Double dens invaginatus in maxillary lateral incisor of a 12-year-old child: report of an unusual case

Abstract

Amongst the anatomic anomalies of shape of the teeth, dens invaginatus shows infolding of enamel organ into dental papilla whereas shoveling represents infolding of mesial and distal margins on lingual side. Clinically and radiographically, both are associated anomalies, common in anterior teeth, also known as “tooth within tooth” and as a “scoop.” Present case showed permanent maxillary right lateral incisor, with a talon’s cusp like anatomy seen clinically and two separate teeth like structures within the crown seen radiographically, diagnosed as dens invaginatus. Intraoral periapical (IOPA) showed sshoveling in both central incisor and left lateral incisor teeth. As no pathological signs and symptoms were present, conservative treatment with composite restoration was done in carious lateral incisor while pit and fissure sealant were carried out in other incisors as a precaution. Periodic check-up was advised which includes preventive strategies. Management of dental anomalies depends on the extent of defect and requires clinical and radiographic investigations along with preventive treatment plan. Thorough examination, early detection, treatment and periodic follow-ups are important to prevent complications in anomalous teeth.