E-ISSN 2548-0839
Demystifying Dens Invaginatus: Suggested Modification of the Classification based on a Comprehensive Case Series [Eur Endod J]
Eur Endod J. 2022; 7(1): 73-80 | DOI: 10.14744/eej.2021.48303

Demystifying Dens Invaginatus: Suggested Modification of the Classification based on a Comprehensive Case Series

Selvakumar Kritika1, Sweta Surana Bhandari2, Gergely Benyöcs3, Paula Andrea Villa Machado4, Nirmala Bishnoi5, Felipe Augusto Restrepo Restrepo4, Kittappa Karthikeyan1, Ida Ataide6, Sekar Mahalaxmi1
1Department of Conservative Dentistry and Endodontics, SRM Dental College, Ramapuram, SRM Institute of Science & Technology, Tamil Nadu, India
2Private Practitioner, Smile Dental Clinic, Muscat, Oman
3Private Practitioner, Precedent Dental Office, Budapest, Hungary
4POPCAD Research Group, Laboratory of Immunodetection and Bioanalysis, University of Antioquia, Faculty of Dentistry, Medellín, Colombia
5Department of Conservative Dentistry and Endodontics, Vyas Dental College and Hospital, Rajasthan, India
6Department of Conservative Dentistry and Endodontics, Goa Dental College and Hospital, Goa, India

Dens invaginatus (DI) is one of the most common developmental anomalies observed in maxillary lateral incisors. An early diagnosis requires thorough clinical knowledge, advanced radiographic evaluation as well as the use of cone beam computed tomography (CBCT) and dental operating microscope (DOM), dictates the successful endodontic management of such teeth. A total of 7 cases with (DI) in maxillary lateral incisors were collected from dental practitioners worldwide, analysed and reported in the present case series. Our aim was to analyse and understand the various morphological patterns of DI in maxillary lateral incisors with their varied treatment protocols employed worldwide. This article illustrates the aberrant morphological patterns and the diverse treatment protocols followed by the clinicians worldwide. The use of biomaterials enhances post-operative healing. Further, a modification in the existing classification has been proposed in this report which would enable the clinicians to easily diagnose, categorise and effectively manage DI. The different treatment protocols employed for the management of DI has been discussed and the use of CBCT and DOM in identifying and managing the anatomical variation of DI were emphasised. (EEJ-2021-03-054)

Keywords: Anatomy, CBCT, classification, dens invaginatus, maxillary lateral incisor, periapical lesion

Selvakumar Kritika, Sweta Surana Bhandari, Gergely Benyöcs, Paula Andrea Villa Machado, Nirmala Bishnoi, Felipe Augusto Restrepo Restrepo, Kittappa Karthikeyan, Ida Ataide, Sekar Mahalaxmi. Demystifying Dens Invaginatus: Suggested Modification of the Classification based on a Comprehensive Case Series. Eur Endod J. 2022; 7(1): 73-80

Corresponding Author: Sekar Mahalaxmi
Manuscript Language: English
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