Use of Bioceramic Repair Material as Root Canal Sealer for Management of Bilateral Dens Invaginatus: A Case Report with a 7-Year Follow-Up

Nathaly Macedo-Serrano; Hernán Coaguila-Llerena; John Torres; Hair Salas; Luis Fernando Linares-Zapata & Gisele Faria

Summary

The malformation characterized by the invagination of the enamel organ into the dental papilla is called Dens Invaginatus or Dens in Dente, and may compromise both the canal access and the disinfection, depending on the degree of the anomaly. Considering that its management is difficult, different treatment strategies have been proposed. A 17-year old male patient presented bilateral Dens Invaginatus in the maxillary 1.2 and 2.2 lateral incisors. The diagnosis for tooth 1.2 was normal pulp and asymptomatic apical periodontitis, the latter caused by the invagination. As for tooth 2.2, the diagnosis was pulp necrosis and chronic apical abscess. Teeth 1.2 and 2.2 presented Type III and Type II Dens Invaginatus, respectively. Both teeth were treated by applying a conventional non-surgical approach using bioceramic repair material as root canal sealer. The clinical and radiographic assessment after 7 years showed favorable evolution, and no evidence of apical radiolucencies. It can be concluded that the treatment of bilateral Dens Invaginatus by a non-surgical approach can yield long-term favorable results, despite the complexity of the case.

KEY WORDS: dens in dente, endodontics, root canal filling materials, tooth abnormalities, tooth resorption.

How to cite this article

MACEDO-SERRANO, N.; COAGUILA-LLERENA, H.; TORRES, J.; SALAS, H.; LINARES-ZAPATA, L. F. & FARIA, G. Use of bioceramic repair material as root canal sealer for management of bilateral Dens Invaginatus: A case report with a 7-year follow-up. Int. J. Odontostomat., 18(3):292-297, 2024.