ArticleClinical case reports2026
Conservative Endodontic Management of Type II Dens Invaginatus With Talon Cusp in a Maxillary Central Incisor: A 2-Year Follow-Up Case Report.
Article in Clinical case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Dens invaginatus (DI) is a developmental dental anomaly that complicates diagnosis and treatment due to its varied morphology and potential pulpal and periapical involvement. This case report presents the successful endodontic management of a Type II DI in a 14-year-old female patient, affecting the maxillary left central incisor, which also exhibited a talon cusp. The patient was asymptomatic, and the lesion was discovered during orthodontic evaluation. Cone-beam computed tomography (CBCT) revealed an enamel-lined invagination extending into the root canal system without communication with the periodontal ligament, confirming a Type II DI. Clinical tests indicated pulp necrosis. A conservative treatment plan was adopted, targeting only the main canal and leaving the invaginated portion untreated. Modern diagnostic tools, including CBCT imaging and a dental operating microscope, facilitated accurate diagnosis and precise execution of the treatment. Follow-up at 3 months and two years showed complete healing of the periapical lesion, and the patient remained asymptomatic. This case highlights the efficacy of a minimally invasive, selective treatment strategy supported by advanced imaging and magnification in managing DI.
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