Journal of Contemporary Dentistry

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VOLUME 7 , ISSUE 2 ( May-August, 2017 ) > List of Articles

CASE REPORT

Management of Bilateral Oehlers’ Type II Dens Invaginatus in Maxillary Lateral Incisors

Pranjal S Walzade, Sumanthini MV, Vanitha U Shenoy, Rohini P Mahajan

Citation Information : Walzade PS, MV S, U Shenoy V, P Mahajan R. Management of Bilateral Oehlers’ Type II Dens Invaginatus in Maxillary Lateral Incisors. J Contemp Dent 2017; 7 (2):125-129.

DOI: 10.5005/jp-journals-10031-1199

License: CC BY 3.0

Published Online: 01-08-2017

Copyright Statement:  Copyright © 2017; The Author(s).


Abstract

Aim

To describe the management of type II dens invaginatus in permanent maxillary lateral incisors.

Background

Teeth affected by dens invaginatus show a deep infolding of enamel and dentine starting from the foramen coecum or even the tip of the cusps which may extend deep into the root. Dens invaginatus can be managed conservatively when it does not involve pulp and periodontal ligament. Moreover it may show a broad spectrum of morphologic variations and frequently results in early pulp necrosis if left undetected in early stages. Root canal treatment of such teeth is challenging because of the complex pulp space anatomy.

Case report

In the present case, bilateral occurrence of type II dens invaginatus was detected in maxillary lateral incisors. Following conservative cavity preparation, 12 was restored with an adhesive restoration. However as pulp exposure was observed in 22, it was endodontically treated.

Conclusion

Class II dens invaginatus without pulpal involvement can be treated successfully by conservative means there by maintaining the vitality of tooth. Early detection and immediate management leads to reduced tooth destruction thereby enhancing the long term prognosis.

Clinical significance

This case report will aid clinicians in the early detection and conservative management of tooth anomalies like dens invaginatus.

How to cite this article

Walzade PS, Sumanthini MV, Shenoy VU, Mahajan RP. Management of Bilateral Oehlers’ Type II Dens Invaginatus in Maxillary Lateral Incisors. J Contemp Dent 2017;7(2):125-129.


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