Diagnosis and management of a maxillary lateral incisor exhibiting dens invaginatus and dens evaginatus

Rare variant of dens invaginatus with accessory root and labial talon cusp in maxillary lateral incisor-Case report

Dens invaginatus (DI) often causes dysmorphic changes in both the crown and root. This case report presents a complicated type 3a DI in a maxillary lateral incisor with labial talon cusp and root bifurcation. Although lingual talon cusp is common in maxillary lateral incisor, labial talon cusp is rare. An auxiliary palatal root in maxillary lateral incisor is also unusual. No such case involving all three variations has been described in the literature. The DI was classified as type B4 according to Schulze and Brand, as it involved division of pulp and root. DI was managed by orthograde MTA, radisectomy and periodontal regeneration was done for the palatal root. Labial talon associated with DI and can lead to early periodontal/pulpal involvement. Type 3 DI can affect the root with marked dilatation and division. Additional palatal root should be carefully detected in type 3a DI and managed with the aid of CBCT.

Cooccurrence of Talon’s Cusp with Dens Invaginatus in the Maxillary Lateral Incisor: A Case Report with Review of Literature

Morphogenic developmental anomalies are common in maxillary lateral incisors, but simultaneous occurrence of two developmental anomalies in a single tooth is relatively uncommon. In this case report, we present a case of cooccurrence of the talon's cusp with dens invaginatus in the left lateral incisor tooth. Early diagnosis and prompt treatment of such cases are important to prevent any untoward consequences.

Conservative management of Type II dens invaginatus with guided endodontic approach: A case series

Dens invaginatus (DI) is one of the rare malformations of teeth which results from an infolding of the dental papilla during the development of teeth. This defect gives rise to a possible communication between the pulp and oral environment, thereby increasing the susceptibility to caries, pulpitis, and pulp necrosis. Thus, early detection and conservative management of this invaginatus is of utmost importance. The present case series describes a conservative endodontic treatment technique for the management of teeth with Type II DI using a guided endodontic approach with three-dimensional printed surgical stents. This technique provides a precise and minimally invasive approach in the conservative management of DI, without compromising the vitality of main pulpal tissue.