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Endodontic management of bilateral type II dens invaginatus

A rare case report

  • case study
  • Published:
international journal of stomatology & occlusion medicine

Abstract

Root canal treatment of invaginated teeth is frequently challenging because of problems associated with gaining access to the root canals and with variations of canal morphology associated with this type of malformation. This article reports on the conservative endodontic management of bilateral upper central incisors diagnosed with infected dens invaginatus (Oehlers type II) and associated irreversible pulpitis with concomitant oligodontia. The use of contemporary endodontic techniques in the diagnosis, treatment planning and management of the case are highlighted.

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References

  1. Alani A, Bishop K. Dens invaginatus. Part 1: classification, prevalence and aetiology. Int Endod J. 2008;41:1123–36.

    Article  PubMed  CAS  Google Scholar 

  2. Hulsmann M. Dens invaginatus: aetiology, classification, prevalence, diagnosis, and treatment considerations. Int Endod J. 1997;30:79–90.

    Article  PubMed  CAS  Google Scholar 

  3. Chen YM, Tseng CC, Harn WM. Dens invaginatus: review of formation and morphology with 2 case reports. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1998;86:347–52.

    Article  PubMed  CAS  Google Scholar 

  4. Tsurumachi T, Hayashi M, Takeihci O. Non-surgical root canal treatment of dens invaginatus type 2 in a maxillary lateral incisor. Int Endod J. 2002;35:310–4.

    Article  PubMed  CAS  Google Scholar 

  5. Oehlers FA. Dens invaginatus, part I: variations of the invagination process and association with anterior crown forms. Oral Surg Oral Med Oral Pathol. 1957;10:1204–18.

    Article  PubMed  CAS  Google Scholar 

  6. Grahnen H, Lindahl B, Omnell K. Dens invaginatus. I. A clinical, roentgenological and genetical study of permanent upper lateral incisors. Odontologisk Revy. 1959;10:115–37.

    Google Scholar 

  7. Jung M. Endodontic treatment of dens invaginatus type III with three root canals and open apical foramen. Int Endod J. 2004;37:205–13.

    Article  PubMed  CAS  Google Scholar 

  8. Ridell K, Mejàre I, Matsson L. Dens invaginatus: a retrospective study of prophylactic invagination treatment. Int J Paediatr Dent. 2001;11:92–7.

    Article  PubMed  CAS  Google Scholar 

  9. Ruprecht A, Sastry K, Batniji S, Lambourne A. The clinical significance of dental invagination. J Pedod. 1987;11:176–81.

    PubMed  CAS  Google Scholar 

  10. Jimenez-Rubio A, Segura JJ, Feito J. A case of combined dental development abnormalities: importance of a thorough examination. Endod Dent Traumatol. 1998;14:99–102.

    Article  Google Scholar 

  11. Bishop K, Alani A. Dens invaginatus. Part 2: clinical, radiographic features and management options. Int Endod J. 2008;41:1137–54.

    Article  PubMed  CAS  Google Scholar 

  12. Cunningham W, Martin H, Pelleu G, Stoops DA. Comparison of antimicrobial effectiveness of endosonic and hand root canal therapy. Oral Surg Oral Med Oral Pathol. 1982;54:238–41.

    Article  PubMed  CAS  Google Scholar 

  13. Mangani F, Ruddle CJ. Endodontic treatment of a ‘very particular’ maxillary central incisor. J Endod. 1994;20:560–1.

    Article  PubMed  CAS  Google Scholar 

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Compliance with ethical guidelines

All the procedures followed in this case study were in accordance with the ethical standards of the institutional ethical committee and with the Helsinki Declaration of 1975, as revised in 2008. Informed consent of the patient was obtained prior to the treatment.

Conflict of interest

N. Jain and A. Gupta state that there is no conflict of interest.

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Correspondence to Niharika Jain BDS, MDS.

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Jain, N., Gupta, A. Endodontic management of bilateral type II dens invaginatus. J. Stomat. Occ. Med. 7, 81–84 (2014). https://doi.org/10.1007/s12548-014-0110-6

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  • DOI: https://doi.org/10.1007/s12548-014-0110-6

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