title: An Immature Type II Dens Invaginatus in a Mandibular Lateral Incisor with Talon's Cusp: A Clinical Dilemma to Confront.
abstract: Dens invaginatus (DI) is a malformation of teeth probably resulting from an infolding of the dental papilla during tooth development. DI is classified as type I, II, and III by Oehlers depending on the severity of malformation. The maxillary lateral incisor is the most commonly affected tooth. Structural defects do exist in the depth of the invagination pits, and as a consequence, the early development of caries and the subsequent necrosis of the dental pulp, as well as abscess and cyst formation are clinical implications associated with DI. Occasionally, we can see more than one developmental anomaly occurring in a single tooth. In such cases it becomes important to identify the anomalies and initiate a proper treatment plan for good prognosis. In this paper, an unusual case of DI which clinically presented as a huge talons cusp affecting a mandibular lateral incisor tooth is described. This case report illustrates grinding of the talons cusp followed by nonsurgical endodontic management of dens invaginatus type II with an immature apex and periapical lesions, in which Mineral Trioxide Aggregate (MTA) shows a complete periapical healing with bone formation at the site of the lesions.
authors.affiliation: Department of Pediatric & Preventive Dentistry, Institute of Dental Sciences, Uttar Pradesh Bareilly-243006, India.
authors.forename: Anshul
authors.identifier: 0000-0002-4278-6000
authors.initials: A
authors.lastname: Gangwar
authors.affiliation: Department of Pediatric & Preventive Dentistry, Institute of Dental Sciences, Uttar Pradesh Bareilly-243006, India.
authors.forename: Deepa
authors.initials: D
authors.lastname: Singal
authors.affiliation: Department of Oral & Maxillofacial Surgery, Institute of Dental Sciences, Uttar Pradesh Bareilly-243006, India.
authors.forename: K Y
authors.initials: KY
authors.lastname: Giri
authors.affiliation: Department of Oral Pathology, Vananchal Dental College & Hospital, Garhwa, Jharkhand-822114, India.
authors.forename: Anshita
authors.identifier: 0000-0002-6969-2530
authors.initials: A
authors.lastname: Agarwal
authors.affiliation: Department of Pediatric & Preventive Dentistry, Institute of Dental Sciences, Uttar Pradesh Bareilly-243006, India.
authors.forename: S Sruthi
authors.initials: SS
authors.lastname: Keerthi