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Dens invaginatus: a review and orthodontic implications
Balavenkata Bharathi Chaturvedula1, Arvind Muthukrishnan2, Aarthi Bhuvaraghan3
1Saveetha Dental College and Hospital, 162 Poonamalle High Road, Vellapanchavadi, Chennai, Tamil Nadu 600077, India.
British Dental Journal
|March 27, 2021
Summary
Dens invaginatus (DI), a dental anomaly, increases caries and pulpal pathology risks. Early orthodontic diagnosis and management are crucial for successful treatment outcomes.
Area of Science:
- Dentistry
- Orthodontics
- Developmental Biology
Background:
- Dens invaginatus (DI) is a developmental anomaly involving enamel organ invagination into the dental papilla.
- DI increases the risk of caries and pulpal pathology.
- DI often goes undetected during initial orthodontic assessments due to a lack of clinical signs.
Purpose of the Study:
- To highlight the importance of early diagnosis of Dens invaginatus in orthodontic patients.
- To emphasize the need for a multidisciplinary approach in managing DI.
- To discuss the impact of DI on orthodontic treatment planning and prognosis.
Main Methods:
- Review of literature on Dens invaginatus and its orthodontic implications.
- Case study analysis (implied, not explicitly stated in abstract).
- Discussion of diagnostic challenges and management strategies.
Main Results:
- Dens invaginatus presents diagnostic challenges in orthodontics.
- Undiagnosed DI can lead to early caries and pulpal death.
- Prognostic assessment of DI is essential before orthodontic treatment.
Conclusions:
- Early and accurate diagnosis of Dens invaginatus is critical for orthodontic patients.
- A multidisciplinary approach is necessary for effective management of DI.
- Timely intervention can prevent complications and improve treatment prognosis.

