Management of 'labial' type of dens invaginatus: A rare case report

Dens invaginatus is a developmental anomaly resulting in an infolding of the enamel organ into the dental papilla prior to calcification of the dental tissues. The invagination predisposes the tooth for the development of dental caries. Conventional radiographs do not provide detailed information concerning the three-dimensional image, which would help the clinician in making a confirmatory diagnosis and planning the treatment before undertaking the actual treatment. This report describes a case where Oehlers type II dens invaginatus was diagnosed with the help of spiral computed tomography. The locations of the primary root canal and the invagination were assessed from spiral computed tomography scan images. Usually, the invagination is present on palatal/lingual side. However, in this case, the invagination was unusually located on labial side, which has yet not been reported. The tooth also showed certain unusual morphological features.