Incidental radiography findings of variations in root morphology: dens invaginatus or vertucci’s

Nurul Masyrifah; Barunawaty Yunus; Dwi Putri Wulansari

doi:10.32793/jrdi.v10i1.1514

Authors

Nurul Masyrifah Oral and Maxillofacial Radiology Specialist Program, Faculty of Dentistry, Hasanuddin University, Makassar, Indonesia, Indonesia
Barunawaty Yunus Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, Hasanuddin University, Makassar, Indonesia, Indonesia
Dwi Putri Wulansari Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, Hasanuddin University, Makassar, Indonesia, Indonesia

DOI:

https://doi.org/10.32793/jrdi.v10i1.1514

Keywords:

Dens invaginatus, Vertucci’s, incidental finding, panoramic radiography

Abstract

Objectives: The objective of this case report is to document the incidental finding in tooth 34 through panoramic radiography and discuss whether it falls into the category of dens invaginatus or Vertucci’s root canal morphology variations.

Case Report: A 13-year-old male patient presented to RSGMP UNHAS with complaints of a decayed and painful lower left back tooth. Clinical examination revealed deep caries with perforation in tooth 35, and a periapical abscess was diagnosed. Panoramic and periapical radiographs were taken for diagnostic purposes. Radiographic analysis focused on identifying variations in the root morphology of adjacent teeth, specifically tooth 34.

Conclusion: The incidental finding in tooth 34 through panoramic radiography emphasizes the importance of routine radiographic examinations in clinical practice. Early diagnosis and a clear understanding of this dental developmental anomaly are vital to ensuring the patient’s optimal oral health outcomes.

References

1. Bilge NH, Yesiltepe S, Agirman KT, Caglayan F, Bilge OM. Investigation of prevalence of dental anomalies by using digital panoramic radiographs. Folia Morphol. 2018;77(2):323–8.

2. Tarac M, Cirakoglu N. Determination of the prevalence of dental anomalies by digital panoramic radiography analysis. Med Sci | Int Med J. 2021;10(3):1.

3. Chung SH, Hwang YJ, You SY, Hwang YH, Oh S. A case report of multiple bilateral dens invaginatus in maxillary anteriors. Restor Dent Endod. 2019;44(4):1–8.

4. Arora PC, Arora A, Kalair T, Kharbanda SK. Dens evaginatus: A diagnostic dilemma. SRM J Res Dent Sci. 2020;11(1):46–49. doi:10.4103/srmjrds.srmjrds_84_19.

5. Ezoddini Ardakani F, Sheikhha MH, Ahmadi H. Prevalence of dental developmental anomalies: A radiographic study. Community Dent Health. 2007;24(3):140–4.

6. Gul M, Adnan S, Umer F. A variant of the current dens invaginatus classification. Front Dent. 2020;17:28. doi:10.18502/fid.v17i28.4654

7. Shah N. Recent advances in imaging technologies in dentistry. World J Radiol. 2014;6(10):794.

8. Saleh NSA, Hussein AS, Hamzah SH, Ramlan NA. Unilateral dens invaginatus in immature maxillary central incisor: a case report. Asian J Dent Sci. 2020;3(1):83–87.

9. Kfir A, Flaisher Salem N, Natour L, Metzger Z, Sadan N, Elbahary S. Prevalence of dens invaginatus in young Israeli population and its association with clinical morphological features of maxillary incisors. Sci Rep. 2020;10(1):1–8. https://doi.org/10.1038/s41598-020-74396-z

10. Ickow IM, Zinn S, Stacy JM, Martin B, Losee JE, D’Alesio A, et al. Dens Invaginatus in Patients With Cleft Lip and Palate: A Case Series. Cleft Palate-Craniofacial J. 2021;58(11):1452–8.

11. Chamarczuk A, Chamarczuk A, Lichota D, Lipski M. Treatment of dens invaginatus: 4-year follow-up. Pomeranian J Life Sci. 2023;69(4):58–61. doi:10.21164/pomjlifesci.979

12. Nurhapsari A. Penatalaksanaan gigi premolar kedua maksila dengan saluran akar Vertucci tipe V - laporan kasus. ODONTO Dent J. 2014;1(1):53–56. doi:10.30659/odj.1.1.53-56

13. Taha NA, Makahleh N, Hatipoglu FP. Root canal morphology of anterior permanent teeth in Jordanian population using two classification systems: a cone-beam computed tomography study. BMC Oral Health. 2024;24(1):1–9.

14. Karobari MI, Parveen A, Mirza MB, Makandar SD, Nik Abdul Ghani NR, Noorani TY, et al. Root and root canal morphology classification systems. Int J Dent. 2021;2021:6682189. doi:10.1155/2021/6682189

15. Bansal R, Hegde S, Astekar MS. Classification of root canal configurations: a review and a new proposal of nomenclature system for root canal configuration. J Clin Diagn Res. 2018;12(5):ZE01ZE05.