International Journal of Clinical Pediatric Dentistry

Register      Login

VOLUME 2 , ISSUE 3 ( September-December, 2009 ) > List of Articles

CASE REPORT

Combined Surgical and Nonsurgical Endodontic Therapy in the Treatment of Dens Invaginatus Type 3: A Case Report

Nikhil Marwah, Puneet Goenka, Anant Gopal Nigam, GS Prathima

Keywords : Dens invaginatus, endodontic therapy, surgery, incisors

Citation Information : Marwah N, Goenka P, Nigam AG, Prathima G. Combined Surgical and Nonsurgical Endodontic Therapy in the Treatment of Dens Invaginatus Type 3: A Case Report. Int J Clin Pediatr Dent 2009; 2 (3):43-48.

DOI: 10.5005/jp-journals-10005-1018

License: CC BY-NC 4.0

Published Online: 00-12-2009

Copyright Statement:  Copyright © 2009; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

An accurate understanding of the morphology of the root canal system is a prerequisite for successful root canal treatment. Invaginated teeth have a complex root canal configuration that cannot be instrumented effectively. Correct diagnosis and treatment planning are fundamental to treatment of dens invaginatus. Periapical surgery is indicated in cases where a nonsurgical approach fails. A case of dens invaginatus type 3 in a maxillary lateral incisor with a periapical lesion and its successful treatment by these combined methods is reported.


PDF Share
  1. Mupparapu M, Singer SR. A rare presentation of dens invaginatus in a mandibular lateral incisor occurring concurrently with bilateral maxillary dens invaginatus: case report and review of literature. Aust Dent J 2004 Jun;49(2):90-93.
  2. Galindo-Moreno PA, Parra-Vazquez MJ, Sanchez-Fernandez E, Avila-Ortiz GA. Maxillary cyst associated with an invaginated tooth: a case report and literature review. Quintessence Int 2003 Jul-Aug;34(7):509-514.
  3. O'Sullivan EA. Multiple dental anomalies in a young patient: a case report. Int J Paediatr Dent 2000 Mar;10(1):63-66.
  4. Hülsmann M. Dens invaginatus: aetiology, classification, prevalence, diagnosis, and treatment considerations. Int Endod J 1997 Mar;30(2):79-90.
  5. Salter S. Warty tooth. Trans Pathol Soc Lond 1855;6:173-177.
  6. Kronfeld R. Dens in dente. J Dent Res 1934;14:49-66.
  7. Pindborg JJ. Pathology of the dental hard tissues. Philadelphia: Saunders; 1970. p. 58-64.
  8. Oehlers FA. Dens invaginatus (dilated composite odontome). I. Variations of the invagination process and association with anterior crown forms. Oral Surg Oral Med Oral Pathol 1957 Nov;10(11):1204-1218.
  9. Hovland EJ, Block RM. Nonrecognition and subsequent endodontic treatment of dens invaginatus. J Endod 1977 Sep;3(9):360-362.
  10. Grahnhen H, Lindahal B, Omnell K. Dens invaginatus, part I: A clinical roentgenological and genetical study of permanent upper lateral incisors. Odontol Rev 1959;10:115-137.
  11. Holan G. Dens invaginatus in a primary canine: A case report. Int J Paediatr Dent 1998 Mar;8(1):61-64.
  12. Rotstein I, Stabholz A, Heling I, Friedman S. Clinical considerations in the treatment of dens invaginatus. Endod Dent Traumatol 1987 Oct; 3(5):249-254.
  13. Kaufman AY, Kaffe I, Littner MM. Vitality preservation of an anomalous maxillary central incisor after endodontic therapy. Oral Surg Oral Med Oral Pathol 1984 Jun;57(6):668-672.
  14. Goncalves A, Goncalves M, Oliveira DP, Goncalves N. Dens invaginatus type III: Report of a case and 10-year radiographic follow-up. Int Endod J 2002 Oct;35(10):873-879.
  15. Tsurumachi T, Hayashi M, Takeichi O. Non-surgical root canal treatment of dens invaginatus type 2 in a maxillary lateral incisor. Int Endod J 2002 Mar;35(3):310-314.
  16. Steffen H, Splieth C. Conventional treatment of dens invaginatus in maxillary lateral incisor with sinus tract: One year follow-up. J Endod 2005 Feb;31(2):130-133.
  17. Froner IC, Rocha LF, da Costa WF, Barros VM, Morello D. Complex treatmentof dens invaginatus type III in a maxillary lateral incisor. Endod Dent Traumatol 1999 Apr; 15(2):88-90.
  18. de Sousa SM, Bramante CM. Dens invaginatus: Treatment choices. Endod Dent Traumatol 1998 Aug;14(4):152-158.
  19. da Silva Neto UX, Hirai VH, Papalexiou V, Gonçalves SB, Westphalen VP, Bramante CM, Martins WD. Combined endodontic therapy and surgery in the treatment of dens invaginatus Type 3: case report. J Can Dent Assoc 2005 Dec;71(11):855-858.
  20. Canger EM, Kayipmaz S, Celenk P. Bilateral dens invaginatus in the mandibular premolar region. Indian J Dent Res 2009 Apr- Jun;20(2):238-240.
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.