Conservative management of dens in dente
Pablo Castelo-Baz DDS, PhD
Department of Endodontics, Faculty of Medicine and Odontology, University of Santiago de Compostela, Santiago de Compostela, Spain
Search for more papers by this authorCorresponding Author
Tania Gancedo-Gancedo DDS
Department of Endodontics, Faculty of Medicine and Odontology, University of Santiago de Compostela, Santiago de Compostela, Spain
Correspondence
Tania Gancedo-Gancedo, Facultad de Odontología, Entrerríos Street, no. 15705 Santiago de Compostela, La Coruña, Spain.
Email: [email protected]
Search for more papers by this authorPatricia Pereira-Lores DDS
Department of Endodontics, Faculty of Medicine and Odontology, University of Santiago de Compostela, Santiago de Compostela, Spain
Search for more papers by this authorCarolina Mosquera-Barreiro DDS
Department of Endodontics, Faculty of Medicine and Odontology, University of Santiago de Compostela, Santiago de Compostela, Spain
Search for more papers by this authorBenjamín Martín-Biedma DDS, PhD
Department of Endodontics, Faculty of Medicine and Odontology, University of Santiago de Compostela, Santiago de Compostela, Spain
Search for more papers by this authorVicente Faus-Matoses DDS, PhD
Department of Stomatology, Faculty of Medicine and Dentistry, University of Valencia, Valencia, Spain
Search for more papers by this authorManuel Ruíz-Piñón DDS, PhD
Department of Endodontics, Faculty of Medicine and Odontology, University of Santiago de Compostela, Santiago de Compostela, Spain
Search for more papers by this authorPablo Castelo-Baz DDS, PhD
Department of Endodontics, Faculty of Medicine and Odontology, University of Santiago de Compostela, Santiago de Compostela, Spain
Search for more papers by this authorCorresponding Author
Tania Gancedo-Gancedo DDS
Department of Endodontics, Faculty of Medicine and Odontology, University of Santiago de Compostela, Santiago de Compostela, Spain
Correspondence
Tania Gancedo-Gancedo, Facultad de Odontología, Entrerríos Street, no. 15705 Santiago de Compostela, La Coruña, Spain.
Email: [email protected]
Search for more papers by this authorPatricia Pereira-Lores DDS
Department of Endodontics, Faculty of Medicine and Odontology, University of Santiago de Compostela, Santiago de Compostela, Spain
Search for more papers by this authorCarolina Mosquera-Barreiro DDS
Department of Endodontics, Faculty of Medicine and Odontology, University of Santiago de Compostela, Santiago de Compostela, Spain
Search for more papers by this authorBenjamín Martín-Biedma DDS, PhD
Department of Endodontics, Faculty of Medicine and Odontology, University of Santiago de Compostela, Santiago de Compostela, Spain
Search for more papers by this authorVicente Faus-Matoses DDS, PhD
Department of Stomatology, Faculty of Medicine and Dentistry, University of Valencia, Valencia, Spain
Search for more papers by this authorManuel Ruíz-Piñón DDS, PhD
Department of Endodontics, Faculty of Medicine and Odontology, University of Santiago de Compostela, Santiago de Compostela, Spain
Search for more papers by this authorAbstract
Dens Invaginatus (DI) or dens in dente is an uncommon anomaly which mostly affects permanent lateral incisors, and it is very rare in molars. This article presents the conservative endodontic management of four different cases of DI and a discussion of the endodontic literature for this malformation. Three upper lateral incisors Type II, IIIa and IIIb, and an upper first molar Type II are shown. The most conservative approach possible was carried out. Three of the cases were obturated using the continuous wave technique. In one of the cases, it was possible to treat only the invagination with MTA and preserve the pulp vitality of the main canal. To make a correct diagnosis and to treat in the most conservative way possible, a DI is necessary to know its classification and use tools such as CBCT and magnification.
CONFLICT OF INTEREST STATEMENT
The authors declare that they have no conflict of interest.
Supporting Information
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Appendix S1. |
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REFERENCES
- 1Hunter HA. Dilated composite odontome; reports of two cases, one bilateral and one radicular. Oral Surg Oral Med Oral Pathol. 1951; 4: 668–73.
- 2Colby RA. Colour atlas of oral pathology. Philadelphia, PA: J.B. Linpicott Co; 1956.
- 3Alani A, Bishop K. Dens invaginatus. Part 1: classification, prevalence and aetiology. Int Endod J. 2008; 41: 1123–36.
- 4Hülsmann M. Dens invaginatus: aetiology, classification, prevalence, diagnosis, and treatment considerations. Int Endod J. 1997; 30: 79–90.
- 5Hovland EJ, Block RM. Nonrecognition and subsequent endodontic treatment of dens invaginatus. J Endod. 1977; 3: 360–2.
