A Surgical and Non-Surgical EndodonticTreatment for Dens in Dente Type II in Maxillary Lateral Incisor with Chronic Periodontitis: Case Report.
Dens in Dente with Chronic Periodontitis.
Abstract
Dens in dente is an uncommon developmental tooth case called dens invaginatus or dilated odontoma, which originates through invagination of the enamel organ into the dental papilla, the most common tooth to occur dens in dente is maxillary lateral incisor. Dens in Dente is often accompanied by necrotic pulp and periapical lesion. Also, impacted teeth are one of the reasons for the odontogenic cysts and tumors. Dentigerous cyst one of the types of odontogenic cyst occurs in association with an unerupted tooth, most commonly mandibular third molars. Other common associations are with, maxillary canines, and mandibular second premolars. This report discusses dens in dente case in maxillary lateral incisor and impacted maxillary canine teeth with extended periodontitis and treatment it by combining with root canal treatment and surgical treatment.
1. Alani A, Bishop K. Dens invaginatus. Part 1: classification, prevalence and aetiology. Int Endod J. 2008 Dec;41(12):1123-36.
2. Gündüz K, Çelenk P, Canger EM, Zengin Z, Sümer P. A retrospective study of the prevalence and characteristics of dens invaginatus in a sample of the Turkish population. Med Oral Patol Oral Cir Bucal. 2013 Jan 1;18(1):e27-32.
3. Hülsmann M. Dens invaginatus: aetiology, classification, prevalence, diagnosis, and treatment considerations. Int Endod J. 1997 Mar;30(2):79-90.
4. Kronfeld R. Dens in dente. J Dent Res. 1934 Feb;14(1):49-66.
5. Omnell KA, Swanbeck G, Lindahl B. Dens invaginatus II. A microradiographical, histological and micro X-ray diffraction study. Acta Odontologica Scandinavica. 1960 Jan 1;18(3):303-30.
6. Oehlers FAC. Dens invaginatus (dilated composite odontome). Oral Surg Oral Med Oral Pathol 1957 Nov;10(11):1204-18.
7. de Sousa SM, Bramante CM. Dens invaginatus: treatment choices. Endod Dent Traumatol. 1998 Aug;14(4):152-8.
8. Kusukawa J, Irie K, Morimatsu M, Koyanagi S, Kameyama T. Dentigerous cyst associated with a deciduous tooth. A case report. Oral Surg Oral Med Oral Pathol. 1992 Apr;73(4):415-8.
9. Siqueira Jr JF. Pulpal infections, including caries. Seltzer and Bender's Dental Pulp. Quintessence Publishing, Chicago, 2012:205-39.
10. Mehrazarin S, Alshaikh A, Kang MK. Molecular Mechanisms of Apical Periodontitis: Emerging Role of Epigenetic Regulators. Dent Clin North Am. 2017 Jan;61(1):17-35.
11. JAHANI, MOGHADAM FATEMEH, and Reihaneh Hosseinifar. "Case Report: Simultaneous presence of primary and permanent teeth." 2015 Aug;12(3):145-7.
12. Tahmassebi JF, Day PF, Toumba KJ, Andreadis GA. Paediatric dentistry in the new millennium: 6. Dental anomalies in children. Dent Update. 2003 Dec;30(10):534-40.
13. Kapdan A, Kustarci A, Buldur B, Arslan D, Kapdan A. Dental anomalies in the primary dentition of Turkish children. Eur J Dent. 2012 Apr;6(2):178-83.
14. Guttal KS, Naikmasur VG, Bhargava P, Bathi RJ. Frequency of developmental dental anomalies in the Indian population. Eur J Dent. 2010 Jul;4(3):263-9.
15. Mupparapu M, Singer SR. A rare presentation of dens invaginatus in a mandibular lateral incisor occurring concurrently with bilateral maxillary dens invaginatus: case report and review of literature. Aust Dent J. 2004 Jun;49(2):90-3.
16. Litsas G, Acar A. A review of early displaced maxillary canines: etiology, diagnosis and interceptive treatment. Open Dent J. 2011 Mar 16;5:39-47.
17. Becker, A. (2022). Orthodontic treatment of impacted teeth. John Wiley & Sons.
18. Peck S, Peck L, Kataja M. The palatally displaced canine as a dental anomaly of genetic origin. Angle Orthod. 1994 Aug;64(4):249-56.
19 Baccetti T. A controlled study of associated dental anomalies. Angle Orthod. 1998 Jun;68(3):267-74.
20. Lejri W, Kallel I, Marwen O, Douki N. Diagnostic and therapeutic approach in dens in dente. Endodont. 2016 Dec; 28(2):192-8.
21. WG Sh. A Text Book of Oral Pathology. Cherubism, 1983:699-702.
22. Farah, C. S., and N. W. Savage. "Pericoronal radiolucencies and the significance of early detection." Australian dental journal. 2002 Sep;47(3):262-5.
23. Omnell KA, Rohlin M. Case challenge. Chronic maxillary inflammation. J Contemp Dent Pract. 2000 Feb 15;1(2):100-5.
24. Kozelj V, Sotosek B. Inflammatory dentigerous cysts of children treated by tooth extraction and decompression--report of four cases. Br Dent J. 1999 Dec 11;187(11):587-90.
