scholarly journals An Immature Type II Dens Invaginatus in a Mandibular Lateral Incisor with Talon’s Cusp: A Clinical Dilemma to Confront

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Anshul Gangwar ◽  
Deepa Singal ◽  
K. Y. Giri ◽  
Anshita Agarwal ◽  
S. Sruthi Keerthi
Keyword(s):  
Tooth Development ◽  
Treatment Plan ◽  
Mineral Trioxide Aggregate ◽  
Cyst Formation ◽  
Lateral Incisor ◽  
Structural Defects ◽  
Type I ◽  
Type Ii ◽  
Incisor Tooth ◽  
Dens Invaginatus

Dens invaginatus (DI) is a malformation of teeth probably resulting from an infolding of the dental papilla during tooth development. DI is classified as type I, II, and III by Oehlers depending on the severity of malformation. The maxillary lateral incisor is the most commonly affected tooth. Structural defects do exist in the depth of the invagination pits, and as a consequence, the early development of caries and the subsequent necrosis of the dental pulp, as well as abscess and cyst formation are clinical implications associated with DI. Occasionally, we can see more than one developmental anomaly occurring in a single tooth. In such cases it becomes important to identify the anomalies and initiate a proper treatment plan for good prognosis. In this paper, an unusual case of DI which clinically presented as a huge talons cusp affecting a mandibular lateral incisor tooth is described. This case report illustrates grinding of the talons cusp followed by nonsurgical endodontic management of dens invaginatus type II with an immature apex and periapical lesions, in which Mineral Trioxide Aggregate (MTA) shows a complete periapical healing with bone formation at the site of the lesions.

scholarly journals Dens Invaginatus on a Geminated Tooth: A Case Report

2007 ◽  
Vol 8 (5) ◽  
pp. 99-105 ◽  
Author(s):  
Emin Murat Canger ◽  
Peruze Çelenk ◽  
Ömer Said Sezgin
Keyword(s):  
Case Report ◽  
Clinical Symptoms ◽  
Lateral Incisor ◽  
Enamel Organ ◽  
Type I ◽  
Incisor Tooth ◽  
Single Root ◽  
Nocturnal Pain ◽  
Clinically Significant ◽  
Dens Invaginatus

Abstract Aim To present a case of a concomitant occurrence of dens invaginatus (DI) and gemination in a mandibular left lateral incisor. Background DI is a developmental anomaly resulting from the invagination of a portion of a crown in the enamel organ stage of odontogenesis. It is commonly found in the maxillary lateral incisors but also occurs in the central incisors, premolars, canines, and molars in descending order of frequency. The occurrence of DI in the mandible is extremely rare. Gemination results from one tooth bud attempting to split into two. Geminated teeth present with a single root structure and rarely occur in mandibular teeth. Report A 13-year-old girl presented with a chief complaint of spontaneous nocturnal pain in the mandibular left lateral incisor tooth. Intraoral examination revealed the tooth was enlarged with a notch on the incisal edge extending to the coronal 1/3 of the crown. The radiological examination revealed a Type 2 DI in a Type I geminated mandibular left lateral incisor. Summary DI is clinically significant due to the possibility of the pulpal involvement; pulpitis, necrotic pulps, and chronic periapical lesions are often associated with this anomaly without clinical symptoms. Clinicians should be mindful of the possibility of DI when a tooth presents pulpitis without history of trauma or caries and examine the suspicious tooth and the periodontium radiographically. Citation Canger EM, Çelenk P, Sezgin ÖS. Dens Invaginatus on a Geminated Tooth: A Case Report. J Contemp Dent Pract 2007 July;(8)5:099-105.

scholarly journals Management of Anterior Spacing with Peg Lateral by Interdisciplinary Approach : A Case Report

2019 ◽  
Vol 9 (1) ◽  
pp. 67-73 ◽  
Author(s):  
Sanjay Prasad Gupta
Keyword(s):  
Case Report ◽  
Treatment Plan ◽  
Interdisciplinary Approach ◽  
Lateral Incisor ◽  
Incisor Tooth ◽  
Deep Bite ◽  
Restorative Treatment ◽  
Anterior Teeth ◽  
Common Etiology ◽  
Maxillary Lateral Incisor

