Endodontic management of dens invaginatus of maxillary lateral incisor: Report of two cases

Alenazy, Mohammed S; Murwahi, Ali E; Altwaijri, Sahar M; Mosadomi, Hezekiah A

doi:10.4103/1658-5984.213481

Cited by 3 publications

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“…One such anomaly, which is clinically challenging, is dens in dente. Ploquet in 1794 reported this condition in a whale's tooth while a dentist named Socrates in 1856 described a dens in dente for the first time in human teeth [ 1 ]. Dens in dente also known as invaginatus is a dental anomaly in which a tooth is found within a tooth odontoma [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

Conservative Nonsurgical Approach for Management of a Case of Type II Dens in Dente

Agarwal,

Singh,

Chandrasekhar

et al. 2024

Case Reports in Dentistry

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Dens in dente is a developmental dental anomaly which poses a challenge for the endodontist due to its complex pulpal anatomy. In this case report, a class 2 dens in dente was managed nonsurgically. A 32-year-old female reported with a palatal swelling and pain in the upper front region of the jaw. On examination, #7 was observed to be malformed and showed a negative pulpal sensibility test. Radiographic and CBCT analysis revealed Ohler’s type 2 dens in dente with a periapical radiolucency. In the first visit, invagination was removed using diamond-coated ultrasonic tips, the canal was minimally instrumented, and premixed calcium hydroxide was injected in the canal which accidentally extruded periapically. After two weeks, a draining sinus was observed on the palatal side which when traced, lead to #7. Intracanal dressing was replaced with a mix of powdered calcium hydroxide and saline. The dressing was replaced every two weeks, and radiographs were taken, which revealed the resorption of extruded calcium hydroxide and reduction in the osseous defect. Biodentine was used to obturate the entire canal space. Subsequent follow-up radiographs till 24 months showed significant periapical healing and resorption of extruded calcium hydroxide.

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Section: Introductionmentioning

confidence: 99%

Conservative Nonsurgical Approach for Management of a Case of Type II Dens in Dente

Agarwal,

Singh,

Chandrasekhar

et al. 2024

Case Reports in Dentistry

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Endodontic Management of Dens in Dente – A Systematic Review of Case Reports and Case Series

Aras,

Borkar,

Kale

et al. 2024

Journal of the International Clinical Dental Research Organization

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Objective: Dens in dente is a developmental dental malformation with various anatomical traits that make treatment difficult. The importance of a timely and correct diagnosis in determining the most effective treatment approach cannot be overstated. Using three-dimensional (3D) imaging techniques has improved the diagnosis of teeth with complex anatomies, such as dens in dente. This systematic review aimed to determine the different techniques for endodontic management of teeth with Dens in dente having periapical lesions. Materials and Methods: Case reports and case series were identified in databases - PubMed-MEDLINE, Google Scholar, Research Gate, EBSCO-Host, Scopus, and Cochrane Library based on title, abstract, and full text published in the English language between January 1, 2016 and April 30, 2023. Patients who have periapical lesions and dens in dente in their permanent teeth and reporting on the results of nonsurgical or surgical intervention in terms of healing were eligible for this review, while editorial reviews, review papers, abstracts, letters to the editor, and animal studies are all excluded. Case studies on deciduous teeth, dens in dente retreatment, or dens associated with other developmental disorders are also excluded. Three authors evaluated the quality of the included studies. The quality of the included case reports and case series was evaluated using the Joanna Briggs Institute’s Critical Appraisal Checklist for Case Reports and Case Series. Results and Discussion: A total of 28 articles were suitable for inclusion, with 24 case reports and 4 case series. According to the available evidence, the condition is linked to an increased prevalence of pulp disease. Any necessary endodontic treatment may be difficult due to the aberrant anatomy. Early identification and preventive intervention rescued the teeth from further dental diseases. Conclusion: Nevertheless, thorough diagnoses and treatment planning are essential. Maintaining the vitality of the pulp or conserving the tooth using the least invasive way is the guiding principle when choosing a treatment modality. A surgical approach is only needed if the conservative approach fails. In the current systematic review, all cases showed reduction in the size of the periapical lesion or complete periapical healing.

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Endodontic Management of Dens Evaginatus Using Bioceramic Material

Kacharaju¹,

Hari²,

Haque³

et al. 2019

World Journal of Dentistry

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Aim: This case report aims to describe nonsurgical endodontic treatment in a second mandibular premolar (tooth #45) with type II dens evaginatus using a new bioceramic material (OrthoMTA). Background: A 13-year-old boy reported recurrent swelling related to mandibular premolars (#44 and #45) with discharging sinus in the periapical area. Case description: Orthograde obturation with OrthoMTA was done after thorough disinfection using activated sodium hypochlorite (NaOCl) and calcium hydroxide (Ca(OH) 2 ) medicament. Conclusion:A 1-year post-obturation follow-up, using clinical and radiographic examination [cone-beam computed tomography (CBCT)] showed good apical sealing. Clinical significance: The synergistic effect of the chemomechanical preparation and intracanal medicament, followed by the filling of OrthoMTA helped, in the successful management of this case.

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Endodontic management of dens invaginatus of maxillary lateral incisor: Report of two cases

Cited by 3 publications

References 0 publications

Conservative Nonsurgical Approach for Management of a Case of Type II Dens in Dente

Conservative Nonsurgical Approach for Management of a Case of Type II Dens in Dente

Endodontic Management of Dens in Dente – A Systematic Review of Case Reports and Case Series

Endodontic Management of Dens Evaginatus Using Bioceramic Material

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