Endodontic Management of Calcified Oehler’s Type IIIb Dens Invaginatus in Permanent Maxillary Lateral Incisor Using Cone Beam Computed Tomography

Izaz, Shaik; Bolla, Nagesh; Dasari, Bhargavi; Guntaka, Shilpa

doi:10.30476/dentjods.2018.41807

Endodontic Management of Calcified Oehler’s Type IIIb Dens Invaginatus in Permanent Maxillary Lateral Incisor Using Cone Beam Computed Tomography

Document Type : Case Report

Authors

Shaik Izaz ¹

Nagesh Bolla ¹

Bhargavi Dasari ²

Shilpa Guntaka ³

¹ Dept. of Conservative Dentistry and Endodontics, Sibar Institute of Dental Sciences. India.

² Senior Lecturer, KIMS Dental College, Amalapuram, A.P, India, Preceptor, Dept. of Oral and Maxillofacial Radiology, Rutgers School of Dental Medicine, Newark, New Jersey, USA.

³ MPH in Epidemiology and Biostatistics, University of Southern Missisippi, Hattiesburg, USA.

https://doi.org/10.30476/dentjods.2018.41807

Abstract

Dens Invaginatus is a developmental disturbance resulting from abnormal morpho differentiation. It is characterized by an invagination of the enamel and dentin, creating a lumen inside the affected tooth, which may extend as deep as the apical foramen. In the present scenario, calcified Oehler’s type IIIb dens invaginatus in left maxillary lateral incisor in 23-year-old male patient was seen. As the two-dimensional imaging lacks accuracy in such complicated cases, cone beam computed tomography was used to assess the calcification three dimensionally. Endodontic treatment was performed in two visits, using thermoplastized gutta percha obturation technique.