Retreatment of a maxillary lateral incisor with type II dens invaginatus: One-year follow-up

Case Report

Contemp Pediatr Dent 2022:3(1):35-40


Retreatment of a maxillary lateral incisor with type II dens invaginatus: One-year follow-up

OrcidOzge Irem Can Kolcu1, Orcid Esra Pamukcu Guven2, Orcid Berk Senguler3 , Orcid Asli Topaloglu-Ak4

Affiliations

1. DDS, Istanbul Aydin University, School of Dentistry, Pedodontics Department, Istanbul, Turkey

2. Assoc Prof, DDS, PhD, Istanbul Aydin University, School of Dentistry, Endodontics Department, Istanbul, Turkey

3. Research Asistant, Istanbul Aydin University, School of Dentistry, Pedodontics Department, Istanbul, Turkey

4. Prof, DDS, PhD, Istanbul Aydin University, School of Dentistry, Pedodontics Department, Istanbul, Turkey ( Correspondence: aslitopaloglu@yahoo.com)


Highlights

Miss-diagnosis of teeth with dens in vaginatus leads to failure of root canal treatments.

One-year follow-up of a non-surgical endodontic retreatment of Oehlers Type II Dens Invaginatus in the permanent maxillary left lateral is presented in this case report.

This case report underlines the significance of precise diagnosis and classification of dens in vaginatus for less invasive and successful treatments.


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


Copyright © 2022 Contemporary Pediatric Dentistry

References

1. Alani, A, Bishop K. Dens invaginatus. Part 1: classification, prevalence and aetiology.” Int Endod J 2008;41:1123-1136

2. 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

 3. 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

4. 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

5. Hulsmann M. Dens invaginatus: etiology, classification, prevalence, diagnosis and treatment consideration. Int Endod J 1997;30:79-90

6. 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

7. Heydari A, Rahmani M. Treatment of dens invagination in a maxillary lateral incisor: A case report. Iran Endod J 2015;10:207-209

8. 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

9. Gallacher, A., R. Ali, and S. Bhakta. Dens invaginatus: diagnosis and management strategies. Br DEnt J 2016;221:383-387

10. Pallivathukal RG, Misra A, Nagraj SK, Donald PM. Dens invaginatus in a geminated maxillary lateral incisor. BMJ Case Rep 2015;bcr2015209672

11. 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

Full Text


DOI

10.51463/cpd.2022.101


Views

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Article Info

Received:

22 February 2022

Accepted:

28 April 2022

Online First:

25 May 2022