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Dens invaginatus (Type III B).

Shreenivas Kallianpur1, Us Sudheendra, Sowmya Kasetty

  • 1Department of Oral and Maxillofacial Pathology, Peoples College of Dental Sciences and Research Centre, Bhopal, Madhya Pradesh, India.

Journal of Oral and Maxillofacial Pathology : JOMFP
|August 28, 2012
PubMed
Summary

Dens invaginatus, a tooth developmental anomaly, presented uniquely in a lateral incisor with an impacted canine. This rare case highlights the importance of thorough diagnosis for dental malformations.

Keywords:
Dens in dentedens invaginatusdevelopmental anomalydilated composite odontomeimpacted tooth

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Area of Science:

  • Dentistry
  • Developmental Biology
  • Oral Pathology

Background:

  • Dens invaginatus (dens in dente) is a tooth malformation caused by dental papilla infolding before calcification.
  • This condition can lead to various clinical and radiographic presentations.
  • Understanding its etiology and features is crucial for diagnosis and management.

Observation:

  • A 45-year-old male presented with pain and a missing maxillary right canine.
  • Radiographic examination revealed dens invaginatus in the maxillary right lateral incisor.
  • An impacted canine crown was observed within the dilated pulp chamber of the invaginated lateral incisor.

Findings:

  • The affected lateral incisor was non-vital.
  • Histopathologic examination confirmed Dens invaginatus Type III B.
  • The unique presentation necessitated extraction of both the lateral incisor and the impacted canine.

Implications:

  • This case underscores the diagnostic challenges posed by unusual presentations of dens invaginatus.
  • Accurate radiographic and histopathologic evaluation is vital for definitive diagnosis.
  • Management strategies for dens invaginatus should consider the specific type and severity.