Management of Bilateral Oehlers’ Type II Dens Invaginatus in Maxillary Lateral Incisors

Abstract

Aim To describe the management of type II dens invaginatus in permanent maxillary lateral incisors. Background Teeth affected by dens invaginatus show a deep infolding of enamel and dentine starting from the foramen coecum or even the tip of the cusps which may extend deep into the root. Dens invaginatus can be managed conservatively when it does not involve pulp and periodontal ligament. Moreover it may show a broad spectrum of morphologic variations and frequently results in early pulp necrosis if left undetected in early stages. Root canal treatment of such teeth is challenging because of the complex pulp space anatomy. Case report In the present case, bilateral occurrence of type II dens invaginatus was detected in maxillary lateral incisors. Following conservative cavity preparation, 12 was restored with an adhesive restoration. However as pulp exposure was observed in 22, it was endodontically treated. Conclusion Class II dens invaginatus without pulpal involvement can be treated successfully by conservative means there by maintaining the vitality of tooth. Early detection and immediate management leads to reduced tooth destruction thereby enhancing the long term prognosis. Clinical significance This case report will aid clinicians in the early detection and conservative management of tooth anomalies like dens invaginatus. How to cite this article Walzade PS, Sumanthini MV, Shenoy VU, Mahajan RP. Management of Bilateral Oehlers’ Type II Dens Invaginatus in Maxillary Lateral Incisors. J Contemp Dent 2017;7(2):125-129.

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

“…Indeed, remnants of the dental papilla or periodontal connective tissue, contained in the invagination, become necrotic. Furthermore, the invagination presents a predisposition for the development of dental caries [22]. For these reasons, and whenever DI are diagnosed, an early prophylactic approach is recommanded to prevent pulpal and periapical complications of Dens Invaginatus.…”

Dens İnvaji̇natus Ve Tedavi̇ Yaklaşimlari: Dört Olgu Sunumu

“…Pulpanın canlı, derin koronal çürük ya da periapikal patolojinin eşlik etmediği durumlarda, konservatif olarak invajinasyonun fissür örtücü ya da doldurucu rezin ile örtülenmesi sonrasında periyodik olarak klinik ve radyografik incelenmesi tercih edilen tedavi yöntemidir. 17 Tip I dens invajinatusa sahip Olgu I'de bu tedavi yöntemi uygulanmış, hastanın periyodik olarak takip edilmesinin gerekliliği belirtilmiştir. Tip I olgularının hiçbirinde periapikal lezyon gözlenmediği bildirilmiş olup 4,9 , üst sağ lateral dişinde Tip I dens invajinatusa sahip Olgu 1'de de periapikal patoloji tespit edilmemiştir.…”