A multidisciplinary management of a type III dens invaginatus in a maxillary permanent canine

Abstract

This case reinforces the importance of careful investigation and planning in ensuring an optimal outcome when addressing multiple dental anomalies. Extensive consideration of the initial treatment strategy is required, coupled with evaluation of the outcome and longevity of any potential treatment modality to be employed. The consideration of inevitable future restorative treatment is fundamental, highlighting the importance of multidisciplinary planning at diagnosis. Moreover, orthodontic, aesthetic, behavioural and/or social factors may further complicate management in adolescents.

Dilated odontoma: an unusual case report and literature review

“…The female to male ratio is 3:1 [3]. In our review, almost 60% of the cases involved women [1,5,7,[10][11][12][13][14][15]. Eleven cases were related to maxillary teeth [3,4,6,8,9,[11][12][13][14][15][16].…”

A clinical case report of dens in dente in an unusual location

“…Many theories are described about this anomaly etiology, but it is not a common consensus about it. The literature believes on some cell defect or genetic that affect on the crown formation, but nothing is for concluded 4,6 .…”

“…The CBCT brings benefits to the planning of any endodontic treatment or surgical considering the dens in dente structure 4 , with this exam we can look into the internal structure details on a 3D vision, helpping on the treatment planning and the precessions with some future problems. On this specific case, the panoramic radiography showed a classic anomaly evidence, however, because of the modify morphology was necessary a CBCT to confirm the diagnostic and plan better a third maxillary molar surgery.…”

“…The dens in dente incidence varies into 0,03% to 10% [2][3][4] , depending on the methodology selected, the identification discretion and the difficulties to the diagnosis.This anomaly could happen even with permanent as with deciduous tooth, and usually in the lateral and central incisos, in some cases can occur on premolars 5 .…”

“…When the tooth showed any this clinic morphologic differences is more susceptible carious lesion, pulp necroses and future periapical lesions. That is why it is so important the previous diagnostic so the patient can have a early treatment 4,5 .…”