Dens invaginatus: case report

Neto, Pedro C.; Oliveira, Lucileide de Castro; Oliveira, Maurício da Silva Lorena de; Pinto, Leão Pereira; Gurgel, Bruno César de Vasconcelos; Galvão, Hébel Cavalcanti

doi:10.1590/1981-863720150002000132564

Cited by 3 publications

(2 citation statements)

References 24 publications

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“…28 Such teeth often present thin and fragile root walls and wide apex, and it is critically important to maintain these teeth as long as possible, especially in young patients, to maintain the space until occlusion is established. 29 In the present case, root canal treatment with proper chemical and mechanical preparation of the main root canal and dens invaginatus in combination with removal of the cyst lining and the biodentine retrograde filling resulted in regression of the periapical pathology with adequate healing at recall visits.…”

Section: Discussionmentioning

confidence: 58%

Occurrence of Type III Dens Invaginatus and Type I Talon Cusp in Maxillary Lateral Incisor: A Rare Case Report

Singh¹,

Masroor²

2018

CODS - Journal of Dentistry

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Aim: To present a case report of concomitant occurrence of dens invaginatus and talon cusp in a single tooth with clinical management using cone-beam computed tomography (CBCT). Background: Developmental dental anomalies are an important category of dental morphogenic variants. Developmental anomalies of the permanent dentition are most frequently encountered in the maxillary lateral incisor. Talon cusp is an additional cusp that projects predominately from the lingual or occasionally from the labial surface of anterior teeth. This accessory crown structure is composed of enamel, dentine, and varying degrees of pulp tissue. Dens invaginatus is defined as a deep surface invagination of the crown or root that is lined by the enamel. Case description: A 12-year-old female patient reported with complaint of small swelling in the upper front region of gums. Clinical examination revealed presence of the sinus tract with respect to the permanent maxillary left lateral incisor with morphologic alteration with associated talon cusp. Intraoral periapical radiographic and CBCT examination revealed malformation of the root with the enamel-lined tract mesial to and separate from the main root canal. Large periapical radiolucency approximately sized 1-1.5 cm was associated with the tract. Root canal treatment of the main root canal as well as of dens invagination followed by apicectomy and cyst enucleation was done. Conclusion: Co-occurrence of a talon cusp and double dens invaginatus is an extremely rare developmental dental anomaly. This case report represents a talon cusp with dens invaginatus on the maxillary left lateral incisor with associated cyst. Early identification is needed for prevention of potential problems on the affected or opposing tooth. Clinical significance: This case report presents a management of unusual clinical case of dens invaginatus and talon cusp associated with periapical cyst because of deep infected dens invaginatus using CBCT examination.

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Section: Discussionmentioning

confidence: 58%

Occurrence of Type III Dens Invaginatus and Type I Talon Cusp in Maxillary Lateral Incisor: A Rare Case Report

Singh¹,

Masroor²

2018

CODS - Journal of Dentistry

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“…The invagination was lined with Calcium Hydroxide to stimulate formation of secondary dentin and Conventional glass ionomer cement was used to provide secondary caries inhibition. Lucas, et al (2003) [24] showed that regular follow-up and periodic evaluation are necessary after an early prophylactic sealing of type II invagination since it appears not to be always favorable.…”

Section: Discussionmentioning

confidence: 99%

Successful management of a type II Dens invaginatus with an open apex and a large periapical lesion. A case report of a permanent maxillary canine

Mabrouk¹

2018

Dent Oral Craniofac Res

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Abnormality in the Morphogenesis of Tooth Development and Relationship with Orthodontic Deformities and Treatment Approaches

Yordanova

Grancharov

Gurgurova

2021

Case Reports in Dentistry

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In the process of odontogenesis, a disturbance in the formation of the epithelium and mesenchyme can be observed and this can be manifested by atypical forms of dental development. Such biological phenomena with altered morphology are as follows: dens invaginatus (DI), dens evaginatus (DE), talon cusps, and double teeth (DT) or connate teeth (fusion and gemination). Patients with orthodontic anomalies who also exhibit teeth with morphogenetic disorders are presented in this article. Dens evaginatus and talon cusps pose orthodontic challenges in the treatment finishing phase. These reduce the possibility of achieving maximum intercuspidation between the lower and upper front teeth as well as poor incisor guidance. Other orthodontic challenges are as follows: the risk of occlusal trauma and periodontal loading of the antagonists and the possibility of accessory cusps to play the role of the inclined plane and lead to deviations in the closure of the lower jaw. The fused teeth can cause aesthetic and occlusal disturbances in the anterior segment. Furthermore, double teeth can lead to ectopic eruption or noneruption of adjacent teeth due to their increased crown size as is the case with one of the presented patients. This is because a double tooth occupies more space in the dental arch. If not diagnosed early, impaction of the adjacent tooth, violation of the occlusal ratios (Bolton/anterior), and exacerbation of the orthodontic deformity can be observed. The modern CBCT imaging is the best diagnostic method for identifying problems related to tooth positions or tooth germs.

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Dens invaginatus: case report

Cited by 3 publications

References 24 publications

Occurrence of Type III Dens Invaginatus and Type I Talon Cusp in Maxillary Lateral Incisor: A Rare Case Report

Occurrence of Type III Dens Invaginatus and Type I Talon Cusp in Maxillary Lateral Incisor: A Rare Case Report

Successful management of a type II Dens invaginatus with an open apex and a large periapical lesion. A case report of a permanent maxillary canine

Abnormality in the Morphogenesis of Tooth Development and Relationship with Orthodontic Deformities and Treatment Approaches

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