Radicular Dens Invaginatus Associated With Radicular Cyst in Maxillary Third Molar - Rare Case Report

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Authors

  • Department of Maxillofacial Pathology and Microbiology, Panineeya Mahavidyalaya Institute of Dental Sciences & Research Centre, Hyderabad, Telangana ,IN
  • Department of Maxillofacial Pathology and Microbiology, Panineeya Mahavidyalaya Institute of Dental Sciences & Research Centre, Hyderabad, Telangana ,IN
  • Department of Oral Medicine and Radiology, Lenora Institute of Dental Sciences, Rajahmundry, Andhra Pradesh ,IN

Keywords:

Radicular Dens Invaginatus, Radicular Cyst, Dilated Odontome, Pseudostratified Ciliated Columnar, Epithelium
Maxillofacial Pathology

Abstract

Dens invaginatus is a developmental tooth anomaly showing broad spectrum of morphological variations. Most extreme form of the invagination results in a bulbous expansion of the affected crown and/or root has been termed as dilated odontome. Radicular dens invaginatus is a rare dentalanomaly formed by infolding ofHertwig's epithelial root sheath and in few forms invagination is lined by enamel. Various techniques of treatment including conservative treatment, nonsurgical root canal treatment, and endodontic surgery usually are unsuccessful because of their complex morphology and are associated with periapical lesions. We report a case of radicular dens in dente with dilated root and was associated with radicular cyst in the right maxillary third molar in a patient aged 38 years. Histological examination showed a dilated bulbous root with enamel formation within root invagination and the associated radicular cyst was lined by pseudostratified ciliated columnar epithelium.

Published

2018-09-20

How to Cite

Gannepalli, A., Ayinampudi, B. K., & Podduturi, S. R. (2018). Radicular Dens Invaginatus Associated With Radicular Cyst in Maxillary Third Molar - Rare Case Report. Journal of Pierre Fauchard Academy (India Section), 28(4), 133–136. Retrieved from https://informaticsjournals.com/index.php/jpfa/article/view/22287

Issue

Section

Case Report

 

References

Hulsmann M. Dens invaginatus: aetiology, classification, prevalence, diagnosis, and treatment considerations. Int Endod J. 1997;30:79-90.

Alani A, Bishop K. Dens invaginatus part I classification, prevalence and aetiology. Int Endod J. 2008;41:1123-1136.

Augsburger RA, Brandebura J. Bilateral dens invaginatus with associated radicular cysts: a case report. Oral Surg. 1978;46:260-264.

Oehlers FA. The radicular variety of dens invaginatus. Oral Surg Oral Med Oral Pathol. 1958;11:1251-1260.

Oehlers FA. Dens invaginatus: variation of the invagination process and associated posterior crown forms. Oral Surg. 1957;10:1302-1316.

Oehlers FA. Dens invaginatus: variation of the invagination process and associated anterior crown forms. Oral Surg. 1957;10:1204-1218.

Bhatt AP, Dholakia HM. Radicular variety of double dens invaginatus. Oral Surg. 1974;39:284.

Bansal M, Singh NN, Singh AP. A rare presentation of dens in dente in the mandibular third molar with extra oral sinus. J Oral Maxillofac Pathol. 2010;14:80-82.

Pandey SC, Pandey RK. Radicular dens invaginatus: a case report. J Indian Soc Pedod Prev Dent. 2005;23:151-152.

Browne RM. Metaplasia and degeneration in odontogenic cysts in man. J Oral Path. 1972;1:145-158.

Shear M, Speight P. Cysts of the Oral Regions. Oxford: Blackwell Munksgaard; 1992:123-142.

Payne M, Craig GT. A radicular dens invaginatus. Br Dent J. 1990;169:94-95.

Soames JV, Kuyebi TA. A radicular dens invaginatus. Br Dent J. 1982;152:308-309.

Matsusue Y, Yamamoto K, Inagake K, Kirita T. A dilated odontome in the second molar region of the mandible. Open Dent J. 2011;5:150-153.

Cukovic-Bagic I, Macan D, Dumancic J, Manojlovic S, Hat J. Dilated odontome in the mandibular third molar region. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2010;109:e109-e113.

Takeda Y, Oikawa Y, Furuya I, Satoh M, Yamamoto H. Mucous and ciliated cell metaplasia in the epithelial linings of odontogenic inflammatory and developmental cysts. J Oral Sci. 2005;47:77-81.