Anterior spacing is a common esthetic problem of patient during dental consultation. The most common etiology include tooth size and arch length discrepancy. Maxillary lateral incisors vary in form more than any other tooth in the mouth except the third molars. Microdontia is a condition where the teeth are smaller than the normal size. Microdontia of maxillary lateral incisor is called as “peg lateral”, that exhibit converging mesial and distal surfaces of crown forming a cone like shape. A carefully documented diagnosis and treatment plan are essential if the clinician is to apply the most effective approach to address the patient’s needs. A patient sometimes requires a multidisciplinary approach to correct the esthetics and to improve the occlusion. This case report describes the management of an adult female patient with a proclined upper anterior teeth, upper anterior spacing, deep bite and peg shaped upper right lateral incisor tooth through orthodontic and restorative treatment approach.

scholarly journals Orthodontic Space Closure of a Missing Maxillary Lateral Incisor Followed by Canine Lateralization

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Sanjay Prasad Gupta ◽  
Shristi Rauniyar
Keyword(s):  
Treatment Plan ◽  
Lateral Incisor ◽  
Invasive Treatment ◽  
Incisor Tooth ◽  
Orthodontic Space Closure ◽  
Space Closure ◽  
Short Period ◽  
Old Adult ◽  
Maxillary Lateral Incisor ◽  
Lateral Incisor Agenesis

Maxillary lateral incisor agenesis is the most prevalent developmental dental anomaly. The management of missing lateral incisor was either closure using canine as substitution or creation of space orthodontically for prosthetic replacement. A careful diagnosis and treatment plan are deemed essential to address the patient’s needs as the spacing is present in the esthetic region. Such problem is very challenging for orthodontists, prosthodontists, and general practitioners. This case report describes the orthodontic management of a 22-year-old adult female patient with missing upper left lateral incisor tooth and upper anterior spacing by closing the space with canine lateralization and reshaping to simulate it with the lateral incisor. However, some modifications in the treatment mechanics are crucial to achieve the optimal esthetic and to improve the occlusion. Space closure with canine lateralization option seems less invasive, treatment can be completed relatively in a short period of time, and its adaptation with the facial changes throughout life without having artificial prosthesis provided other factors favoring for this option.

Expansion of the Mandibular Arch in Children during the Mixed Dentition Period - A Clinical Study

2006 ◽  
Vol 30 (4) ◽  
pp. 329-332 ◽  
Author(s):  
Kenshi Maki ◽  
Yasuhiro Sorada ◽  
Toshihiro Ansai ◽  
Takahiro Nishioka ◽  
Raymond Braham ◽  
...  
Keyword(s):  
Mixed Dentition ◽  
Dental Arch ◽  
Type I ◽  
Type Ii ◽  
Tooth Replacement ◽  
Lateral Expansion ◽  
Incisor Tooth ◽  
Mandibular Arch ◽  
The Individual ◽  
Apical Base

A review of the dental literature revealed relatively few studies on the expansion of the mandibular dental arch. The present study attempted expansion of the mandibular arch using a Bihelix appliance. The subjects were 16 children, exhibiting crowding, age ranges from 7 to 11 years. The mandible was expanded 2.0 mm every 3 months. Significant expansion, not only of the individual tooth inter-arch dimensions but also of the overall arch length, was obtained during the period of incisor tooth replacement. The mode of expansion was classified as follows: Type I, those, which showed no effect on the apical base; Type II, those which showed no consistency of the measurement lines. In this study, 6 of16 cases were classified as type I and 10 cases as type II. Expansion was continued over a period of 1.5 to 3 years. We concluded that considerable lateral expansion of the mandibular arch is possible using the Bihelix appliance. It is suggested that this might contribute greatly to non-extraction orthodontic treatment. Further studies are recommended.

A Novel Combination of dens evaginatus and dens invaginatus in a Single Tooth – Review of the Literature and a Case Report

2008 ◽  
Vol 32 (3) ◽  
pp. 239-242 ◽  
Author(s):  
Robert Anthonappa ◽  
Cynthia Yiu ◽  
Nigel King
Keyword(s):  
Case Report ◽  
Early Diagnosis ◽  
Prophylactic Treatment ◽  
Lateral Incisor ◽  
Review Of The Literature ◽  
Dental Anomalies ◽  
Incisor Tooth ◽  
Single Tooth ◽  
Dens Invaginatus

Dens evaginatus (DE) and dens invaginatus (DI) are rare developmental dental anomalies affecting both the primary and permanent dentitions. Concurrence of DE and DI within the same tooth is extremely rare. We report a case of DE and DI in a maxillary right lateral incisor tooth. Comprehensive clinical and radiographic examinations are essential to identify such defects; the early diagnosis can then result in the appropriate prophylactic treatment being performed, thus preventing undesirable pulpal complications.

