Non-Surgical Management of Apical Root Resorption of Maxillary Lateral Incisor with Dens in Dente - A Case Report

Abstract

Dens in dente is a developmental anomaly which occurs as a consequence of invagination of external tooth surface of crown before the calcification is complete. Complexity of dens in dente ranges from invagination within the limit of cement-enamel junction to that penetrates through the root perforating at the apical area showing a ‘second foramen’ in the apical or periodontal area. Because of the bizarre root canal anatomy and associated peri apical pathology; the management of such teeth might end up with combination of endodontic-surgical intervention or extraction. This article describes the non surgical endodontic management of maxillary left lateral incisor with dens in dente, apical root resorption and periapical cyst. Key words: Dens in dente, Dens invagination, Root resorption, Biodentine