Influence of cone beam computed tomography on dens invaginatus treatment planning

Daniel de Almeida Decurcio, Julio Almeida Silva, Rafael de Almeida Decurcio, Ricardo Gariba Silva, Jesus Djalma Pécora

The achievement of endodontic success is associated with the accurate diagnosis. To establish the diagnostic hypothesis based on periapical radiograph is a challenge for all different dentistry specialties. The visualization of three dimensional structures, available with cone beam computed tomography (CBCT), favors precise definition of the problem and treatment planning. The aim of this manuscript is to present a case report of dens invaginatus treatment planning changed by 3-D CBCT images. The complete and dynamic visualization regarded the correct endodontic-periodontal structures, suggesting type 2 dens invaginatus associated with radiolucent areas, and periodontal compromising. The adequate examination using imaging exams should be always made in conjunction with the clinical findings. The accurate management of CBCT images may reveal abnormality which is unable to be detected in periapical radiographs. The choice of clinical therapeutics for these dental anomalies was influenced by CBCT views which showed bone destruction not previously visible in initial periapical radiograph. Based on the necessity of extensive restorative treatment, the option of treatment was the extraction of this tooth and oral rehabilitation.

Keywords: Dens invaginatus. Dental anomaly. Cone beam computed tomography. Endodontic diagnosis.

How to cite: Decurcio DA, Silva JA, Decurcio RA, Silva RG, Pécora JD. Influence of cone beam computed tomography on dens invaginatus treatment planning. Dental Press Endod. 2011 apr-june;1(1):87-93.

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