Endodontic Management of Dens Invaginatus Using Dynamic Navigation System in Pediatric Patient: A Case Report

Authors

• Ayesha Fathima, Saveetha Institute of Medical and Technical Sciences, IndiaFollow
• Sahana Selvaganesh, Saveetha Institute of Medical and Technical Sciences, IndiaFollow
• Ganesh Jeevanandan, Saveetha Institute of Medical and Technical Sciences, IndiaFollow
• Pradeep Solete, Saveetha Institute of Medical and Technical Sciences, IndiaFollow
• Prabahdevi Maganur, Jazan University, Saudi ArabiaFollow
• Ather Syed Ahmed, Jazan University, Saudi ArabiaFollow
• Satish Vishwanathaiah, Jazan University, Saudi ArabiaFollow

Abstract

Dens invaginatus, also known as dens in dente, is a dental anomaly resulting from infolding the enamel organ into the dental papilla. Dynamic Navigation Systems (DNS) like Navident, offer real-time guidance during endodontic procedures, proving especially useful in complex cases, such as calcified canals or pulp obliteration. This case report presents a 13-year-old female, who reported the chief complaint of continuous pain in the upper left front tooth region. Based on the clinical and radiographical findings, a diagnosis of pulp necrosis and chronic periapical abscess in relation to maxillary canine (23) was established with dens invaginated palatal canal ( Oehler’s type III). Despite CBCT imaging and analysis of canal morphology, difficulty in accessing the palatal canal orifice was encountered. Minimally invasive access with zero deviation from the original plan of negotiating the canal and without iotrgenic errors was achieved using a Dynamic navigation system. This system was a valuable tool because it reduced chair side time, improved patient comfort, and more importantly completed the procedure without the risk of iatrogenic damage to the tooth structure.

Recommended Citation

Fathima, Ayesha; Selvaganesh, Sahana; Jeevanandan, Ganesh; Solete, Pradeep; Maganur, Prabahdevi; Ahmed, Ather Syed; and Vishwanathaiah, Satish (2025) "Endodontic Management of Dens Invaginatus Using Dynamic Navigation System in Pediatric Patient: A Case Report," International Arab Journal of Dentistry: Vol. 16: Iss. 1, Article 16.
DOI: https://doi.org/10.70174/iajd.v16i1.1402
Available at: https://e-journals.usj.edu.lb/iajd/vol16/iss1/16