Dental Press
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case reportInfluence of cone beam computed tomography ondens invaginatus treatment planningDaniel de Almeida DECURCIO, DDS, MSc, PhD 1Julio Almeida SILVA, DDS, MSc, PhD 1Rafael de Almeida DECURCIO, DDS, MSc 1Ricardo Gariba Silva, DDS, MSc, PhD 2Jesus Djalma PÉCORA, DDS, MSc, PhD 2AbstractThe achievement of endodontic success is associatedwith the accurate diagnosis. To establish the diagnostichypothesis based on periapical radiograph is a challengefor all different dentistry specialties. The visualization ofthree dimensional structures, available with cone beamcomputed tomography (CBCT), favors precise definitionof the problem and treatment planning. The aim of thismanuscript is to present a case report of dens invaginatustreatment planning changed by 3-D CBCT images. Thecomplete and dynamic visualization regarded the correctendodontic-periodontal structures, suggesting type 2dens invaginatus associated with radiolucent areas, andperiodontal compromising. The adequate examinationusing imaging exams should be always made in conjunctionwith the clinical findings. The accurate managementof CBCT images may reveal abnormality which is unableto be detected in periapical radiographs. The choice ofclinical therapeutics for these dental anomalies was influencedby CBCT views which showed bone destructionnot previously visible in initial periapical radiograph.Based on the necessity of extensive restorative treatment,the option of treatment was the extraction of this toothand oral rehabilitation.Keywords: Dens invaginatus. <strong>Dental</strong> anomaly. Conebeam computed tomography. Endodontic diagnosis.Decurcio DA, Silva JA, Decurcio RA, Silva RG, Pécora JD. Influence of cone beam computed tomography on dens invaginatus treatment planning. <strong>Dental</strong> <strong>Press</strong> Endod.2011 apr-june;1(1):87-93.1Faculty of Dentistry, Federal University of Goiás, Goiânia, GO, Brazil.Received: January 2011 / Accepted: February 20112Faculty of Dentistry, University of São Paulo, Ribeirão Preto, SP, Brazil.Correspondence address: Daniel de Almeida DecurcioFederal University of Goiás, Department of Stomatologic SciencesPraça Universitária s/n, Setor UniversitárioZip code: 74.605-220, Goiânia, GO / BrazilE-mail: danieldecurcio@gmail.com© 2011 <strong>Dental</strong> <strong>Press</strong> Endodontics 87<strong>Dental</strong> <strong>Press</strong> Endod. 2011 apr-june;1(1):87-93
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