Dens invaginatus

[1] The thin layer of the infolding enamel could be chipped off easily, providing entrance for microorganisms into the root canal.

Clinical features such as incisal notching or pronounced talon cusp on lateral incisors could hit at DI and should be investigated with radiographs.

Teeth with DI can have a conical peg shaped crown, a deep pit on the lingual side, or have an exaggerated talon cusp.

Although examination may reveal a fissure on the surface of an anterior tooth, in mild cases of DI, crowns may present with normal anatomy and are often asymptomatic.

CBCT will also assist in determining the feasibility of root canal treatment, apical surgery or other procedures for teeth with DI.