Dens invaginatus. Part 2: clinical, radiographic features and management options

• Published in: International endodontic journal Vol. 41; no. 12; pp. 1137 - 1154
• Main Authors: Bishop, K., Alani, A.
• Format: Journal Article
• Language: English
• Published: Oxford, UK Blackwell Publishing Ltd 01-12-2008
• Subjects: dens in dente; Dens in Dente - diagnosis; Dens in Dente - diagnostic imaging; Dens in Dente - therapy; dens invaginatus; Dental Pulp Diseases - therapy; Dentistry; Diagnosis, Differential; Humans; microscopy; mineral trioxide aggregate; Patient Care Planning; Radiography; Root Canal Therapy; root canal treatment; Tooth Abnormalities - diagnosis
• ISSN: 0143-2885; 1365-2591
• DOI: 10.1111/j.1365-2591.2008.01469.x

Aim  To describe the possible clinical and radiographic features of this developmental anomaly, review previous treatment recommendations and suggest management options based on the classification of the problem.
Summary  This paper describes the clinical and radiographic features related to the different types of dens invaginatus and highlights those features which may indicate the presence of a previously undetected invagination. Aids to clinical diagnosis are described together with a description of the possible radiographic features, which may suggest the presence of an invagination. Previous treatment suggestions are described and suggestions as to possible management options, based on current endodontic knowledge and the classification of the problems are described.
Key learning points • Thorough clinical and radiographic examination is required to diagnose and successfully treat minor to severe invaginations.
• Modern clinical techniques may facilitate the management of invaginations once considered untreatable.