Complex Endodontic Treatment of Dens Invaginatus Type III in Maxillary Lateral Incisor: Reports of Two Cases

Authors

  • Rafia Nazneen Medical officer, Department of Dental Surgery, BIRDEM General Hospital, Shahbag, Dhaka-1000
  • Reema Joshi Assistant Professor, KRIST Medical College, Nepal
  • Sajid Hasan Medical officer, Department of Dental Surgery, BIRDEM General hospital, Shahbag, Dhaka-1000
  • Mujibur Rahman Howlader Associate Professor, Department of Conservative Dentistry and Endodontics, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka-1000
  • Md Shamsul Alam Professor, Department of Conservative Dentistry and Endodontics, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka-1000

DOI:

https://doi.org/10.3329/birdem.v5i2.28391

Keywords:

Dens invaginatus, maxillary lateral incisor, root canal treatment, retrograde filling, mineral trioxide aggregates

Abstract

Dens invaginatus is a developmental malformation of teeth, showing a wide spectrum of anatomical variations, resulting from the invagination of a portion of a crown that might be confined to the crown or it may pass the cement-enamel junction and may result in a second apical foramen formation during the stage of odonto-genesis. It is clinically significant due to early development of caries and subsequent necrosis of the pulp. Chronic peri-apical lesions are often associated with these anomalies without clinical symptoms. Clinicians should be mindful of the possibility of dens invaginatus when a patient comes with a tooth having signs of pulpitis without history of trauma, caries and should examine the suspicious tooth as well as the peri-odontium radiographically. Most affected permanent teeth are the maxillary lateral incisors followed by central incisors, canines, premolars and molars. This article describes both surgical and nonsurgical endodontic management of dens invaginatus type III with large apical radiolucency in upper left lateral incisor

Birdem Med J 2015; 5(2): 111-115

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Author Biography

Rafia Nazneen, Medical officer, Department of Dental Surgery, BIRDEM General Hospital, Shahbag, Dhaka-1000



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Published

2016-06-25

How to Cite

Nazneen, R., Joshi, R., Hasan, S., Howlader, M. R., & Alam, M. S. (2016). Complex Endodontic Treatment of Dens Invaginatus Type III in Maxillary Lateral Incisor: Reports of Two Cases. BIRDEM Medical Journal, 5(2), 111–115. https://doi.org/10.3329/birdem.v5i2.28391

Issue

Section

Case Reports