Retreatment of a maxillary lateral incisor with type II dens invaginatus: One-year follow-up
Ozge Irem Can Kolcu1
, Esra Pamukcu Guven2, Berk Senguler3, Asli Topaloglu-Ak4
Highlights
Abstract
Dens invaginatus is a developmental dental anomaly that occurs when the enamel organ is folded into the dental papilla prior to calcification of dental tissues. Endodontic treatment of the teeth with dens invaginatus can be challenging and due to atypical and complex anatomy. This case report presents non-surgical endodontic treatment of maxillary lateral incisor with Oehlers Type II Dens Invaginatus. The anamnesis revealed that the maxillary left lateral incisor had root canal treatment in the past; however the symptoms remained. Radiographic and clinical examination revealed an inadequately filled accessory canal and a necrotic unfilled main canal surrounded by a large periapical lesion. Subsequently, endodontic treatment of the main and retreatment of the accessory canal was completed. One year of clinical and radiographical follow-up demonstrated an asymptomatic tooth with a healing periapical lesion.
Keywords: Dens in Dente; Incisor; Invaginatus, Retreatment
Author Affiliations
- DDS, Istanbul Aydin University, School of Dentistry, Pedodontics Department, Istanbul, Turkey
- Assoc Prof, DDS, PhD, Istanbul Aydin University, School of Dentistry, Endodontics Department, Istanbul, Turkey
- Research Asistant, Istanbul Aydin University, School of Dentistry, Pedodontics Department, Istanbul, Turkey
- Prof, DDS, PhD, Istanbul Aydin University, School of Dentistry, Pedodontics Department, Istanbul, Turkey ( Correspondence: aslitopaloglu@yahoo.com)
References
- Alani, A, Bishop K. Dens invaginatus. Part 1: classification, prevalence and aetiology.” Int Endod J 2008;41:1123-1136
- de Oliveira NG, da Silveira MT, Batista SM, Veloso SRM, Carvalho MV, Travassos RMC. Endodontic treatment of complex dens invaginatus teeth with long term follow-up periods. Iran Endod J 2018;13:263-266
- Uzun I, Keskin C, Guler B, Ozdemir O. Management of dens invaginatus type II with periapical lesion: case report. J Istanb Univ Fac Dent. 2015;49(3):51-54
- Oehlers FA. Dens invaginatus (dilated composite odontome). Variations of the invagination process and associated anterior crown forms. Oral Surg Oral Med Oral Pathol. 1957;10:1204–1218
- Hulsmann M. Dens invaginatus: etiology, classification, prevalence, diagnosis and treatment consideration. Int Endod J 1997;30:79-90
- Raut AW, Mantri V, Kala S, Raut RA. Management of ‘labial’ type of dens invaginatus: A rare case report. J Oral Biol Craniofac Res 2016;6:253–256
- Heydari A, Rahmani M. Treatment of dens invagination in a maxillary lateral incisor: A case report. Iran Endod J 2015;10:207-209
- Malik A, Bansal P, Sharma N, Kothari A.Type III dens invaginatus in a permanent maxillary canine: A rare case report. Endodontology 2017;29:69-72
- Gallacher, A., R. Ali, and S. Bhakta. Dens invaginatus: diagnosis and management strategies. Br DEnt J 2016;221:383-387
- Pallivathukal RG, Misra A, Nagraj SK, Donald PM. Dens invaginatus in a geminated maxillary lateral incisor. BMJ Case Rep 2015;bcr2015209672
- Fregnani ER, Spinola LF, Sonego JR, Bueno CE, De Martin AS. Complex endodontic treatment of an immature type III dens invaginatus. A case report. Int Endod J 2008;41:913-919
Article Info
Contemp Pediatr Dent 2022:3(1)35-40
Received: 22 February 2022
Accepted: 28 April 2022
Online First: 25 May 2022
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How to Cite
Ozge Irem Can Kolcu, Esra Pamukcu, Berk Senguller, Aslı Topaloglu Ak. Retreatment of a maxillary lateral incisor with type II dens invaginatus: One-year follow-up. Contemp Pediatr Dent 2022:3(1):35-40
