DENS IN DENT ENDODONTIC TREATMENT CLINICAL CASE REPORT

Abstract

Introduction: The alteration of the shape of the teeth is an anatomical complication when these pieces require root canal
treatment, since conventional examinations do not contribute much for diagnosis and planning, it is necessary to use the
technology to solve such cases. Case Report: The case of a male patient with pulpal necrosis and chronic apical abscess
of the item 2.1 is presented, which at clinical diagnosis could be determined to have altered form (dens in tooth) and to Radiographic study is obtained insufficient information of the degree of invagination in the root, which makes difficult the planning of the endodontic treatment, also the patient was in orthodontic treatment for which it required to permanently rehabilitate the dental piece. In this case the use of computed axial tomography was very useful for diagnosis and planning of root treatment, which allowed to have real information on tooth length, the presence of two separate ducts at the middle and apical root , Being able to have a protocol of disinfection and obturation predictable for the success of the treatment. Conclusion: The implementation of new diagnostic methods used for dental treatments such as Computerized Tomography (CT), helps to solve increasingly complex cases with a high success rate unlike traditional methods that because of their limitations give insufficient information For this type of treatments.