Effective Management of Dens in Dente: A Case Report

Abstract

Dens Invaginatus (DI) is caused by the enamel organ invagination of the tooth papilla during odontogenesis. When viewed radiographically, DI typically appears as a radiolucent invagination that is either restricted to the dental crown or extends into the root and is encircled by radiopaque enamel. The invagination can hold onto saliva, food particles, and bacteria since it is exposed to the mouth cavity. Bacterial cells and products can infiltrate from the invagination through the dentin tubules to reach the pulp and can eventually cause infectious complications. Because of the anatomic intricacy of dens invaginatus, endodontic care of these teeth can be challenging. The endodontic implications of this aberration are discussed in this study, along with the current treatment recommendations that take into account anatomical, pathological, and technological factors. This article aimed to clarify the diagnostic steps and treatment options and to provide dental practitioners with valuable insights and recommendations when handling similar cases in their clinical settings.