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Fifty-year follow-up of dens invaginatus treated by nonsurgical and surgical endodontic treatments: a case report
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Qais Arow, Eyal Rosen, Galit Sela, Shlomo Elbahary, Igor Tsesis
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Restor Dent Endod 2026;51(1):e1. Published online December 18, 2025
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DOI: https://doi.org/10.5395/rde.2026.51.e1
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 Abstract
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- 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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Citations
Citations to this article as recorded by  - Three‐Dimensional Segmentation of Dens Invaginatus: A Case Series Exploring the CARES Classification for Anatomy‐Driven Clinical Decision‐Making
Angelo José Sócrates Torres‐Carrillo, Grasielle de Camargo Gonçalves Alcebiades, Antonio Miranda Cruz‐Filho, Ricardo Gariba Silva, Manoel Damião Sousa‐Neto, Jardel Francisco Mazzi‐Chaves, Fabiane Carneiro Lopes‐Olhê, Igor Bassi Ferreira Petean
International Endodontic Journal.2026;[Epub] CrossRef
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