case_images: PMC3934391_01
case_images: Clinical photograph showing draining sinus in relation to 31 and 32.
case_images: CRIM.DENTISTRY2014-826294.001.jpg
case_images: PMC3934391_01_CRIM.DENTISTRY2014-826294.001.jpg
case_images: fig1
case_images: Talon's cusp with deep foramen caecum (not interfering with occlusion) [Figures 1 and 2]. The vitality test showed that the teeth was non vital.
case_images: Clinical picture showing the talons cusp with foramen ceacum in relation to 32.
case_images: CRIM.DENTISTRY2014-826294.002.jpg
case_images: PMC3934391_01_CRIM.DENTISTRY2014-826294.002.jpg
case_images: fig2
case_images: Talon's cusp with deep foramen caecum (not interfering with occlusion) [Figures 1 and 2]. The vitality test showed that the teeth was non vital.
case_images: Initial radiograph showing DI type II with immature apex in relation to 32 and periradicular lesion associated with 31 and 32.
case_images: CRIM.DENTISTRY2014-826294.003.jpg
case_images: PMC3934391_01_CRIM.DENTISTRY2014-826294.003.jpg
case_images: fig3
case_images: A diagnostic periapical radiograph revealed that 32 presented with dens in dente type II with immature apex and periapical radiolucency of approximately 15 mm x 20 mm extending distal to the root tip of tooth number 31 [Figure 3].
case_images: Radiograph showing GP cone pointing to the involvement of 31 and 32.
case_images: CRIM.DENTISTRY2014-826294.004.jpg
case_images: PMC3934391_01_CRIM.DENTISTRY2014-826294.004.jpg
case_images: fig4
case_images: Endodontic treatment of the involved teeth (31 and 32) was the plan of treatment [Figure 4].
case_images: Radiograph showing the whole removal of parts of invagination and rudimentary canal in relation to 32 and metapex dressing in 31.
case_images: CRIM.DENTISTRY2014-826294.005.jpg
case_images: PMC3934391_01_CRIM.DENTISTRY2014-826294.005.jpg
case_images: fig5
case_images: Then complete elimination of invagination was done with the aid of a K-Flex #80 file [Figure 5].
case_images: Radiograph reveals working length determination of 31 and 32.
case_images: CRIM.DENTISTRY2014-826294.006.jpg
case_images: PMC3934391_01_CRIM.DENTISTRY2014-826294.006.jpg
case_images: fig6
case_images: After establishing optimal working length in the radiograph of 31 and 32, the canal was disinfected with 5.25% sodium hypochlorite [Figure 6].
case_images: Radiograph showing apical plug of 4 mm MTA in relation to 32 and master cone in 31.
case_images: CRIM.DENTISTRY2014-826294.007.jpg
case_images: PMC3934391_01_CRIM.DENTISTRY2014-826294.007.jpg
case_images: fig7
case_images: An apical barrier of 4 mm in thickness was created with Pro Root MTA (Dentsply Tulsa Dental Company) in 32 and it was left with a cotton pellet moistened with distilled water for 48 hours [Figure 7].
case_images: Root canal of 31 and 32 obturated with GP along with GIC lining in relation to 32 (dentinal wall) and completed healing of PA tissues.
case_images: CRIM.DENTISTRY2014-826294.008.jpg
case_images: PMC3934391_01_CRIM.DENTISTRY2014-826294.008.jpg
case_images: fig8
case_images: After 2 months of dressing with metapex, 31 were obturated with the help of gutta-percha points [Figure 8].