Journal of Conservative Dentistry
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CASE REPORT
Year : 2018  |  Volume : 21  |  Issue : 1  |  Page : 109-113

Dens invaginatus with necrotic pulp in a right maxillary lateral incisor with preserved vitality


Multidisciplinary Department of Medical-Surgical and Dental Specialities, Second University of Naples, Naples, Italy

Correspondence Address:
Prof. Lanza Alessandro
Multidisciplinary Department of Medical-Surgical and Dental Specialities, Second University of Naples, Via Luigi de Crecchio, 6, NA 80138
Italy
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/JCD.JCD_72_17

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Dens invaginatus (DI) is a dental malformation occurring in several morphologic types. Consequently, treatment of teeth affected by DI can get complicated because of the complex root canal anatomy. The aim is to describe how to manage a rare report of a DI with necrotic pulp held within the vital pulp of a maxillary lateral incisor. Oral fistula was found on the buccal mucosa of the apex of the vital maxillary lateral incisor with a DI having necrotic pulp. Endodontic treatment of the maxillary lateral incisor and of the tract canal of DI was realized. Clinical disappearance of oral sinus tract was observed after 10 days. On the contrary, the disappearance of radiolucent area occurred after 6 months. A proper and prompt diagnosis is necessary to carry out effective prevention protocols or prevent consequences generating nonrecoverable endo-perio diseases.


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