- A 27-year-old male presented for a routine dental checkup. Clinical and radiographic examinations revealed a small radiopacity within the crown of his left maxillary lateral incisor.
- Five possible diagnoses were considered: dens evaginatus, dens invaginatus, taurodontism, mesiodens, and regional odontodysplasia.
- After thorough investigation of the patient's case and radiographs, it was determined the radiopacity was likely dens invaginatus (tooth within a tooth) based on its appearance within the dentin surrounding the pulp on the radiograph and its location in the maxillary lateral incisor.
- A 27-year-old male presented for a routine dental checkup. Clinical and radiographic examinations revealed a small radiopacity within the crown of his left maxillary lateral incisor.
- Five possible diagnoses were considered: dens evaginatus, dens invaginatus, taurodontism, mesiodens, and regional odontodysplasia.
- After thorough investigation of the patient's case and radiographs, it was determined the radiopacity was likely dens invaginatus (tooth within a tooth) based on its appearance within the dentin surrounding the pulp on the radiograph and its location in the maxillary lateral incisor.
- A 27-year-old male presented for a routine dental checkup. Clinical and radiographic examinations revealed a small radiopacity within the crown of his left maxillary lateral incisor.
- Five possible diagnoses were considered: dens evaginatus, dens invaginatus, taurodontism, mesiodens, and regional odontodysplasia.
- After thorough investigation of the patient's case and radiographs, it was determined the radiopacity was likely dens invaginatus (tooth within a tooth) based on its appearance within the dentin surrounding the pulp on the radiograph and its location in the maxillary lateral incisor.
- A 27-year-old male presented for a routine dental checkup. Clinical and radiographic examinations revealed a small radiopacity within the crown of his left maxillary lateral incisor.
- Five possible diagnoses were considered: dens evaginatus, dens invaginatus, taurodontism, mesiodens, and regional odontodysplasia.
- After thorough investigation of the patient's case and radiographs, it was determined the radiopacity was likely dens invaginatus (tooth within a tooth) based on its appearance within the dentin surrounding the pulp on the radiograph and its location in the maxillary lateral incisor.
Download as DOCX, PDF, TXT or read online from Scribd
Download as docx, pdf, or txt
You are on page 1/ 4
Case Study Report
Group 4: Brandy Dicke, Krista Prince, Shelby Holle
A 27 year old male visited the office for a routine checkup. When taking his vital signs, all were found to be within normal limits and he appeared to be in good health with no significant medical history findings. He regularly attends dental checkups and routine restorative dental treatment. No enlarged or palpable lymph nodes were found during the extra oral examination of the head and neck and here were no abnormalities present in the intra oral examination. Based on the clinical examination periapical, bite wing, and panoramic radiographs were ordered. After reviewing the periapical radiograph, the film revealed a small radiopacity within the crown of the left maxillary lateral incisor. Upon examination of this tooth, it appeared to be a peg lateral. No other abnormalities were noted on the radiographs. After reviewing the medical history and questioning the patient, he denied any symptoms or pain in the area of the lateral incisor. After further research, the five best possible outcomes are as follows. Dens evaginatus is an accessory enamel cusp found on the occlusal tooth surface. This developmental anomaly occurs most often on the mandibular premolars and can happen either unilaterally or bilaterally. An extension of pulp is usually present within the extra cusp therefor with cusp wear the pulp is at a risk for exposure.
Dens invaginatus, also known as dens-in-dente is a tooth is a
developmental anomaly that results when the enamel organ invaginates into the crown of a tooth before mineralization. This abnormality creates the appearance of a tooth within a tooth and is most commonly seen in anterior teeth, especially the maxillary lateral incisors. It appears as elongated bulb or pear shaped mass of enamel seen within the dentin surrounding a radiolucent area. Taurodontism is a condition characterized by very large pyramid shaped molars with large pulp chambers and short roots. It is a genetic condition most frequently found among Native Americans. Clinically it is not normally noted and is often accidentally found during radiographic examination. It radiographically appears with short pointed roots with an elongated pulp chamber. Mesiodens is the most common supernumerary tooth found between the maxillary central incisors. It is usually a small tooth and can be unerupted or erupted with the crown exhibiting a conical shape. It can appear singly or in pairs and may be inverted when seen on a radiograph. Regional odontodysplasia is a developmental problem in which one or several teeth in the same quadrant. Radiographically it exhibits a marked reduction in radiodensity and characteristic ghost like appearance giving it the nickname of ghost teeth. Very thin enamel and dentin are present. On occasion the enamel is not present on the radiograph. The pulp chambers
are very large and these teeth either stay impacted or only erupt partially. It can affect both primary and permanent dentition and most often occurs in anterior maxilla. After thoroughly investigating this patients case and the possible diagnoses, we have determined that this radiopacity is dens invaginatus or a tooth within a tooth. We came to this conclusion from careful examination of the radiograph and its appearance. The anomaly exhibits an enamel like mass within the dentin surrounding the pulp. In addition it has occurred on the maxillary lateral incisor which is the most common location for this abnormal condition. Treatment for dens invaginatus consist of preventive restorations to seal any pulpal communication in the cingulum area. Endodontic treatment is most often given to prevent present or existing pathology.
References Myers, S., & Curran, A. (2014). General and oral pathology for dental hygiene practice. Philadelphia: F.A. Davis. Ibsen, O. (2009). Oral pathology for the dental hygienist (5th ed.). St. Louis, Mo.: Saunders/Elsevier.
