A rare case of dens evaginatus and dens invaginatus in the same tooth, with a review of treatment options. 2011

C M Marya, and V Parashar, and S Grover, and V Dahiya
Community College, Sudha Rustagi College of Dental Sciences and Research, Faridabad, Haryana, India.

Dens evaginatus (DE) and dens invaginatus (DI) are rare developmental anomalies of tooth formation. These variations in odontogenesis have been individually observed and reported in the literature. This report describes the radiographic appearance and management of a 16-year-old boy who came to the clinic with a rare occurrence of both DE and DI in the same tooth and examines the criteria used in identifying and classifying such anomalies. This report also discusses the importance of early identification and efficient management of dental anomalies, which can prevent irreversible pulpal pathology that requires endodontic therapy or tooth loss.

UI MeSH Term Description Entries
D007180 Incisor Any of the eight frontal teeth (four maxillary and four mandibular) having a sharp incisal edge for cutting food and a single root, which occurs in man both as a deciduous and a permanent tooth. (Jablonski, Dictionary of Dentistry, 1992, p820) Incisors
D008297 Male Males
D011859 Radiography Examination of any part of the body for diagnostic purposes by means of X-RAYS or GAMMA RAYS, recording the image on a sensitized surface (such as photographic film). Radiology, Diagnostic X-Ray,Roentgenography,X-Ray, Diagnostic,Diagnostic X-Ray,Diagnostic X-Ray Radiology,X-Ray Radiology, Diagnostic,Diagnostic X Ray,Diagnostic X Ray Radiology,Diagnostic X-Rays,Radiology, Diagnostic X Ray,X Ray Radiology, Diagnostic,X Ray, Diagnostic,X-Rays, Diagnostic
D003719 Dens in Dente Anomaly of the tooth, found chiefly in upper lateral incisors. It is characterized by invagination of the enamel at the incisal edge. Dens in Dentes,Dente, Dens in,Dentes, Dens in,in Dente, Dens,in Dentes, Dens
D003743 Dental Enamel A hard thin translucent layer of calcified substance which envelops and protects the dentin of the crown of the tooth. It is the hardest substance in the body and is almost entirely composed of calcium salts. Under the microscope, it is composed of thin rods (enamel prisms) held together by cementing substance, and surrounded by an enamel sheath. (From Jablonski, Dictionary of Dentistry, 1992, p286) Enamel,Enamel Cuticle,Dental Enamels,Enamel, Dental,Enamels, Dental,Cuticle, Enamel,Cuticles, Enamel,Enamel Cuticles,Enamels
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000293 Adolescent A person 13 to 18 years of age. Adolescence,Youth,Adolescents,Adolescents, Female,Adolescents, Male,Teenagers,Teens,Adolescent, Female,Adolescent, Male,Female Adolescent,Female Adolescents,Male Adolescent,Male Adolescents,Teen,Teenager,Youths
D019228 Tooth Crown The upper part of the tooth, which joins the lower part of the tooth (TOOTH ROOT) at the cervix (TOOTH CERVIX) at a line called the cementoenamel junction. The entire surface of the crown is covered with enamel which is thicker at the extremity and becomes progressively thinner toward the cervix. (From Jablonski, Dictionary of Dentistry, 1992, p216) Crown, Tooth,Crowns, Tooth,Tooth Crowns
D019237 Tooth Cervix The constricted part of the tooth at the junction of the crown and root or roots. It is often referred to as the cementoenamel junction (CEJ), the line at which the cementum covering the root of a tooth and the enamel of the tooth meet. (Jablonski, Dictionary of Dentistry, 1992, p530, p433) CEJ,Cementoenamel Junction,Cervix Dentis,Cementoenamel Junctions,Cervix, Tooth,Junction, Cementoenamel,Junctions, Cementoenamel

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