Saveetha Dental College and Hospital, 162 Poonamalle High Road, Vellapanchavadi, Chennai, Tamil Nadu 600077, India.
Department of Oral Medicine and Radiology, Saveetha Dental College and Hospital, 162 Poonamalle High Road, Chennai, Tamil Nadu 600077, India.
Br Dent J. 2021 Mar;230(6):345-350. doi: 10.1038/s41415-021-2721-9. Epub 2021 Mar 26.
Dens invaginatus (DI) is a developmental anomaly resulting in a deepening or invagination of the enamel organ into the dental papilla prior to calcification of the dental tissues. Presence of DI is considered to increase the risk of caries and pulpal pathology, but they are often missed in the initial orthodontic assessment as they present with no clinical signs of an anomaly. In absence of adequate oral hygiene and maintenance, bacterial contamination of these malformations can lead to the development of early caries and consequent pulpal death. Early diagnosis of these lesions is critical as they can negatively impact any planned orthodontic treatment and assessment of the prognosis of these lesions is therefore necessary prior to the commencement of orthodontic treatment. In this article, we aim to illustrate the need for appropriate diagnosis and multidisciplinary approach in the management of DI in patients undergoing orthodontic treatment.
牙内陷（DI）是一种发育异常，在牙组织钙化之前，釉质器官向牙乳头内陷或内陷。存在 DI 被认为会增加龋齿和牙髓病理学的风险，但它们在初始正畸评估中经常被忽视，因为它们没有异常的临床迹象。如果没有足够的口腔卫生和维护，这些畸形的细菌污染会导致早期龋齿的发展，并导致牙髓死亡。早期诊断这些病变至关重要，因为它们会对任何计划的正畸治疗产生负面影响，因此在开始正畸治疗之前，有必要对这些病变的预后进行评估。在本文中，我们旨在说明在接受正畸治疗的患者中，对 DI 进行适当诊断和多学科治疗的必要性。
