CASE REPORT


Radicular Dens in Dente: Review of the Literature with Report of a Rare Case in a Child



Karen Boaz1, Srikant Natarajan1, Baranya Shrikrishna Suprabha2, Nandita KP1, Amitha J. Lewis1, Sriranjani Deepak1, Nidhi Manaktala1, *
1 Department of Oral Pathology and Microbiology, Manipal College of Dental Sciences Mangalore, Manipal Academy of Higher Education, Manipal, India
2 Department of Pedodontics and Preventive Dentistry, Manipal College of Dental Sciences Mangalore, Manipal Academy of Higher Education, Manipal, India


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Creative Commons License
© 2022 Boaz et al.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address correspondence to this author at the Department of Oral Pathology and Microbiology, Manipal Academy of Higher Education, Manipal college of Dental Sciences, Lighthouse Hill Road, India; E-mail: manaktala.nidhi@manipal.edu


Abstract

Introduction:

Dens invaginatus is an extremely rare developmental disturbance that can occur in primary, permanent, or supernumerary teeth due to invagination of the enamel organ into the dental papilla during tooth development. The clinical recognition of the radicular variant of dens in the dente is challenging as it is mostly asymptomatic with a normal-appearing clinical crown and is incidentally discovered in radiographs.

Case presentation:

This report describes a case of the radicular variant of dens in dente that involved the mandibular lateral incisor in an 8-year-old child. The affected tooth was symptomatic and was extracted as a part of treatment.

Conclusion:

Although the present case required extraction since it was associated with periapical infection, in other cases, treatment may be rendered with appropriate restorative/endodontic procedures with a keen intent to avoid sacrificing the involved tooth as has been reported earlier and reviewed herein.

Keywords: Developmental anomalies, Root dens in dente case report, Enamel, Tooth, Dental papilla, Dentist.