Pulp preservation for dens invaginatus case: Report of direct pulp capping on invagination and partial pulpotomy to the main structure

Abstract

Root canal treatment can be considered a conservative approach for complex root canal configurations due to the aberrant and unpredictable internal anatomy. Although advanced imaging, current irrigation systems, and biomaterials have improved the management of anomalies like dens invaginatus, early identification and pulp preserver approaches are crucial in preventing pulpal pathology, avoiding complex-specialized endodontic treatment, and unintentional complications. This report presents a management utilizing pulp preservation of a 14-year-old patient and successful prognosis with a 2-year follow-up, including partial pulpotomy to the main canal and direct capping to the pulp of invaginated structure in Type II dens invaginatus.