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Galit Sela 1 Article
Fifty-year follow-up of dens invaginatus treated by nonsurgical and surgical endodontic treatments: a case report
Qais Arow, Eyal Rosen, Galit Sela, Shlomo Elbahary, Igor Tsesis
Received April 9, 2025  Accepted August 26, 2025  Published online October 31, 2025  
DOI: https://doi.org/10.5395/rde.2025.50.e42
AbstractAbstract PubReaderePub
This case report presents a lateral maxillary incisor with dens invaginatus (DI) type IIIb that was treated both nonsurgically and surgically over 50 years. Treatment of teeth with DI can be challenging. Suggested options may include nonsurgical root canal treatment, endodontic surgery, or extraction. In this case report, a 13-year-old patient with a lateral maxillary incisor with DI type IIIb was treated by nonsurgical root canal treatment, modern endodontic surgery, and reoperation over the course of 50 years. There was complete healing at the last follow-up, 11 years after the reoperation. Correct diagnosis and proper treatment using modern endodontic techniques can enable teeth with DI to survive throughout the life span of the patient.
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