25. Zhang Y, Song WB, Fu S, Li HX, Wan CY. [Dens in dente: report of 3 cases and review of the literature]. Shanghai Kou Qiang Yi Xue. 2019 April;28(2):191-5.
2. Gündüz K, Çelenk P, Canger EM, Zengin Z, Sümer P. A retrospective study of the prevalence and characteristics of dens invaginatus in a sample of the Turkish population. Med Oral Patol Oral Cir Bucal. 2013 Jan 1;18(1):e27-32.
3. Hülsmann M. Dens invaginatus: aetiology, classification, prevalence, diagnosis, and treatment considerations. Int Endod J. 1997 Mar;30(2):79-90.
4. Kronfeld R. Dens in dente. J Dent Res. 1934 Feb;14(1):49-66.
5. Omnell KA, Swanbeck G, Lindahl B. Dens invaginatus II. A microradiographical, histological and micro X-ray diffraction study. Acta Odontologica Scandinavica. 1960 Jan 1;18(3):303-30.
6. Oehlers FAC. Dens invaginatus (dilated composite odontome). Oral Surg Oral Med Oral Pathol 1957 Nov;10(11):1204-18.
7. de Sousa SM, Bramante CM. Dens invaginatus: treatment choices. Endod Dent Traumatol. 1998 Aug;14(4):152-8.
8. Kusukawa J, Irie K, Morimatsu M, Koyanagi S, Kameyama T. Dentigerous cyst associated with a deciduous tooth. A case report. Oral Surg Oral Med Oral Pathol. 1992 Apr;73(4):415-8.
9. Siqueira Jr JF. Pulpal infections, including caries. Seltzer and Bender's Dental Pulp. Quintessence Publishing, Chicago, 2012:205-39.
10. Mehrazarin S, Alshaikh A, Kang MK. Molecular Mechanisms of Apical Periodontitis: Emerging Role of Epigenetic Regulators. Dent Clin North Am. 2017 Jan;61(1):17-35.
11. JAHANI, MOGHADAM FATEMEH, and Reihaneh Hosseinifar. "Case Report: Simultaneous presence of primary and permanent teeth." 2015 Aug;12(3):145-7.
12. Tahmassebi JF, Day PF, Toumba KJ, Andreadis GA. Paediatric dentistry in the new millennium: 6. Dental anomalies in children. Dent Update. 2003 Dec;30(10):534-40.
13. Kapdan A, Kustarci A, Buldur B, Arslan D, Kapdan A. Dental anomalies in the primary dentition of Turkish children. Eur J Dent. 2012 Apr;6(2):178-83.
14. Guttal KS, Naikmasur VG, Bhargava P, Bathi RJ. Frequency of developmental dental anomalies in the Indian population. Eur J Dent. 2010 Jul;4(3):263-9.
15. Mupparapu M, Singer SR. A rare presentation of dens invaginatus in a mandibular lateral incisor occurring concurrently with bilateral maxillary dens invaginatus: case report and review of literature. Aust Dent J. 2004 Jun;49(2):90-3.
16. Litsas G, Acar A. A review of early displaced maxillary canines: etiology, diagnosis and interceptive treatment. Open Dent J. 2011 Mar 16;5:39-47.
17. Becker, A. (2022). Orthodontic treatment of impacted teeth. John Wiley & Sons.
18. Peck S, Peck L, Kataja M. The palatally displaced canine as a dental anomaly of genetic origin. Angle Orthod. 1994 Aug;64(4):249-56.
19 Baccetti T. A controlled study of associated dental anomalies. Angle Orthod. 1998 Jun;68(3):267-74.
20. Lejri W, Kallel I, Marwen O, Douki N. Diagnostic and therapeutic approach in dens in dente. Endodont. 2016 Dec; 28(2):192-8.
21. WG Sh. A Text Book of Oral Pathology. Cherubism, 1983:699-702.
22. Farah, C. S., and N. W. Savage. "Pericoronal radiolucencies and the significance of early detection." Australian dental journal. 2002 Sep;47(3):262-5.
23. Omnell KA, Rohlin M. Case challenge. Chronic maxillary inflammation. J Contemp Dent Pract. 2000 Feb 15;1(2):100-5.
24. Kozelj V, Sotosek B. Inflammatory dentigerous cysts of children treated by tooth extraction and decompression--report of four cases. Br Dent J. 1999 Dec 11;187(11):587-90.
25. Zhang Y, Song WB, Fu S, Li HX, Wan CY. [Dens in dente: report of 3 cases and review of the literature]. Shanghai Kou Qiang Yi Xue. 2019 April;28(2):191-5.
| Issue | Vol 22 (Continuously Published Article-Based) | |
| Section | Case Report | |
| DOI | https://doi.org/10.18502/fid.v22i25.19202 | |
| Keywords | ||
| Dens in Dente Tooth Impacted Cuspid Maxilla Incisor Odontogenic Cysts | ||
| Rights and permissions | |
|
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Zaatari W, Tarakji M, Ayoubi H. A Surgical and Non-Surgical EndodonticTreatment for Dens in Dente Type II in Maxillary Lateral Incisor with Chronic Periodontitis: Case Report. Front Dent. 2025;22.
