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.

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 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 Dilated odontoma: an unusual case report and literature review

2021 ◽  
Vol 27 (2) ◽  
pp. 24
Author(s):  
P. Galvez ◽  
E. Garot ◽  
A. Bres ◽  
A. Crelier ◽  
C. Castain ◽  
...  
Keyword(s):  
Literature Review ◽  
Oral Surgery ◽  
Surgical Excision ◽  
Severe Form ◽  
Lateral Incisor ◽  
Enamel Organ ◽  
Incisor Tooth ◽  
Complex Anatomy ◽  
The Right ◽  
Dens Invaginatus

Introduction: Dilated odontoma is the most severe form of a dens invaginatus, which is a rare dental malformation resulting from an invagination of the enamel organ into the dental papilla before calcification occurs. Observation: A healthy 7-years-old girl was referred to the oral surgery department to remove an impacted odontoma causing a delayed dental eruption of the right mandibular lateral incisor (tooth 42). The patient was painless and a lingual osseous swelling was observed. A computed tomography and a 3D segmentation revealed a shell-shaped mass in the position of the right mandibular lateral incisor, showing a complex anatomy. Surgical excision was carried out under general anesthesia. Histological analysis confirmed the diagnosis of DO. Discussion and conclusion: We performed a literature review investigating 16 cases of severe forms of dens invaginatus which required extraction. It highlighted the atypical aspect of our case and the importance of 3D imaging and segmentation in contributing to the accurate diagnosis and treatment of this dental malformation.

Management of Non-Vital Open Apex in A Lateral Incisor Using Calcium Hydroxide and Reverse GP Cone Cold Lateral Compaction in A General Practice Setting

2021 ◽  
Author(s):  
Haider Al-Saffar
Keyword(s):  
Case Report ◽  
Calcium Hydroxide ◽  
Dental Trauma ◽  
Lateral Incisor ◽  
Incisor Tooth ◽  
Beneficial Effects ◽  
Immature Teeth ◽  
Gutta Percha ◽  
Regenerative Dentistry ◽  
Dental Practices

Although dental trauma is poorly managed by general dental practices, it is important to follow appropriate steps to achieve optimal results. This case report outlines the management of non-vital immature teeth with calcium hydroxide and reverse Gutta Percha (GP) cone cold lateral compaction to achieving endodontic success. Even though it is a disputed technique, if proper conditions are provided, the root development continues to preserve a functionally fit and sound tooth on the arch of a young adolescence, avoiding extensive surgical and prosthetic procedures to replace a potentially compromised tooth. This case report highlights the beneficial effects of both calcium hydroxide and Chlorhexidine-dygluconate (CHX), which are far to be obsolete in the field of apexification or even regenerative dentistry as a whole.The 11 years old male presents post-traumatic necrosis in the upper left lateral incisor (tooth 2.2) which is dressed with calcium hydroxide, achieving the disinfection of the root canal, remission of the apical periodontitis and complete root formation 1 year later. The importance of the use of biocompatible materials as calcium hydroxide and CHX are emphasized in this case in which, although, no modern regenerative procedures and materials were used, the results are more than satisfactory. This report will look into the management of a non-vital immature lateral incisor with a reverse GP cone lateral compaction to achieving a successful apical and canal seal radiographically.

Maxillary Lateral Incisor with 3 Root Canals: A Case Report

2019 ◽  
Vol 10 (2) ◽  
pp. 179-182
Author(s):  
Mario Buonvivere ◽  
Matteo Buonvivere
Keyword(s):  
Case Report ◽  
Root Canal ◽  
Rare Case ◽  
Lateral Incisor ◽  
Complex Root ◽  
Canal System ◽  
Root Canals ◽  
Single Root ◽  
Maxillary Lateral Incisor ◽  
Root Canal System

The proper knowledge of the root canal system anatomy is crucial to perform successful endodontic treatments. Maxillary lateral incisors usually have a single root. However, aberrant canal configurations of this tooth have been reported in the literature. The clinician should be aware of the difficulties arising from this more complex root canal anatomy and should be able to manage them. A rare case of a maxillary lateral incisor with three root canals is presented in this article; the challenge of diagnosis and treatment in similar situations is also discussed.

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.

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