Anomalia de desenvolvimento - Dens in dente: um relato de caso

Abstract

Dens in dente is a dental development anomaly of controversial etiology. Occurs during the odontogenesis phase, resulting in invagination of the dental surface towards the pulp chamber, usually before the calcification of the element occurs. Several nomenclatures are used to define it, besides dens in dente, such as dens invaginatus, dilated composite odontoma and pregnant anomaly. It may be diagnosed by the shape of the crown of the dental element, clinical signs of pulp necrosis, and as a routine radiographic finding. It is essential that dental surgeons are aware of the early discovery of this anomaly for the correct clinical management, avoiding complications that the teeth with predisposing, such as caries and periapical disease. The aim of the present study is to present a case report of Dens in dente in a maxillary lateral incisor with associated periapical lesion and to describe the clinical approach adopted in this case. From the diagnosis, the proposed treatment was endodontic retreatment, without ruling out the possibility of future surgical intervention, with peripheral osteotomy apicectomy.