DENS INVAGINATUS

(Dens in dente)
Invagination in the surface of crown and root before calcification has
occurred.
Important features
 Most commonly involved tooth :- Maxillary lateral incisors
 Other names :- Dens in dente (tooth within a Tooth)
 Cause :- unclear however there are several theories Like infection, trauma,
growth pressure during odontogenesis
 Diagnosis :- radiographs seen as invagination lined by enamel
 Histology :- external and internal enamel have different structures, enamel
lining irregularly structures.
Oehler’s classification
Oehler’s classification

 Class 1 :- Partial invagination. Limited to crown , lesion doesn’t extend CEJ

 Class 2:- Partial invagination , extends beyond crown and CEJ
 Class 3 (a) :- Complete invagination , extends through roots and communicate
pdl.
 Class 3(b) :- Complete invagination, extends through root and communicates
with pdl through apical foramen
DENS EVAGINATUS

 Dens evaginatus is a rare odontogenic development anomaly that is found in

teeth where the outer surface appearstp form a cusp
 Other names :- Tuberculated cusp,
 Occlusal tuberculated premolar
 Evaginatus odontoma
 Occlusal enamel pearl
 Leong‘s premolar
Oehler’s classification

 On the basis of pulp contents within the tubercle

 • wide pulp horns
 • narrow pulp horns
 • constricted pulp horns
 • isolated pulp horn remnants
 • no pulp horn