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CASE REPORT
Year : 2013  |  Volume : 3  |  Issue : 2  |  Page : 703-705

Concomitant occurrence of Dens invaginatus and evaginatus : A rare case report


Senior Astt. Professor, Dept. of Pedodontics, Dr HSJIDS, Sector 25, Punjab University, Chandigarh 160019, India

Correspondence Address:
Dr. Archna Agnihotri
Senior Astt. Professor, Dept. of Pedodontics, Dr HSJIDS, Sector 25, Punjab University, Chandigarh 160019
India
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Source of Support: None, Conflict of Interest: None


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Introduction: Dens Evaginatus (DE) and Dens invaginatus (Di) are rare developmental dental anomalies. DE Is referred to as Talon's cusp in the anterior teeth and Leong's premolar in the premolar teeth. Concurrence of Di with this rare anomaly within the same tooth is a rarity. Case Report: Fourteen year male child reported with malaligned teeth and carious maxillary left central incisor tooth. Radiographs revealed the presence of dens invaginatus (Oeheler's Type 1) which clinically presented as dens evaginatus (Talons cusp type 1). Grinding of the talons cusp to remove the occlusal interference, remove the carious lesion and preservation of dens invaginatus to maintain the strength of the crown was done. Tooth remained asymptomatic at two years follow up. Discussion: Comprehensive clinical and radiographic examinations are essential to identify tooth anomalies. The early diagnosis can then result in the appropriate prophylactic treatment being performed, which can prevent irreversible pulpal pathology that requires endodontic therapy or tooth loss. Conclusion: An association of Di with this rare anomaly within the same tooth has never been reported before in maxillary central incisor. Since it is known that DE may be composed of normal enamel and dentine, as well as varying amounts of pulpal tissue, care should be exercised while performing any aesthetic procedures to remove or recontour it.


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