Abstract
Dens invaginatus (DI) is an uncommon developmental anomaly in which enamel or cementum folds into the dentine. Affected teeth are highly prone to dental caries, pulpal infection or necrosis, and periradicular pathology. Owing to its complex morphology, management of DI is often challenging and is associated with a higher risk of treatment failure. The therapeutic approach ranging from cleaning and obturating the invagination, conventional root canal therapy (RCT), surgical procedures, to intentional replantation depends on the tooth anatomy and the presence or absence of infection. This paper presents five cases of DI associated with chronic apical periodontitis. The treatment modalities included RCT, removal of the invaginated structure, intentional replantation, and surgical management, chosen according to the type of DI and pulpal-periapical status. All patients were followed for at least 12 months, with clinical resolution of symptoms and radiographic evidence of periapical healing. In conclusion, successful management of DI requires careful evaluation of anatomical variations, and intentional replantation represents a dependable option for tooth preservation.
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Management of dens invaginatus a case report
Author(s):
Trupti Anant Shirgapur, Roopa B, Nandini TN, Rashmi NC, Mallikarjun Goud K and Sophia Thakur
Abstract:
Dens invaginatus (DI) is an uncommon developmental anomaly in which enamel or cementum folds into the dentine. Affected teeth are highly prone to dental caries, pulpal infection or necrosis, and periradicular pathology. Owing to its complex morphology, management of DI is often challenging and is associated with a higher risk of treatment failure. The therapeutic approach ranging from cleaning and obturating the invagination, conventional root canal therapy (RCT), surgical procedures, to intentional replantation depends on the tooth anatomy and the presence or absence of infection. This paper presents five cases of DI associated with chronic apical periodontitis. The treatment modalities included RCT, removal of the invaginated structure, intentional replantation, and surgical management, chosen according to the type of DI and pulpal-periapical status. All patients were followed for at least 12 months, with clinical resolution of symptoms and radiographic evidence of periapical healing. In conclusion, successful management of DI requires careful evaluation of anatomical variations, and intentional replantation represents a dependable option for tooth preservation.
Pages: 495-499 | 824 Views 403 Downloads
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