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Dentistry · Tooth development and dental anatomy: dens invaginatum
Sample itemA radiograph of a maxillary lateral incisor shows an enamel-lined invagination of the crown extending toward the root, with a tooth-within-a-tooth appearance. What is this anomaly?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Dens invaginatum
Dens invaginatum (dens in dente) is an infolding of enamel and dentine into the pulp chamber, most often in maxillary lateral incisors. It traps debris and predisposes to early pulp infection.
Option by option
A. Concrescence
Concrescence is union of the roots of two teeth by cementum.
B. Taurodontism
Taurodontism is enlargement of the pulp chamber with apical displacement of the furcation.
C. Dilaceration
Dilaceration is an abrupt bend in the root or crown.
D. Dens invaginatum (correct)
Correct. Enamel-lined invagination gives the tooth-within-tooth image.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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