Rare Case of Double Dens Invaginatus in a Supernumerary Tooth - An Unusual Case Report

Dens invaginatus is a rare developmental malformation resulting from an alteration in the normal growth pattern of the dental papilla. Teeth in both maxillary and mandibular arches may be affected, but the permanent maxillary lateral incisors are the most frequently involved teeth. The invagination ranges from slight accentuation of a lingual pit to an anomaly occupying most of the crown and root. Many etiological factors have been determined regarding its pathogenesis. Only few cases have been reported where dens invaginatus was found to be associated with a supernumerary tooth. This paper reports an unusual case of simultaneous presence of mesiodens and supernumerary tooth with double Dens Invaginatus and its management.