scholarly journals Non-surgical management of immature maxillary lateral incisor with palato-gingival groove with MTA

2013 ◽  
Vol 2 (2) ◽  
pp. 38-41
Author(s):  
Tasnim Wakia ◽  
Mohammad Aminul Islam ◽  
Md Shamsul Alam
Keyword(s):  
Surgical Management ◽  
Clinical Management ◽  
Mineral Trioxide Aggregate ◽  
Endodontic Treatment ◽  
Developmental Anomaly ◽  
Lateral Incisor ◽  
Radiological Evaluation ◽  
Incisor Tooth ◽  
Complex Anatomy ◽  
Maxillary Lateral Incisor

Palato-gingival groove is a developmental anomaly often affecting the maxillary lateral incisor. The aim of this presentation is to describe the clinical management of a maxillary lateral incisor tooth with a palato-gingival groove with perio-endo lesion having immature apex. Despite complex anatomy, this case was managed by using Mineral Trioxide Aggregate plug technique with as a non-surgical endodontic treatment. The tooth was functional without any complication on the basis of regular clinical and radiological evaluation. DOI: http://dx.doi.org/10.3329/updcj.v2i2.15534 Update Dent. Coll. j: 2012; 2 (2): 38-41

scholarly journals Perawatan Ortodontik Inkonvensional Gigi Atas Berjejal Dengan Keberadaan Kista

2013 ◽  
Vol 20 (1) ◽  
pp. 99
Author(s):  
Timothy Soewito ◽  
Darmawan Sutantyo ◽  
Cendrawasih A Farmasyanti
Keyword(s):  
Case Report ◽  
Active Treatment ◽  
Orthodontic Treatment ◽  
Treatment Plan ◽  
Orthodontic Brackets ◽  
Lateral Incisor ◽  
Class Iii ◽  
Incisor Tooth ◽  
Knowing That

Keberadaan kista dapat menghambat perawatan ortodontik konvensional yang diberikan pada pasien. Tujuan artikel ini adalah menyajikan laporan kasus perawatan ortodontik alternatif seorang pasien perempuan berusia 17 tahun dengan kondisi gigi atas berjejal berat dan kista jinak di antara gigi insisivus lateral dan kaninus kiri atas. Setelah menetapkan diagnosis ortodontik, perawatan pertama yang dilakukan adalah pengangkatan kista. Kista dikirim untuk biopsi dan didiagnosis sebagai kista jinak. Orang tua dan pasien memutuskan untuk mencabut gigi insisivus lateral atas setelah mengetahui bahwa gigi insisivus lateral kiri atas nekrosis. Setelah gigi dicabut, bracket ortodontik dipasang di gigi bawah pasien. Tiga bulan kemudian, bracket ortodontik dipasang di gigi atas pasien. Kondisi gigi atas yang berjejal terkoreksi dan kaninus atas menggantikan posisi insisivus lateral. Saat ini, perawatan aktif masih dilanjutkan dan terpasang bracket ortodontik dengan elastik kelas III pada pasien. Kesimpulan artikel ini adalah pendekatan perawatan ortodontik inkonvensional dapat menjadi pertimbangan ketika ditemukan hambatan seperti adanya kista. Pasien dan orang tua harus diberi informasi mengenai konsekuensi perawatan sebelum perawatan dimulai.Unconventional Orthodontic Treatment for Upper Teeth Crowding with Benign Cyst. The presence of a cyst can provide an obstacle to the conventional orthodontic treatment given to the patients. The purpose of this article is to describe a case report of a seventeen year-old girl with a severe crowding of maxilla and presence of benign cyst between lateral incisor teeth and upper left canine treated with an alternative orthodontic treatment plan. After orthodontic diagnosis, the first treatment to be conducted was the removal of the cyst. The cyst was sent for biopsy and diagnosed as non-malignant cyst. The patient and her parents decided to extract upper laterals incisor tooth after knowing that the upper left lateral incisor tooth was necrotic. After the extractions, orthodontic brackets were bonded on the mandible. Then three months later the maxilla was bonded. The upper crowding of teeth condition was resolved very promptly and the upper canines were used to replace the laterals incisor position. Currently, active treatment is still in progress, and the patient has full upper and lower orthodontic brackets with class III elastics. After the treatment so far, it can be concluded that unconventional orthodontic treatment is worth considering when an obstacle such as a cyst is present. Patients and parents must be informed about the consequences of the treatment before active treatment is started.

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