Journal of South Asian Association of Pediatric Dentistry

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VOLUME 7 , ISSUE 3 ( September-December, 2024 ) > List of Articles

CASE REPORT

Endodontic Management of a Dens Invaginatus: Case Report

Kaavya Shanker, Vijay Trasad

Keywords : Case report, Dens invaginatus, Lateral incisor, Mineral trioxide aggregate, Obtura, Thermoplasticized obturation

Citation Information : Shanker K, Trasad V. Endodontic Management of a Dens Invaginatus: Case Report. J South Asian Assoc Pediatr Dent 2024; 7 (3):171-174.

DOI: 10.5005/jp-journals-10077-3324

License: CC BY-NC 4.0

Published Online: 08-01-2025

Copyright Statement:  Copyright © 2024; The Author(s).


Abstract

Dens invaginatus (DI) is an infrequent anomaly affecting teeth. This case report discusses the nonsurgical endodontic management of a case of DI in a 14-year-old female patient who reported to the clinic with a palatal intraoral swelling corresponding to the root of the permanent maxillary left lateral incisor region and associated pain. There was no appreciable carious lesion on the permanent maxillary left lateral incisor. The swelling had been present for the past 2 weeks. Tenderness on vertical percussion was negative, and the tooth was grade I mobile. The provisional diagnosis was periapical abscess of the permanent maxillary left lateral incisor. On further radiographic examination with intraoral periapical radiograph (IOPAR) and cone beam computed tomography (CBCT), it was found to be a case of DI. The treatment plan of mineral trioxide aggregate apexification, followed by thermoplasticized obturation, was planned and executed over a period of 3 months. Conservative management of anomalous teeth can be considered a viable treatment option rather than radical treatments such as extracting these teeth.

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  1. Hülsmann M. Dens invaginatus: aetiology, classification, prevalence, diagnosis, and treatment considerations. Int Endod J 1997;30:79–90. DOI: 10.1046/j.1365-2591.1997.00065.x
  2. Schulze C. Developmental abnormalities of the teeth and jaws. In: Thoma's Oral Pathology; 1970.
  3. Bhatt AP, Dholakia HM. Radicular variety of double dens invaginatus. Oral Surg Oral Med Oral Pathol 1975;39(2):284–287. DOI: 10.1016/0030-4220(75)90230-3
  4. Gallacher A, Ali R, Bhakta S. Dens invaginatus: diagnosis and management strategies. Br Dent J 2016;221(7):383–387. DOI: 10.1038/sj.bdj.2016.724
  5. Guttal KS, Naikmasur VG, Bhargava P, et al. Frequency of developmental dental anomalies in the Indian population. Eur J Dent 2010;4:263–269. DOI: 10.1055/s-0039-1697838
  6. Hamasha AA, Al-Omari QD. Prevalence of dens invaginatus in Jordanian adults. Int Endod J 2004;37:307–310. DOI: 10.1111/j.0143-2885.2004.00797.x
  7. Oehlers FA. Dens invaginatus (dilated composite odontome). I. Variations of the invagination process and associated anterior crown forms. Oral Surg Oral Med Oral Pathol 1957;10:1204–1218. DOI: 10.1016/0030-4220(57)90077-4
  8. Buonvivere M, Buonvivere M. Maxillary lateral incisor with 3 root canals: a case report. J Adv Oral Res 2019;10(2):179–182. DOI: 10.1177/2320206819867243
  9. de Sousa SM, Bramante CM. Dens invaginatus: treatment choices. Endod Dent Traumatol 1998;14:152–158. DOI: 10.1111/j.1600-9657.1998.tb00830.x
  10. Tebbeb N, Zaabar D, Zouiten S, et al. Dens invaginatus: a review and case series. Saudi Endod J 2018;8:44–49. DOI: 10.4103/sej.sej_70_16
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