Case Report
Year : 2017 | Volume : 2 | Issue : 2| Page : 81-84
Nonsurgical Endodontic Management of Maxillary Lateral Incisor with Dens Invaginatus and Periradicular Lesion
Prerna Tripathi, Ayush Razdan Singh, Pushpendra Kumar Verma, Ruchi Srivastava1
Departments of Conservative Dentistry and Endodontics and 1 Periodontology, Saraswati Dental College, Lucknow, Uttar Pradesh, India
Address for correspondence:
Dr. Pushpendra Kumar Verma,
Department of Conservative Dentistry and Endodontics, Saraswati Dental College, Lucknow, Uttar Pradesh, India.
E‐mail: pushpendrakgmc@gmail.com
Abstract
Dens invaginatus is a developmental malformation resulting from invagination of the tooth crown or root before calcification has occurred. It can range from a deep fissure or pit on the lingual surfaces of anterior teeth to an occlusal pit on the posterior teeth. This article presents a case of type II dens in dente in a 14‐year‐old female patient, where the invagination extends beyond the cementoenamel junction in maxillary lateral incisor with a large periradicular lesion. Usually, an anomaly such as dens invaginatus remains unnoticed by the patient until any clinical sign appears. Root canal treatment of such teeth with complex root canal anatomy can be difficult because infected pulpal tissues may remain in inaccessible areas of the canal. Hence, it is important to identify this anomaly and manage it as early as possible. In the present case, a nonsurgical root canal treatment of the invagination was performed. The treatment of invagination resulted in resolution of a substantial periradicular lesion.
Keywords: Dens invaginatus, nonsurgical endodontics, periradicular lesion
Financial support and sponsorship
Nil.
Conflicts of interest
There are no conflicts of interest.
How to cite this article: Tripathi P, Singh AR, Verma PK, Srivastava R. Nonsurgical endodontic management of maxillary lateral incisor with dens invaginatus and periradicular lesion. Int J Pedod Rehabil 2017;2:81-4.
