Surgical Orthodontic Treatment of an Impacted Canine in the Presence of Dens Invaginatus and Follicular CystReport as inadecuate

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Case Reports in DentistryVolume 2014 2014, Article ID 643082, 7 pages

Case Report

Private Practice, Genoa, Italy

Orthodontic Post-Graduate Program, Dipartimento di Chirurgia e Scienze Stomatologiche, University of Cagliari, Via Binaghi 4-6, 09121 Cagliari, Italy

S.C. Odontostomatologia, E.O. Galliera Hospital, Via Mura delle Cappuccine 14, 16128 Genoa, Italy

Received 13 February 2014; Revised 22 April 2014; Accepted 23 April 2014; Published 21 May 2014

Academic Editor: Luis Junquera

Copyright © 2014 Marialuce Spallarossa et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Introduction. -Dens invaginatus- is a dental anomaly which originates from the invagination of the ameloblastic epithelium into the lingual surface of the dental crown during the odontogenesis. It cancause early pulpal necrosis, abscesses, retention or dislocation of contiguous elements, cysts, andinternal resorptions. It normally affects the upper lateral incisors. In the following study the authorswill discuss the etiology, the physiopathology, and the surgical-orthodontic management of a rarecase of impacted canine associated with dens invaginatus and follicular cyst, with the aim ofhighlighting the importance of taking any therapeutic decision based on the data available in the literature. Case Report. The present study describes a combined surgical-orthodontic treatment of an impacted canine associated with a lateral incisor 2.2 suffering from type III dens invaginatus with radicular cyst, in a 15-year-old patient. Discussion. When treating a dens invaginatus there are different therapeutic solutions: they depend on the gravity of the anomaly and on the association with the retention of a permanent tooth. Theaesthetic and functional restoration becomes extremely important when performing a surgical-orthodontic repositioning.

Author: Marialuce Spallarossa, Carola Canevello, Francesca Silvestrini Biavati, and Nicola Laffi



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