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

Ozge Irem Can Kolcu1Orcid, Esra Pamukcu Guven2Orcid, Berk Senguler3Orcid, Asli Topaloglu-Ak4Orcid

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

Author 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)
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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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					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
				
			

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