Histopathological Analysis of Dens Invaginatus in an Immature Permanent Incisor

Dens Invaginatus (DI) is a congenital development malformation. The complex anatomy of DI aids in the retention of food and bacteria, which leads to pulp necrosis and develops into periapical inflammation. The histopathology of DI is not very clear. This study reports an unusual case of a 6-year-old...

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Bibliographic Details
Main Authors: Liming Jiang, Xuejuan Ma, Yao Liu, Ming Zhong, Xu Chen
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2018-05-01
Series:Journal of Clinical and Diagnostic Research
Subjects:
Online Access:https://jcdr.net/articles/PDF/11559/31771_CE(RA1)_F(AP)_PF1(MJ_AP)_PFA(MJ_AP)_PB(MJ_AP).pdf
Description
Summary:Dens Invaginatus (DI) is a congenital development malformation. The complex anatomy of DI aids in the retention of food and bacteria, which leads to pulp necrosis and develops into periapical inflammation. The histopathology of DI is not very clear. This study reports an unusual case of a 6-year-old boy who had a malformed immature permanent mandibular central incisor with DI Type III and apical periodontitis. The malformed tooth was extracted due to the severe infection and short tooth root. Histological results showed that typical pulp tissues were in the main root canal whereas a typical granuloma existed in the invaginated part. This case report indicate that the apical periodontitis in DI Type III was mainly induced by the invaginatus canal and the pertinent treatment for the invaginatus canal was the key for DI Type III.
ISSN:2249-782X
0973-709X