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Severe dens in dente
Roentgeno-oddities
SEVERE
DENS
IN DENTE
D
uring routine examination of a IO-year-old Zuni Indian girl, the maxillary left lateral incisor was noted to have a deep lingual pit with enlarged cingulum and exhibited clinical symptoms of sensitivity to sweets. The tooth responded favorably to vitality, percussion, and thermal tests, Radiographs disclosed continuity between the lingual pit and the pulp chamber with a very oddly shaped root and pulp canal formation. The inner aspect of the pulp chamber appeared to be lined with enamel. The tooth, when removed surgically, exhibited a pear-shaped root structure, with the apex directed labially. Clinically and radiographically, this appears to be a severe form of dens in dente. David A. Elrod, D.D.S. Peter Loomis, D.D.S. P.H.S. Hospital Zuni, N. M. 87327
Each
this section will bring to the readers of ORAL SURGERY, ORAL MEDICINE AND one or more roentgenograms which demonstrate unusual, unexpected, rare, or bizarre roentgenographic changes. These roentgenograms will be accompanied by an explanation or by words of inquiry regarding the particular change. Please submit 5 by 7 inch glossy black and white prints along with two copies of the description of the case. All material for publication should be submitted to Dr. Lincoln R. Manson-Hing, University of Alabama School of Dentistry, Medical Center, Birmingham, Alabama 35233.
ORAL
174
month
PATHOLOGY
SEVERE
DENS
IN DENTE
D
uring routine examination of a IO-year-old Zuni Indian girl, the maxillary left lateral incisor was noted to have a deep lingual pit with enlarged cingulum and exhibited clinical symptoms of sensitivity to sweets. The tooth responded favorably to vitality, percussion, and thermal tests, Radiographs disclosed continuity between the lingual pit and the pulp chamber with a very oddly shaped root and pulp canal formation. The inner aspect of the pulp chamber appeared to be lined with enamel. The tooth, when removed surgically, exhibited a pear-shaped root structure, with the apex directed labially. Clinically and radiographically, this appears to be a severe form of dens in dente. David A. Elrod, D.D.S. Peter Loomis, D.D.S. P.H.S. Hospital Zuni, N. M. 87327
Each
this section will bring to the readers of ORAL SURGERY, ORAL MEDICINE AND one or more roentgenograms which demonstrate unusual, unexpected, rare, or bizarre roentgenographic changes. These roentgenograms will be accompanied by an explanation or by words of inquiry regarding the particular change. Please submit 5 by 7 inch glossy black and white prints along with two copies of the description of the case. All material for publication should be submitted to Dr. Lincoln R. Manson-Hing, University of Alabama School of Dentistry, Medical Center, Birmingham, Alabama 35233.
ORAL
174
month
PATHOLOGY