- 6Ricucci D, Milovidova I, Siqueira JF Jr. Unusual location of dens Invaginatus causing a difficult-to-diagnose pulpal involvement. J Endod. 2020; 46: 1522–9.
- 7Bishop K, Alani A. Dens invaginatus. Part 2: clinical, radiographic features and management options. Int Endod J. 2008; 41: 1137–54.
- 8Oehlers FA. Dens invaginatus (dilated composite odontome). I. Variations of the invagination process and associated anterior crown forms. Oral Surg Oral Med Oral Pathol. 1957; 10: 1204–18.
- 9Vier-Pelisser FV, Pelisser A, Recuero LC, Só MV, Borba MG, Figueiredo JA. Use of cone beam computed tomography in the diagnosis, planning and follow up of a type III dens invaginatus case. Int Endod J. 2012; 45: 198–208.
- 10Teixidó M, Abella F, Duran-Sindreu F, Moscoso S, Roig M. The use of cone-beam computed tomography in the preservation of pulp vitality in a maxillary canine with type 3 dens invaginatus and an associated periradicular lesion. J Endod. 2014; 40: 1501–4.
- 11Patel S. The use of cone beam computed tomography in the conservative management of dens invaginatus: a case report. Int Endod J. 2010; 43: 707–13.
- 12Pradhan B, Gao Y, He L, Li J. Non-surgical removal of dens Invaginatus in maxillary lateral incisor using CBCT: two-year follow-up case report. Open Med (Wars). 2019; 14: 767–71.
- 13Agrawal PK, Wankhade J, Warhadpande M. A rare case of type III dens Invaginatus in a mandibular second premolar and its nonsurgical endodontic management by using cone-beam computed tomography: a case report. J Endod. 2016; 42: 669–72.
- 14Girsch WJ, McClammy TV. Microscopic removal of dens invaginatus. J Endod. 2002; 28: 336–9.
- 15Plotino G, Pameijer CH, Grande NM, Somma F. Ultrasonics in endodontics: a review of the literature. J Endod. 2007; 33: 81–95.
- 16Bansal AV, Bansal A, Kulkarni VK, Dhar RS. Dens invaginatus in primary maxillary molar: a rare case report and review of literature. Int J Clin Pediatr Dent. 2012; 5: 139–41.
- 17Barbosa Brandão EC, Aguiar Ribeiro A, Alto Seabra LM. Rare condition of dens Invaginatus in a maxillary primary molar and a Birooted maxillary primary canine diagnosed during routine examination. Int J Clin Pediatr Dent. 2017; 10: 193–5.
- 18Eden EK, Koca H, Sen BH. Dens invaginatus in a primary molar: report of case. ASDC J Dent Child. 2002; 69: 49–53.
- 19Hamasha AA, Alomari QD. Prevalence of dens invaginatus in Jordanian adults. Int Endod J. 2004; 37: 307–10.
- 20Costa WF, Sousa Neto MD, Pécora JD. Upper molar dens in dente—case report. Braz Dent J. 1990; 1: 45–9.
- 21Best S, Ammons CL, Karunanayake GA, Saemundsson SR, Tawil PZ. Outcome assessment of teeth with necrotic pulps and apical periodontitis treated with long-term calcium hydroxide. J Endod. 2021; 47: 11–8.
- 22Acharya N, Hasan MR, Kafle D, Chakradhar A, Saito T. Effect of hand and rotary instruments on the fracture resistance of teeth: an in vitro study. Dent J (Basel). 2020; 8: 38.
- 23Parirokh M, Torabinejad M. Mineral trioxide aggregate: a comprehensive literature review—part I: chemical, physical, and antibacterial properties. J Endod. 2010; 36: 16–27.
- 24Torabinejad M, Parirokh M. Mineral trioxide aggregate: a comprehensive literature review-part II: leakage and biocompatibility investigations. J Endod. 2010; 36: 190–202.
- 25Parirokh M, Torabinejad M. Mineral trioxide aggregate: a comprehensive literature review-part III: clinical applications, drawbacks, and mechanism of action. J Endod. 2010; 36: 400–13.
- 26Güven EP, Taşli PN, Yalvac ME, Sofiev N, Kayahan MB, Sahin F. In vitro comparison of induction capacity and biomineralization ability of mineral trioxide aggregate and a bioceramic root canal sealer. Int Endod J. 2013; 46: 1173–82.
- 27Marciano MA, Costa RM, Camilleri J, Mondelli RF, Guimarães BM, Duarte MA. Assessment of color stability of white mineral trioxide aggregate angelus and bismuth oxide in contact with tooth structure. J Endod. 2014; 40: 1235–40.
- 28Kang SH, Shin YS, Lee HS, Kim SO, Shin Y, Jung IY, et al. Color changes of teeth after treatment with various mineral trioxide aggregate-based materials: an ex vivo study. J Endod. 2015; 41: 737–41.
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