Management of Dens Invaginatus Type I and Open Apex: Report of Three Cases

The prevalent notion about maxillary central incisor with normal external morphology is a tooth with single root and root canal. A case in which all four maxillary incisors were having Type II canal configurations (Vertucci's classification) is reported, in addition, the lateral incisors revealed dens invaginatus with a Type I pattern as suggested by Ohler's classification and a large periapical lesion was seen in relation to the right lateral incisor. The diagnosis was confirmed with the aid of spiral computed tomography (CT) and canals obturated. Nonsurgical healing of the lesion was assessed by reviewing the case at prefixed intervals of time.

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“…Schmitz et al ., has described successful management of a case of Type I dens invaginatus with open apex and periradicular lesion. [11]…”

Section: Introductionmentioning

confidence: 99%

Type II canal configuration and Type I Dens invaginatus

Liji¹,

Chandrababu²,

Kumar³

et al. 2014

J Conserv Dent

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“…There are reports of maxillary lateral incisors in fusion with a supernumerary tooth (Blaney et al. 1982) or an adjacent central incisor (Mehlman 1978), gemination (Yücel & Güler 2006), dens invaginatus (Schmitz et al. 2010), dens evaginatus (Dash et al.…”

Section: Introductionmentioning

confidence: 99%

A maxillary lateral incisor with four root canals

Kottoor

Murugesan

Albuquerque³

2011

Int Endodontic J

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“…Moreover, it is a debatable procedure and has certain associated limitations such as absence of standard follow-up protocol; there have been long-term studies to assess outcomes such as the redevelopment of apical periodontitis and incidence of pulp canal obliteration 15. In open apex cases, the primary objective is to induce root formation by the use of chemicals, including calcium hydroxide pastes and mineral trioxide aggregate (MTA) barriers 16. In the present case, a combined surgical and endodontic treatment was carried out in an attempt to completely debride the periapical abscess.…”

Section: Discussionmentioning

confidence: 99%

Management of dens in dente associated with a chronic periapical lesion

Mehta

Raheja²,

Singh

2015

BMJ Case Reports

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Dens in dente is characterised as a developmental anomaly resulting from invagination of the enamel organ into the dental papilla. It is a rare malformation of teeth, showing a wide spectrum of morphological variations such as gemination, microdontia, taurodontism, dentinogenesis imperfecta, supernumerary tooth and hyperplasias, resulting frequently in early pulp necrosis. Maxillary lateral incisors are the commonest teeth to be affected by dental malformations—supernumerary tooth, talon cusp, congenitally missing tooth and dens in dente. We describe the management of a case of dens in dente in a maxillary lateral incisor with a periradicular lesion.

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Management of Dens Invaginatus Type I and Open Apex: Report of Three Cases

Cited by 20 publications

References 34 publications

Type II canal configuration and Type I Dens invaginatus

Type II canal configuration and Type I Dens invaginatus

A maxillary lateral incisor with four root canals

Management of dens in dente associated with a chronic periapical lesion

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