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Dens Invaginatus Dens Invaginatus can occur in deciduous or in permanent teeth. The coronal portion of the tooth folds inward and typically becomes non-vital. The condition is also called "dens in dente" or a tooth within a tooth. Non-vital teeth need to be treated by dental extraction or by root canal therapy. Clinical cases   Purulent discharge ("puss") was Dental radiograph of the tooth. observed above this abnormal canine tooth.  Mucogingival flap exposed the abnormal tooth.   Alternate view. The coronal portion was not attached to the root.   A hypodermic needle was use to Dental radiograph demonstrate the locate the underlying root structure. orientation of the root.  A dental elevator was used to demonstrate the proximity of the premolar root to the anamalous tooth root. The adjacent premolar teeth were extracted to allow access to the anamalous root.   A keyhole approach through the maxilla Further exposure. allowed access to the anamalous root.   The anamalous root was supported by Anamalous root extracted. sterile gauze sponges to avoid pushing the root into the respiratory tract.   Dental radiograph confirmed complete Alternate view. dental extraction.   Tooth submitted to a pathologist for Surgical defect closed in two layers. histology (tissue evaluation). Histology confirmed the presumptive diagnosis of Dens en dente. Abnormal or anamalous teeth |
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Animal Dentistry & Oral Surgery Specialists LLC
Caring: Cat dentist-Dog dentist Vet dental and oral surgery services
Dale Kressin DVM, FAVD, Dipl. AVDC & Steve Honzelka DVM, Resident 888-598-6684
Oshkosh Milwaukee Waukesha Minneapolis and St Paul Metropolitan areas
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