MEDIUMClinicalTier 1

Dens Invaginatus with Apical Periodontitis: A Case Series Illustrating <em>Oehlers</em> Classification-based Management and Genetic Insights

SourceJournal of EndodonticsTier 1Peer-Reviewed Research

Originally at sciencedirect.com

Summary & scoring by The Bell Brief (Dr. Jennifer Bell) using the Drill-Down Protocol (Drill-Down Score) — not the original publisher.

Why it matters for dental

Endodontists and general dentists treating complex anterior cases now have peer-reviewed, Oehlers-classification-based protocols and genetic correlations for dens invaginatus with apical periodontitis; early adoption may reduce retreatment rates and improve case selection for vital pulp therapy versus extraction.

Key points

  • August 2026 Journal of Endodontics case series (n unspecified) maps Oehlers Type I–III dens invaginatus lesions to specific endodontic strategies and outcomes.
  • Study links Oehlers subtypes to microbial profiles and host-genetic markers, informing antibiotic stewardship and risk stratification.
  • Authors detail CBCT diagnostic thresholds and access-cavity designs that preserve pericervical dentin in invaginated teeth.
  • Findings target specialists and advanced-practice GPs managing maxillary lateral incisors, where dens invaginatus prevalence reaches 10 % in some populations.

Who should care

SpecialistAssociate

Read the original on Journal of Endodontics

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