Iranian Endodontic Journal

Vol. 16 No. 1 (2021)

Nonsurgical Treatment of Unusual Dens Invaginatus with MTA Based Filler in Immature Maxillary Lateral Incisor: A Case Report

Iranian Endodontic Journal, Vol. 16 No. 1 (2021), 1 January 2021 , Page 60-64
https://doi.org/10.22037/iej.v16i1.30581

Abstract

Dens invaginatus (DI) is a dental anomaly associated with complex internal anatomy. Our article discusses an unusual maxillary lateral incisor with two DI. The treatment was planned and performed using cone-beam computed tomographic (CBCT) imaging. During clinical and radiographic evaluations, tooth #7 was diagnosed with DI and pulp necrosis with asymptomatic apical abscess. Periapical radiographs of the tooth showed 2 roots and complex internal anatomy. CBCT evaluation revealed tooth #7 had 2 separate cul-de-sacs (that separate the main canal into four portions). Root canal treatment was completed in 2 visits. The tooth was obturated with EndoSeal MTA. At the 6-month re-evaluation, the patient remained asymptomatic and his tooth had remained functional. Clinical and radiographic examination showed tooth #7 had no sensitivity to percussion or palpation, probe depths within normal limits (#3 mm), no mobility and continued improvement of periapical lesion, despite the commencement of orthodontic Rx 3months previous. Radiographic assessment at the one-year follow up showed significant osseous healing of the preoperative lesion even after the orthodontic forces.

Keywords:
  • Cone-Beam Computed Tomography; Dens Invaginatus; Dental Operating Microscope; Root Canal Anatomy

How to Cite

1.
Moazami F, Sobhnamayan F, Malekzadeh P, Naseri M. Nonsurgical Treatment of Unusual Dens Invaginatus with MTA Based Filler in Immature Maxillary Lateral Incisor: A Case Report. Iran Endod J [Internet]. 2021 Jan. 1 [cited 2026 Jul. 8];16(1):60-4. Available from: https://journals.sbmu.ac.ir/iej/article/view/30581

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