Dens invaginatus: diagnóstico y manejo clínico. Revisión de literatura

Authors

  • Grecia Vásquez Vereau Universidad Peruana Cayetano Heredia, Facultad de Estomatología. Lima, Perú. a Cirujano dentista. b Estudiante de la especialidad de Endodoncia. https://orcid.org/0009-0007-2619-915X
  • Margarita Vega Yslachin Universidad Peruana Cayetano Heredia, Facultad de Estomatología. Lima, Perú. Cirujano dentista. Estudiante de la especialidad de Endodoncia. Especialista en Endodoncia. Magíster en Estomatología. e Docente de Endodoncia https://orcid.org/0009-0000-5968-1478

DOI:

https://doi.org/10.20453/reh.v34i2.5535

Keywords:

Dens in dente, clinical diagnosis, disease management, literature review

Abstract

Dens invaginatus (DI) is a dental alteration that occurs before mineralization and is a consequence of the folding of the enamel organ within the dental papilla. Its characteristics allow the onset and rapid progression of carious lesions and, consequently, pulp and periapical disease.  This article summarizes data from original articles and literature reviews from the Scopus/PubMed database. Therefore, the aim of the present literature review is to expose guidelines for the clinical management of Dens invaginatus according to its etiology, classification and diagnosis, thus representing an improvement in the effectiveness of the treatment and prognosis of these very complex alterations.

Author Biographies

Grecia Vásquez Vereau, Universidad Peruana Cayetano Heredia, Facultad de Estomatología. Lima, Perú. a Cirujano dentista. b Estudiante de la especialidad de Endodoncia.

       

Margarita Vega Yslachin, Universidad Peruana Cayetano Heredia, Facultad de Estomatología. Lima, Perú. Cirujano dentista. Estudiante de la especialidad de Endodoncia. Especialista en Endodoncia. Magíster en Estomatología. e Docente de Endodoncia

     

References

Zhu J, Wang X, Fang Y, Von den Hoff JW, Meng L. An update on the diagnosis and treatment of dens invaginatus. Aust Dent J. 2017 Sep;62(3):261-275. doi: 10.1111/adj.12513. Epub 2017 May 22. PMID: 28306163.

Yalcin TY, Bektaş Kayhan K, Yilmaz A, Göksel S, Ozcan İ, Helvacioglu Yigit D. 2022. Prevalence, classification and dental treatment requirements of dens invaginatus by cone-beam computed tomography. PeerJ 10:e14450 https://doi.org/10.7717/peerj.14450

Volodymyr F. Treatment options for dens in dente: state-of-art literature review. Ukranian Dental Journal. 2022 Oct 1. DOI: 10.56569/UDJ.1.1.2022.37-42

González-Mancilla S, Montero-Miralles P, Saúco-Márquez JJ, Areal-Quecuty V, Cabanillas-Balsera D, Segura-Egea JJ. Prevalence of Dens Invaginatus assessed by CBCT: Systematic Review and Meta-Analysis. J Clin Exp Dent. 2022 Nov 1;14(11):e959-e966. doi: 10.4317/jced.59849. PMID: 36458027; PMCID: PMC9701346.

Pradhan B, Gao Y, He L, Li J. Non-surgical Removal of Dens Invaginatus in Maxillary Lateral Incisor Using CBCT: Two-year Follow-up Case Report. Open Med (Wars). 2019 Oct 19;14:767-771. doi: 10.1515/med-2019-0089. PMID: 31667354; PMCID: PMC6814960.

Oliveira Fonseca F, Canal Vasconcellos B, Martins Costa M, Ribeiro Sobrinho AP, Fonseca Tavares WL. Combined Endodontic and Surgical Therapy for Resolution of Type III Dens Invaginatus. Iran Endod J. 2020 Spring;15(2):117-123. doi: 10.22037/iej.v15i2.26882. PMID: 36704442; PMCID: PMC9709837.

Oehlers FA. Dens invaginatus (dilated composite odontome). I. Variations of the invagination process and associated anterior crown forms. Oral Surg Oral Med Oral Pathol. 1957 Nov;10(11):1204-18 contd. doi: 10.1016/0030-4220(57)90077-4. PMID: 13477660.

Kritika S, Bhandari SS, Benyöcs G, Villa Machado PA, Bishnoi N, Restrepo Restrepo FA, Karthikeyan K, Ataide I, Mahalaxmi S. Demystifying Dens Invaginatus: Suggested Modification of the Classification based on a Comprehensive Case Series. Eur Endod J. 2022 Mar;7(1):73-80. doi: 10.14744/eej.2021.48303. PMID: 35353060; PMCID: PMC9035864.

