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Dens invaginatus (DI) represents a structural defect in the tooth, resulting from invagination of enamel organ into the dental papilla. This rare anomaly, which often goes unnoticed during a clinical examination, is a risk factor for the development of carious lesions and consequently pulpopathies. The knowledge of this type of lesions allows to ensure early diagnosis and thus avoid any complications.

This article represents a case report of dens invaginatus along with a literature review regarding etiology, classification, clinical appearance, and diagnosis. It provides also guidelines for decision-making and treatment of invaginated teeth

References

  1. Chaturvedula B, Arvind M, Aarthi B, Jonathan S,Badri T.Dens Invaginatus: A Review and Orthodontic Implications. British Dental Journal, 2021; 230(6):345‑50. DOI: 10.1038/s41415-021-2721-9.
     Google Scholar
  2. Memis S, Zubeyir B. Multiple Dens Invaginatus in Wilson’s Disease: A Case Report. Australian Endodontic Journal, 2021;47(3):679‑83. DOI: 10.1111/aej.12522.
     Google Scholar
  3. Gallacher A, Ali R, Bhakta S. Dens Invaginatus: Diagnosis and Management Strategies. British Dental Journal, 2016;221(7):383‑87. DOI: 10.1038/sj.bdj.2016.724.
     Google Scholar
  4. Ickow M., Steven Z, Matthew J, Brian M, Joseph E, Alene A, Jane S, Lindsay A. S. Dens Invaginatus in Patients with Cleft Lip and Palate: A Case Series. The Cleft Palate-Craniofacial Journal, 2021;58(11):1452‑58. DOI: 10.1177/1055665621998534.
     Google Scholar
  5. Rushton MA. Invaginated teeth (dens in dente): contents of the invagination. Oral Surg Oral Med Oral Pathol. 1958 Dec;11(12):1378-87.
     Google Scholar
  6. Kronfeld R. Dens in Dente. Journal of Dental Research. 1934;14(1):49-66.
     Google Scholar
  7. Bruszt P. Uber die Entstehung des Dens in dente [Etiology of dens in dente]. SSO Schweiz Monatsschr Zahnheilkd. 1950 Jun;60(6):534-42.
     Google Scholar
  8. Atkinson SR. The permanent maxillary lateral incisor. American Journal of Orthodontics and Oral Surgery. 1943;29(12):685-698.
     Google Scholar
  9. Fischer CH. To the question of the dens in dente. Dtsch tooth mouth Kieferheilkd. 1936; 3:621–34.
     Google Scholar
  10. Sprawson EC. Odontomes. Br Dent J. 1937; 62:177-201.
     Google Scholar
  11. Gustafson G and Sundberg S/ Dens in Dente. Brit. D. J. 1950;88:83, 1.1.1, 144.
     Google Scholar
  12. Grahnen H, Lindahl B, Omnell KA. Dens invaginatus. I. A clinical, roentgenological and genetical study of permanent upper lateral incisors. Odont. Rev. 1959;10: 115-137.
     Google Scholar
  13. Casamassimo PS, Nowak AJ, Ettinger RL, Schlenker DJ. An unusual triad: Microdontia, taurodontia, and dens invaginatus. Oral Surg Oral Med Oral Pathol. 1978;45:107-12.
     Google Scholar
  14. Ireland EJ, Black JP, Scures CC. Short roots, taurodontia and multiple dens invaginatus. J Pedod. 1987;11(2):164-75.
     Google Scholar
  15. Hülsmann M. Dens Invaginatus: Aetiology, Classification, Prevalence, Diagnosis, and Treatment Considerations. International Endodontic Journal, 1997;30(2):79‑90. DOI: 10.1046/j.1365-2591.1997. 00065.x.
     Google Scholar
  16. Thakur S, Narbir S, Manmohan B, Mohit G. Dens Invagination: A Review of Literature and Report of Two Cases. Journal of Natural Science, Biology and Medicine, 2014;5 (1):218. DOI: 10.4103/0976-9668.127341.
     Google Scholar
  17. 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;10:1204-18. DOI: 10.1016/0030-4220(57)90077-4.
     Google Scholar
  18. Dembinskaite A, Rita V, Vita M. Successful Treatment of Dens Invaginatus Type 3 with Infected Invagination, Vital Pulp, and Cystic Lession: A Case Report. Clinical Case Reports, 2018;6(8):1565‑70. DOI: 10.1002/ccr3.1647.
     Google Scholar
  19. Zhu J, X Wang, Y Fang, Jw Von den Hoff, L Meng. An Update on the Diagnosis and Treatment of Dens Invaginatus. Australian Dental Journal, 2017;62 (3):261‑75. DOI: 10.1111/adj.12513.
     Google Scholar
  20. Hille R, Jung M, Franziska A. Dens Invaginatus Type II: Case Report with 2-Year Radiographic Follow-Up. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology, 2006; 02(4):121‑25. DOI: 10.1016/j.tripleo.2005.10.064.
     Google Scholar
  21. Bishop K., Alani A. Dens Invaginatus. Part 2: Clinical, Radiographic Features and Management Options. International Endodontic Journal, 2008;41(12):1137‑54.
     Google Scholar
  22. Patel S. The Use of Cone Beam Computed Tomography in the Conservative Management of Dens Invaginatus: A Case Report. International Endodontic Journal, 2010;43(8):707‑13. DOI: 10.1111/j.1365-2591.2008. 01469.x.
     Google Scholar
  23. Abduljabbar F, Aljehani M, Alghamdi A. Anatomical Modification for Dens Invaginatus Treatment: A Literature Review and a Case Report. Journal of International Oral Health, 2015;7(12):119-125.
     Google Scholar
  24. Ridell, K, Mejàre I, Matsson L. Dens Invaginatus: A Retrospective Study of Prophylactic Invagination Treatment. International Journal of Paediatric Dentistry, 2008;11(2):92‑97. DOI: 10.1046/j.1365-263x.2001. 00234.x.
     Google Scholar
  25. Kfir A, Telishevsky Y, Leitner A, Metzger Z. The Diagnosis and Conservative Treatment of a Complex Type 3 Dens Invaginatus Using Cone Beam Computed Tomography (CBCT) and 3D Plastic Models. International Endodontic Journal, 2013;46(3):275‑88. DOI: 10.1111/iej.12013.
     Google Scholar
  26. Lejri W, Ines K, Omar M, Nabiha D. Diagnostic and Therapeutic Approach in Dens in Dente. Endodontology, 2016;28(2):192.
     Google Scholar
  27. Tamfelj I, Kansky A, Gaspersic D. Unusual variant of type 3 dens invaginatus in a maxillary canine: a rare case report. J Endod, 2007;33:64-8. DOI: 10.1016/j.joen.2006.06.010.
     Google Scholar
  28. Baumagart M, Hanni S, Suter B. Dent invaginée (dens invaginatus). Rev Mens Suisse Odontostomatol 2009;119(7).
     Google Scholar
  29. Sousa SM, Bramante CM. Dens Invaginatus: Treatment Choices. Dental Traumatology, 2007;14(4):152‑58. DOI: 10.1111/j.1600-9657. 1998.tb00830.x.
     Google Scholar


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