SURGICAL-TREATMENT OF A LATERORADICULAR LESION ON AN INVAGINATED LATERAL INCISOR (DENS-IN-DENTE)

The complex anatomy of invaginated teeth makes their endodontic treatm ent difficult. The case described here reports the successful manageme nt of an invaginated tooth presenting with a lateroradicular lesion. A fter the root was surgically exposed and the radicular defect was clea ned, gutta percha was sealed with a zinc oxide eugenol cement, heat-co mpacted under 5 degrees, and then cold-burnished. The osseous cavity w as filled with Biocorail. Radiographs at 1 month and 5 years show peri apical healing with osseous forration. This procedure, resulting in mi nimal loss of hard tissues, permitted retention of the tooth.