Gul M, Adnan S, Umer F. A Variant of the Current Dens Invaginatus Classification. Front Dent. 2020 Oct 29;17:28. doi: 10.18502/fid.v17i28.4654. PMID: 36042808; PMCID: PMC9375130.

Ludwig J, Reymus M, Winkler A, Soliman S, Krug R, Krastl G. Root Maturation of an Immature Dens Invaginatus Despite Unsuccessful Revitalization Procedure: A Case Report and Recommendations for Educational Purposes. Dent J (Basel). 2023 Feb 10;11(2):47. doi: 10.3390/dj11020047. PMID: 36826192; PMCID: PMC9955176.

Kfir A, Flaisher Salem N, Natour L, Metzger Z, Sadan N, Elbahary S. Prevalence of dens invaginatus in young Israeli population and its association with clinical morphological features of maxillary incisors. Sci Rep. 2020 Oct 13;10(1):17131. doi: 10.1038/s41598-020-74396-z. PMID: 33051551; PMCID: PMC7554044.

Alexoudi VA, Deligiannidis D, Antoniadis K, Tatsis D. Tooth within a tooth (dens in dente): A case report and a systematic review of population studies. Hellenic Arch Oral Maxillofac Surg. 2020;21(2) 95-102.

Hegde V, Mujawar A, Shanmugasundaram S, Sidhu P, Narasimhan S, Setzer FC, Nagendrababu V. Prevalence of dens invaginatus and its association with periapical lesions in a Western Indian population-a study using cone-beam computed tomography. Clin Oral Investig. 2022 Sep;26(9):5875-5883. doi: 10.1007/s00784-022-04545-3. Epub 2022 Jun 1. PMID: 35648236.

Ricucci D, Milovidova I, Siqueira JF Jr. Unusual Location of Dens Invaginatus Causing a Difficult-to-Diagnose Pulpal Involvement. J Endod. 2020 Oct;46(10):1522-1529. doi: 10.1016/j.joen.2020.07.004. Epub 2020 Jul 12. PMID: 32668311.

Abu Hasna A, Ungaro DMT, de Melo AAP, Yui KCK, da Silva EG, Martinho FC, Gomes APM. Nonsurgical endodontic management of dens invaginatus: a report of two cases. F1000Res. 2019 Dec 2; 8:2039. doi: 10.12688/f1000research.21188.1. PMID: 31885864; PMCID: PMC6915815.

Zubizarreta-Macho Á, Ferreiroa A, Agustín-Panadero R, Rico-Romano C, Lobo-Galindo AB, Mena-Álvarez J. Endodontic re-treatment and restorative treatment of a dens invaginatus type II through new technologies. J Clin Exp Dent. 2019 Jun 1; 11(6):e570-e576. doi: 10.4317/jced.55840. PMID: 31346380; PMCID: PMC6645261.

Arora S, Gill GS, Saquib SA, Saluja P, Baba SM, Khateeb SU, Abdulla AM, Bavabeedu SS, Ali ABM, Elagib MFA. Non-surgical management of dens invaginatus type IIIB in maxillary lateral incisor with three root canals and 6-year follow-up: A case report and review of literature. World J Clin Cases. 2022 Nov 26;10(33):12240-12246. doi: 10.12998/wjcc.v10.i33.12240. PMID: 36483835; PMCID: PMC9724506.

Lee HN, Chen YK, Chen CH, Huang CY, Su YH, Huang YW, Chuang FH. Conservative pulp treatment for Oehlers type III dens invaginatus: A case report. World J Clin Cases. 2019 Sep 26;7(18):2823-2830. doi: 10.12998/wjcc.v7.i18.2823. PMID: 31616698; PMCID: PMC6789382.

Ickow IM, Zinn S, Stacy JM Jr, Martin B, Losee JE, D'Alesio A, Soxman J, Schuster LA. Dens Invaginatus in Patients With Cleft Lip and Palate: A Case Series. Cleft Palate Craniofac J. 2021 Nov;58(11):1452-1458. doi: 10.1177/1055665621998534. Epub 2021 Mar 5. PMID: 33663245.

Downloads

Published

2024-06-29

How to Cite

1.
Vásquez Vereau G, Vega Yslachin M. Dens invaginatus: diagnóstico y manejo clínico. Revisión de literatura. Rev Estomatol Herediana [Internet]. 2024 Jun. 29 [cited 2024 Jul. 2];34(2):167-76. Available from: https://revistas.upch.edu.pe/index.php/REH/article/view/5535

Issue

Vol. 34 No. 2 (2024): Abril-Junio

Section

REVIEW ARTICLE

License

Copyright (c) 2024 Revista Estomatológica Herediana

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

The authors retain the copyright and cede to the journal the right of first publication, with the work registered with the Creative Commons License, which allows third parties to use what is published as long as they mention the authorship of the work, and to the first publication in this journal.