Clinical management of teeth with dens invaginatus and periapical lesion: Report of two cases

Endodontic treatment for teeth that exhibit the dental anomaly, dens invaginatus, can be difficult because of the bizarre anatomy and relative inaccessibility of the diseased pulp tissue. Two cases are presented here involving nonsurgical and surgical endodontic treatment. In the first case, a maxillary left lateral incisor associated with a large periapical lesion was treated, and in the second case, a maxillary right canine associated with periapical lesion and incompletely obturated root canal with displaced root end restoration was treated. In both the cases, post operative recall radiograph showed satisfactory periradicular healing.