Endodontic management considerations for Type III dens invaginatus based on anatomical characteristics: A case series

Author:

Wang Jia1ORCID,Niu Chenguang1,Zhang Pengfei1,Ran Shujun1,Huang Zhengwei1

Affiliation:

1. 1. Department of Endodontics and Operative Dentistry Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine; College of Stomatology, Shanghai Jiao Tong University; National Center for Stomatology; National Clinical Research Center for Oral Diseases; Shanghai Key Laboratory of Stomatology; Shanghai Research Institute of Stomatology Shanghai China

Abstract

AbstractDens invaginatus (DI) is a developmental anomaly of the teeth characterised by the in‐folding of the enamel into the dentin. Oehlers' Type III DI is the most serious form, in which the inherently invaginated channels communicate with periodontal and dental pulp tissue, increasing the risk of bacterial contamination. However, varying and complex anatomical features make diagnosis and treatment challenging. Conventional endodontic therapies promote healing by avoiding unnecessary interventions (e.g., surgical or other invasive treatments). Radiographic examination can reveal the structural details of such malformations. We obtained multiple procedural details for treating Type III DI based on radiographic analyses from our clinical experience. In addition, we introduce a new classification strategy for the management of Type III DI that is more applicable to treatment needs. This study aimed to discuss the anatomical features and current treatment considerations of Type III DI.

Funder

Science and Technology Commission of Shanghai Municipality

Shanghai Municipal Hospital Development Center

Publisher

Wiley

Reference26 articles.

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