Case Report

Dens in Dente in Permanent Maxillary Central Incisor – A Case Report

Year: 2025
Volume: 10
Issue: 1
Pages: 57–62

Authors

Nitika Dahiya¹, Dhruv Desval², Amina Sultan³, Akanksha Juneja⁴

Corresponding Author

Dr. Dhruv Desval
Email: dhruvdesval2014@gmail.com

Abstract

Introduction: Dens invaginatus (DI) is an uncommon developmental anomaly that occurs due to the invagination of the enamel organ prior to calcification, resulting in areas prone to bacterial retention and an elevated risk of dental caries. Although the maxillary lateral incisor is the tooth most frequently involved, central incisor involvement is rare.

Case Report: A 7-year-old boy reported with a complaint of food lodgement in the right maxillary central incisor. Clinical examination and radiographic assessment confirmed the presence of Type I DI. A minimally invasive treatment was carried out by sealing the invagination with glass ionomer cement (GIC), effectively preventing bacterial ingress.

Conclusion: Prompt diagnosis and preventive intervention are essential to avoid potential complications of DI. Radiographic assessment plays a key role in identification, and GIC restoration offers an effective management option for Type I cases. Dental practitioners should maintain a high index of suspicion for DI when encountering atypical tooth morphology.

Keywords

Dens in Dente, Dens Invaginatus, Dental Malformation, Invaginated Teeth

How to Cite This Article

Dahia N et al, Dens in Dente in Permanent Maxillary Central Incisor- A Case Report. Int J Pedo Rehab 2025; 10(1):57-62. https://doi.org/10.56501/intjpedorehab.v10i1.1287