An Immature Type II Dens Invaginatus in a Mandibular Lateral Incisor with Talon’s Cusp: A Clinical Dilemma to Confront
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. Struc...
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| Language: | English |
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Wiley
2014-01-01
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| Series: | Case Reports in Dentistry |
| Online Access: | http://dx.doi.org/10.1155/2014/826294 |
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| author | Anshul Gangwar Deepa Singal K. Y. Giri Anshita Agarwal S. Sruthi Keerthi |
| author_facet | Anshul Gangwar Deepa Singal K. Y. Giri Anshita Agarwal S. Sruthi Keerthi |
| author_sort | Anshul Gangwar |
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| description | 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. |
| format | Article |
| id | doaj-art-7ada2aff49634df1857a99a7ea23f9db |
| institution | Kabale University |
| issn | 2090-6447 2090-6455 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Dentistry |
| spelling | doaj-art-7ada2aff49634df1857a99a7ea23f9db2025-02-03T01:00:32ZengWileyCase Reports in Dentistry2090-64472090-64552014-01-01201410.1155/2014/826294826294An Immature Type II Dens Invaginatus in a Mandibular Lateral Incisor with Talon’s Cusp: A Clinical Dilemma to ConfrontAnshul Gangwar0Deepa Singal1K. Y. Giri2Anshita Agarwal3S. Sruthi Keerthi4Department of Pediatric & Preventive Dentistry, Institute of Dental Sciences, Uttar Pradesh Bareilly-243006, IndiaDepartment of Pediatric & Preventive Dentistry, Institute of Dental Sciences, Uttar Pradesh Bareilly-243006, IndiaDepartment of Oral & Maxillofacial Surgery, Institute of Dental Sciences, Uttar Pradesh Bareilly-243006, IndiaDepartment of Oral Pathology, Vananchal Dental College & Hospital, Garhwa, Jharkhand-822114, IndiaDepartment of Pediatric & Preventive Dentistry, Institute of Dental Sciences, Uttar Pradesh Bareilly-243006, IndiaDens 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.http://dx.doi.org/10.1155/2014/826294 |
| spellingShingle | Anshul Gangwar Deepa Singal K. Y. Giri Anshita Agarwal S. Sruthi Keerthi An Immature Type II Dens Invaginatus in a Mandibular Lateral Incisor with Talon’s Cusp: A Clinical Dilemma to Confront Case Reports in Dentistry |
| title | An Immature Type II Dens Invaginatus in a Mandibular Lateral Incisor with Talon’s Cusp: A Clinical Dilemma to Confront |
| title_full | An Immature Type II Dens Invaginatus in a Mandibular Lateral Incisor with Talon’s Cusp: A Clinical Dilemma to Confront |
| title_fullStr | An Immature Type II Dens Invaginatus in a Mandibular Lateral Incisor with Talon’s Cusp: A Clinical Dilemma to Confront |
| title_full_unstemmed | An Immature Type II Dens Invaginatus in a Mandibular Lateral Incisor with Talon’s Cusp: A Clinical Dilemma to Confront |
| title_short | An Immature Type II Dens Invaginatus in a Mandibular Lateral Incisor with Talon’s Cusp: A Clinical Dilemma to Confront |
| title_sort | immature type ii dens invaginatus in a mandibular lateral incisor with talon s cusp a clinical dilemma to confront |
| url | http://dx.doi.org/10.1155/2014/826294 |
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