References

Hülsmann M. Dens invaginatus: aetiology, classification, prevalence, diagnosis, and treatment considerations. Int Endod J. 1997; 30:79-90 https://doi.org/10.1046/j.1365-2591.1997.00065.x
Alani A, Bishop K. Dens invaginatus. Part 1: classification, prevalence and aetiology. Int Endod J. 2008; 41:1123-1136 https://doi.org/10.1111/j.1365-2591.2008.01468.x
OehlerS FA. Dens invaginatus (dilated composite odontome). I. Variations of the invagination process and associated anterior crown forms. Oral Surg Oral Med Oral Pathol. 1957; 10:1204-1218 https://doi.org/10.1016/0030-4220(57)90077-4
Gallacher A, Ali R, Bhakta S. Dens invaginatus: diagnosis and management strategies. Br Dent J. 2016; 221:383-387 https://doi.org/10.1038/sj.bdj.2016.724
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Bishop K, Alani A. Dens invaginatus. Part 2: clinical, radiographic features and management options. Int Endod J. 2008; 41:1137-1154
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Caries-risk assessment and management for infants, children, and adolescents.Chicago, IL, USA: AmericanAcademy of Pediatric Dentistry; 2020
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Gotoh T, Kawahara K, Imai K Clinical and radiographic study of dens invaginatus. Oral Surg Oral Med Oral Pathol. 1979; 48:88-91
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Comprehensive management of a child with multiple dens invaginatus

From Volume 50, Issue 6, June 2023 | Pages 522-525

Authors

LKN Premathilaka

BDS

MD in Restorative Dentistry, Senior Registrar in Restorative Dentistry, Faculty of Dental Sciences, University of Peradeniya, Sri Lanka

Articles by LKN Premathilaka

Email LKN Premathilaka

S Vasantha

BDS

MS in Restorative Dentistry, Consultant in Restorative Dentistry, National Dental Teaching Hospital, Sri Lanka

Articles by S Vasantha

EMUCK Herath

BDS

MS in Restorative Dentistry, FDSRCS(Paed), Professor in Paediatric Dentistry, Faculty of Dental Sciences, University of Peradeniya, Sri Lanka

Articles by EMUCK Herath

Abstract

‘Dens invaginatus’ (DI) is a developmental anomaly of teeth, where an infolding of the enamel occurs into the dentine, creating a pocket or a dead space, as a result of the invagination of the enamel organ into the dental papilla prior to calcification. DI have been reported in 0.3–10% of the population. This case describes the comprehensive management of a 9-year-old child with multiple dens invaginatus.

CPD/Clinical Relevance: Early diagnosis and early intervention of DI is important to avoid dental caries, pulpitis and pulp death.

Article

‘Dens invaginatus’ (DI) is a developmental anomaly of teeth, in which an infolding of the enamel occurs into the dentine, creating a pocket or a dead space, as a result of the invagination of the enamel organ into the dental papilla prior to calcification.1,2

DI can be classified depending on the degree of enamel infolding. The most widely accepted classification (Table 1) was developed by Oehlers in 1957.3 Several other terms such as ‘dens in dente’, ‘dilated composite odontome’, and ‘gestant anomaly’ also have been used in the literature to describe this condition.2 DI has been reported in 0.3–10% of the population.1

The most affected teeth are the maxillary lateral incisors, maxillary central incisors, and rarely the premolar and canine teeth.4 It may affect the mandibular teeth, deciduous teeth and supernumerary teeth.4 In 43% of cases, DI has occurred bilaterally implying the necessity to assess the contralateral tooth.5

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