Combined Surgical and Nonsurgical Endodontic Therapy in the Treatment of Dens Invaginatus Type 3: A Case Report

Abstract

An accurate understanding of the morphology of the root canal system is a prerequisite for successful root canal treatment. Invaginated teeth have a complex root canal configuration that cannot be instrumented effectively. Correct diagnosis and treatment planning are fundamental to treatment of dens invaginatus. Periapical surgery is indicated in cases where a nonsurgical approach fails. A case of dens invaginatus type 3 in a maxillary lateral incisor with a periapical lesion and its successful treatment by these combined methods is reported.

Nonsurgical endodontic management of dens invaginatus: a report of two cases

“…As it is a developmental anomaly, its pathogenetic mechanism is not yet well understood; however, the deformation is through to be due to excessive pressure during dental arch formation, internal enamel epithelium growth failure, rapid and aggressive proliferation, alteration of the enamel, tooth germ accidental fusion or infection process, or trauma injuries ( Hülsmann, 1997). In the literature, its incidence ranges from 0.04% to 10% ( Hovland & Block, 1977; Rotstein et al , 1987) and the maxillary lateral incisors are considered the most affected ( Marwah et al , 2009).…”