Diagnosis and management of unusual dental abscesses in children

Although the majority of dental abscesses in children originate from dental caries or trauma, a few are associated with unusual conditions which challenge diagnosis and management. Recent research findings have shed light on these unusual entities and greatly improved understanding of their clinical implications. These conditions include developmental abnormalities such as dens invaginatus in which there is an invagination of dental tissues into the pulp chamber and dens evaginatus in which a tubercle containing pulp is found on the external surface of a tooth crown. In addition, inherited conditions which show abnormal dentine such as dentine dysplasia, dentinogenesis imperfecta, and osteogenesis imperfecta predispose the dentition to abscess formation. Furthermore, 'spontaneous' dental abscesses are frequently encountered in familial hypophosphataemia, also known as vitamin D-resistant rickets, in which there is hypomineralization of dentine and enlargement of the pulp. In addition to developmental conditions, there are also acquired conditions which may cause unusual dental abscesses,. These include pre-eruptive intracoronal resorption which was previously known as 'pre-eruptive caries' or the 'fluoride bomb'. In addition, some undiagnosed infections associated with developing teeth are now thought to be the mandibular infected buccal cysts which originate from infection of the developing dental follicles. In the present paper, these relatively unknown entities Which cause unusual abscesses in children are reviewed with the aim of updating the general practitioner in their diagnosis and management.

Dens invaginatus type III: report of a case and 10-year radiographic follow-up

Aim the purpose of this article is to report the 10-year follow-up of a right mandibular central incisor with 'dens invaginatus' that was root filled.Summary 'Dens invaginatus ' is a rare malformation of teeth, probably resulting from an infolding of the dental papilla during tooth development. It has alternatively been called 'dens in dente' and 'dilated composite odontome'. Radiographic examination may clearly demonstrate this feature, although no signs may be recognized clinically. If no entrance to the invagination can be detected and there are no signs of pulp pathosis, then no treatment is required other than fissure sealing of the invagination. In deep invaginations, it is likely that root-canal treatment may be required. Occasionally, when the tooth has an immature root, apexification is necessary. Root-canal treatment of a right mandibular central incisor with 'dens invaginatus ' is described along with 10-year follow-up.Key learning pointsBoth clinical and radiographic examinations are necessary to determine morphological features of teeth before root-canal treatment.Sensibility testing to determine the pulp condition is critical prior to treatment.

Apexification with white MTA in an immature permanent tooth with dens invaginatus

Dens invaginatus, also known as dens in dente, is a developmental dental anomaly resulting in an invagination of the enamel organ into the dental papilla. These cases present technical difficulties to the root canal treatment. Apexification using an apical plug of mineral trioxide aggregate (MTA) has been indicated as an alternative to long-term intracanal use of calcium hydroxide in immature permanent teeth. It is considered as a simple and rapid technique. This paper reports a case of Oehlers' Type 1 dens invaginatus in an immature permanent maxillary right lateral incisor, which presented pulp necrosis secondary to dental trauma and was treated by apexification with white MTA apical plugging followed by conventional root canal therapy. The operative procedures are described and the technique is discussed. The physical and biological properties of MTA, associated with appropriate instrumentation and obturation techniques, make this material an excellent option in the endodontic therapy of immature permanent teeth with dens invaginatus.

18-Year Follow-up of Dens Invaginatus: Retrograde Endodontic Treatment

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Seasonal Carbon Dioxide and Oxygen Concentrations in the Dens of Hibernating Mammals (Sciuridae)

This paper reports seasonal changes in respiratory gases in artificial dens of two species of hibernators indigenous to central and northern Alaska: Citellus parryi ablusus(Osgood) and Marmota broweri Hall and Gilmore (Sciuridae).

[Dens invaginatus. Review of the literature and diagnostic and therapeutic guidelines]

Dens invaginatus is a clinically relevant malformation of teeth resulting from an infolding of enamel and dentine into the dental structure during tooth formation, hence the former denomination "dens in dente". The dens invaginatus shows multiple morphological variations of crown and root formation. This frequently leads to caries, pulpal and periodontal involvement with necrosis and loss of attachment. Therefore, early diagnosis and prevention are of utmost importance. Due to the complexity of the malformation, treatment options in former days were limited. This article presents a profound review of the literature regarding etiology, epidemiology and histology. It discusses clinical appearance and diagnosis and it provides guidelines for decision-making and treatment of invaginated teeth.

Catalogus haereticorum, omnium pene, qui ad haec vsque tempora passim literarum monumentis proditi sunt, illorum nomina, errores, & te[m]pora quibus vixerunt oste[n]dens / a F. Bernardo Lutzenburgo ... Ordinis Pr[a]edicatorii, co[n]scriptus, in cuius calc

Marca tip. en port. (Renouard, 893)

Om befolkningen i Skandinavien of dens tilvaext i tidslöbet 1769-1800.

"Aftrykt af det Skandinav. litt. selsk. Skrivter 2 hefte for aaret 1808."

Astrolabium planum in tabulis asce[n]dens : co[n]tinens qualibet hora atq[ue] minuto equationes domoru[m] celi, mora[m] nati in vtero matris cum quoda[m] tractatu natiuitatum vtili ac ornato, nec non horas inequales pro qualibet climate mundi /

Contiene gran número de tablas explicativas a los climas e influencias de los signos en el nacimiento de los hombres, en el cielo, etc.

Gladius Petri in vagina et evaginatus super femur ejus potentissime accinctus ab ore Christi ex utraque parte acutus summis ecclesiae principibus Pftro [sic] et Paulo dicatus /

Mode of access: Internet.

Knytlingasaga, dens kilder og historiske vaerd ...

"D. Kgl. Danske vidensk. selsk. Skrifter, 6. raekke, Historisk og filosofisk afd., VI, 1."

Etnografien fremstillet i dens hovedtræk.

Mode of access: Internet.

Vandcuren i dens historiske Udvikling, naervaerende Tilstand og Resultater /

Errata on p. [174].

Bidrag til den fyenske kongeborg Rugaards, dens laens og dens laensmaends historie.

Mode of access: Internet.

A synopsis of the moral theology of Peter Dens : as prepared for the use of Romish seminaries and students of theology /

Mode of access: Internet.