placing a veneer, processed by a chair‐side system in a single session. Conclusions CBCT is an effective method for obtaining internal anatomical information of teeth with anatomical malformations. The osseointegrated implant planning software is an effective method for planning root canal treatment and designing stereolithograped splits (for performing minimally invasive access cavities). 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subjects Adolescent
chairside system
Computed tomography
Computer programs
Computer-Aided Design
Cone-Beam Computed Tomography
dens evaginatus
Dens in Dente - diagnostic imaging
Dens in Dente - surgery
Dental caries
Dental implants
Dental Prosthesis Design - methods
Dental restorative materials
Dental veneers
Dentistry
Endodontics
Female
guided endodontics
Humans
Incisor - abnormalities
Incisor - diagnostic imaging
Maxilla
Osseointegration
Printing, Three-Dimensional
Root Canal Therapy - methods
Root canals
Splints
Teeth
title Endodontic treatment of dens evaginatus by performing a splint guided access cavity
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