Endodontic treatment of dens invaginatus with periapical lesion

Authors

  • Selma Jakupović Department of Restorative Dentistry and Endodontics, Faculty of Dentistry with Clinics, University of Sarajevo, Sarajevo, Bosnia and Herzegovina
  • Anita Bajsman Department of Dental Morphology with Dental Anthropology and Forensics, Faculty of Dentistry with Clinics, University of Sarajevo, Sarajevo, Bosnia and Herzegovina https://orcid.org/0000-0002-0797-9720
  • Amra Vuković Department of Dental Morphology with Dental Anthropology and Forensics, Faculty of Dentistry with Clinics, University of Sarajevo, Sarajevo, Bosnia and Herzegovina
  • Adnan Šehić Department of Radiology Technologies, Faculty of Health Studies, University of Sarajevo, Sarajevo, Bosnia and Herzegovina https://orcid.org/0000-0003-2960-3801
  • Meris Jušić PhD student, Faculty of Health Studies, University of Sarajevo, Sarajevo, Bosnia and Herzegovina https://orcid.org/0000-0002-6554-8320
  • Amela Sofić Department of Dental Radiology, Faculty of Dentistry with Clinics, University of Sarajevo, Sarajevo, Bosnia and Herzegovina
  • Fuad Julardžija Department of Radiology Technologies, Faculty of Health Studies, University of Sarajevo, Sarajevo, Bosnia and Herzegovina https://orcid.org/0000-0001-7290-8964

DOI:

https://doi.org/10.17532/jhsci.2022.1756

Keywords:

dens invaginatus, dens in dente, endodontic treatment

Abstract

Dens invaginatus or dens in dente represent anomaly of the developing tooth due to invagination of the enamel organ into the dental papilla. Dens invaginatus is usually diagnosed by standard radiological methods (RVG, OPG, and 3DCBCT). Clinical examination may reveal a mottled, dilated or conical shape of the crown. Endodontic treatment of dens invaginatus can be difficult and complex due to the deviated anatomy. This report describes the successful endodontic treatment of a maxillary lateral incisor that had dens invaginatus and a large periapical lesion. Clinical examination in a 30-year-old patient revealed an acute periapical abscess, and a dens invaginatus type II was diagnosed after radiography. Due to the existing anatomy, endodontic treatment of the main canal was performed through two access cavities, which enabled chemo-mechanical treatment and access to all parts of the root canal. The canal of the invaginated tooth was treated through the third access cavity.

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Published

2022-05-24

How to Cite

Jakupović, S., Bajsman, A., Vuković, A. ., Šehić, A., Jušić, M., Sofić, A., & Julardžija, F. (2022). Endodontic treatment of dens invaginatus with periapical lesion . Journal of Health Sciences. https://doi.org/10.17532/jhsci.2022.1756

Issue

Section

Case reports