Case Report
 
Collaborative endodontic and surgical management of a type II dens invaginatus: One year follow-up
Kammishetty Shekar1, Dola Binoy2, Bollavaram Vijaya Ramakrishna Reddy3, Cherukupalli Ravi Chandra4, Surrender Reddy5, Bollu Indhira Priyadharshini6
1MDS, Shekar kammishetty, Head of the Department, Conservative Dentistry and Endodontics, Sri Sai Dental College of Surgery, Vikarabad, Telangana, India.
2MDS, Binoy Dola, Assistant Professor, Conservative Dentistry and Endodontics, Sri Sai Dental College of Surgery, Vikarabad, Telangana, India.
3MDS, Bollavaram vijaya Ramakrishna reddy, Assistant Professor, Conservative Dentistry and Endodontics, Sri Sai Dental College of Surgery, Vikarabad, Telangana, India.
4MDS, C. Ravi Chandra, Reader, Conservative Dentistry and Endodontics, Sri Sai Dental College of Surgery, Vikarabad, Telangana, India.
5MDS, Munnangi Surrender Reddy, Reader, Pediatric Dentistry, Sri Venkata Sai Dental College, Mahaboobnagar, Telangana, India.
6MDS, B. Indhira Priyadharshini, Assistant Professor, Conservative Dentistry and Endodontics, St. Joseph Dental College, Eluru, Andhra Pradesh.

Article ID: Z01201611CR10717KS
doi:10.5348/ijcri-2016129-CR-10717

Address correspondence to:
Binoy Dola
Assistant Professor, Conservative Dentistry and Endodontics, Sri Sai Dental College of Surgery
Vikarabad
Telangana
India

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How to cite this article
Shekar K, Binoy D, Reddy BVR, Chandra CR, Reddy S, Priyadharshini BI. Collaborative endodontic and surgical management of a type II dens invaginatus: One year follow-up. Int J Case Rep Images 2016;7(11):738–744.


Abstract
This case report illustrates type II dens invaginatus (DI) and analyzes the possible aspects of this defect. Dens invaginatus is a developmental anomaly of teeth that commonly affects permanent maxillary lateral incisors. This case report focuses on the non-surgical and surgical management of right maxillary lateral incisor associated with type II DI. Pulpal involvement of malformed tooth, bizarre in root canal anatomy, periapical pathosis and severe periodontal destruction were noticed. Endodontic therapy with combined obturation techniques, surgical therapy with apical-curettage, retrofilling with glass ionomer cement and bone grafting were performed. A year follow-up evaluation showed satisfactory periapical healing.

Keywords: Demineralized freeze-dried bone allograft (DFDBA), Dens invaginatus (DI), Dental anomalies, Endodontic therapy and endodontic surgery, Guided tissue regeneration (GTR)


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Author Contributions
Shekar Kammishetty – Substantial contribution of conception and design, Acquisition of data, Drafting the article, Final approval of the version to be published
Binoy Dola – Substantial contribution of conception and design, Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Bollavaram Vijaya Ramakrishna Reddy – Substantial contribution of conception and design, Acquisition of data, Drafting the article, Final approval of the version to be published
C. Ravi Chandra – Substantial contribution of conception and design, Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Munnangi Surrender Reddy – Substantial contribution of conception and design, Acquisition of data, Drafting the article, Final approval of the version to be published
B. Indhira Priyadharshini – Substantial contribution of conception and design, Acquisition of data, Drafting the article, Revising it critically for important intellectual content; Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2016 Shekar Kammishetty et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



About The Authors

Shekar Kammishetty is Head of the Department at Conservative Dentistry and Endodontics. He has published 14 research papers. His research interests include regenerative endodontics. He intends to pursue PhD in future.



Binoy Dola is assistant professor at Conservative Dentistry and Endodontics. He has published 8 research papers. His research interests include Advanced Rotary Endodontics and laser dentistry. He intends to pursue residency in laser dentistry in future.



Bollavaram Vijaya Ramakrishna Reddy MDS, Bollavaram Vijaya Ramakrishna Reddy, Assistant Professor, Conservative Dentistry and Endodontics, Sri Sai Dental College of Surgery, Telangana, India.



Cherukupalli Ravi Chandra MDS, C. Ravi Chandra, Reader, Conservative Dentistry and Endodontics, Sri Sai Dental College of Surgery, Telangana, India.



Surrender Reddy MDS, Munnangi Surrender Reddy, Reader, Pediatric Dentistry, Sri Venkata Sai Dental College, Telangana, India.



Bollu Indhira Priyadharshini MDS, B. Indhira Priyadharshini, Assistant Professor, Conservative Dentistry and Endodontics, St. Joseph Dental College, Andhra Pradesh, India.