10.dens in dente

1. Dens in dente

2. General information Infolding of the outer surface of the tooth into its interior surface occurs It is a developmental variation which is thought to arise as a result of an invagination in the surface of Crown before calcification

3. Etiopathogenesis Focal growth retardation active proliferation continuous differentiation increased pressure local causes

4. Clinical features Commonly affected teeth is permanent maxillary lateral incisor and maxillary Central incisor the lower incisor or cuspid is the next common site there appears to be a grossly is magnified cingulum rising to the level of the incisive edge of the tooth the Crown may or may not be enlarged The invagination may extend to the apex of the root

5. Diagnosis Infolding of tooth is seen clinically Inverted umbrella appearance seen radiographically

6. Management To prevent caries, pulp infection and premature loss of tooth, dense in dente must be treated prophylactically