Open Access Open Access  Restricted Access Subscription Access

Management of Oehler’s Type III Dens Invaginatus Using Cone Beam Computed Tomography


Affiliations
1 Department of Conservative Dentistry and Endodontics, Priyadarshini Dental College & Hospital, Pandur, Thiruvallur, Chennai 631203, India
 

Dens Invaginatus is a dental malformation that poses diagnostic difficulties in the clinical context. This anomaly may increase the risk of pulp disease and can potentially complicate endodontic procedure due to the aberrant root canal anatomy. Compared to conventional radiographs, three-dimensional images obtained with Cone Beam Computed Tomography (CBCT) are invaluable in the diagnosis of the extent of this anomaly and in the appropriate treatment planning. Oehler's classification (1957) for Dens Invaginatus (DI) into three types depending on the depth of the invagination has been used for treatment planning. Of the three types Type III DI is characterized by infolding of the enamel into the tooth up to the root apex and is considered as the most severe variant of DI and hence the most challenging to treat endodontically, due to the morphological complexities.This report describes a case of Oehler's Type IIIDI in a necrotic permanentmaxillary lateral incisor inwhichCBCT images played a key role in diagnosis and treatment planning. The case wasmanaged successfully by a combination of nonsurgical and surgical endodontic therapy with orthograde and retrograde thermoplastic gutta percha obturation.
User
Notifications
Font Size

Abstract Views: 93

PDF Views: 0




  • Management of Oehler’s Type III Dens Invaginatus Using Cone Beam Computed Tomography

Abstract Views: 93  |  PDF Views: 0

Authors

Jaya Ranganathan
Department of Conservative Dentistry and Endodontics, Priyadarshini Dental College & Hospital, Pandur, Thiruvallur, Chennai 631203, India
Mohan Kumar Rangarajan Sundaresan
Department of Conservative Dentistry and Endodontics, Priyadarshini Dental College & Hospital, Pandur, Thiruvallur, Chennai 631203, India
Srinivasan Ramasamy
Department of Conservative Dentistry and Endodontics, Priyadarshini Dental College & Hospital, Pandur, Thiruvallur, Chennai 631203, India

Abstract


Dens Invaginatus is a dental malformation that poses diagnostic difficulties in the clinical context. This anomaly may increase the risk of pulp disease and can potentially complicate endodontic procedure due to the aberrant root canal anatomy. Compared to conventional radiographs, three-dimensional images obtained with Cone Beam Computed Tomography (CBCT) are invaluable in the diagnosis of the extent of this anomaly and in the appropriate treatment planning. Oehler's classification (1957) for Dens Invaginatus (DI) into three types depending on the depth of the invagination has been used for treatment planning. Of the three types Type III DI is characterized by infolding of the enamel into the tooth up to the root apex and is considered as the most severe variant of DI and hence the most challenging to treat endodontically, due to the morphological complexities.This report describes a case of Oehler's Type IIIDI in a necrotic permanentmaxillary lateral incisor inwhichCBCT images played a key role in diagnosis and treatment planning. The case wasmanaged successfully by a combination of nonsurgical and surgical endodontic therapy with orthograde and retrograde thermoplastic gutta percha obturation.