The Endo Fix

Category: Large Lesion

Dens Invaginatus

Daily Fix, Large Lesion

Sometimes the development of the tooth goes a little haywire and another tooth begins to develop within a tooth, but not completely. So we end up with this invagination leading to the pulp and sometimes it doesn’t completely close off. Such a situation set the pulp up for an early death as can be seen here by the lack of root development and divergent open apices. Here we have a a pretty large finding imaging wise and a swelling. We changed the calcium hydroxide medicine out over 5 months and ultimately filled the apical 5mm with MTA and then reinforced the rooth with a fiber post. At 4 years post op there appears to be complete radiographic clearing and retained radio-opacity from the calcium hydroxide.

IGT of a Lateral

Daily Fix, Large Lesion

Suffolk Endodontist

 

The porcelain crown attempted to correct the spacing caused by a peg lateral and as such the center of the canal was located pretty far distal to the crown. Using the imaging to guide the therapy (Image Guided Therapy or IGT) the access was planned for this particular tooth extending through the incisal edge along the long axis of the tooth. A thin fiber place was placed. The tooth was left in CaOH until there was evidence of radiographic healing.