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A Variant of the Current Dens Invaginatus Classification
Meisha Gul1,2, Samira Adnan3, Fahad Umer1
1Department of Operative Dentistry, The Aga Khan University Hospital, Karachi, Pakistan.
Frontiers in Dentistry
|August 31, 2022
Summary
Dens invaginatus, a rare tooth anomaly, can complicate endodontic treatment. Cone-beam computed tomography (CBCT) aids in diagnosing this condition, improving treatment outcomes for maxillary incisors.
Area of Science:
- Dentistry
- Endodontics
- Dental Morphology
Background:
- Maxillary incisors typically undergo straightforward endodontic treatment.
- Aberrant tooth morphology, such as dens invaginatus, presents unique endodontic challenges.
- Accurate diagnosis is crucial for successful endodontic prognosis.
Observation:
- This case report focuses on a maxillary lateral incisor with dens invaginatus.
- Type IV dens invaginatus, a rare variation, was identified.
- Comprehensive evaluation involved clinical examination and advanced imaging.
Findings:
- Cone-beam computed tomography (CBCT) was instrumental in diagnosing type IV dens invaginatus.
- CBCT provides detailed insights into atypical root canal anatomy.
- The diagnosis was confirmed using periapical radiography and CBCT.
Implications:
- CBCT is highly recommended for diagnosing atypical root canal morphology.
- Early and accurate diagnosis of dens invaginatus improves endodontic treatment planning.
- Understanding rare dental anomalies enhances clinical decision-making and patient care.
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