Tratamento conservador de dens in dente em paciente pediátrico: Relato de caso : Conservative treatment of dens in dente in a pediatric patient: Case report

Bruna Vaz Gallego Lima  Rover; Annelyze Podolan Kloster; Rafael Almeida  Rocha; Luiz Evaristo Ricci Volpato

doi:10.17765/2176-9206.2025v18e12719

Authors

Bruna Vaz Gallego Lima Rover Private practice https://orcid.org/0009-0007-3525-5889
Annelyze Podolan Kloster Várzea Grande University Center https://orcid.org/0009-0001-1543-339X
Rafael Almeida Rocha Anhanguera-Pitagoras School of Dentistry https://orcid.org/0009-0005-1993-6647
Luiz Evaristo Ricci Volpato University of Cuiabá https://orcid.org/0000-0002-2969-1963

DOI:

https://doi.org/10.17765/2176-9206.2025v18e12719

Keywords:

Dens in Dente, Pit and Fissure Sealants, Tooth Abnormalities

Abstract

OBJECTIVE: To present the case of a pediatric patient with dens in dente and its conservative treatment. CLINICAL CASE REPORT: A six-year-old female pediatric patient came for dental evaluation with morphological alteration in the upper left central incisor. After radiographic evaluation, the diagnosis of dens in dente was confirmed. Since the patient had a large accumulation of biofilm and dens in dente could lead to the development of a carious lesion with potential pulp involvement, we opted for conservative treatment with pit and fissure sealant. CONCLUSION: The patient's age and poor biofilm control were preponderant reasons for the indication of sealing the dens in dente with resin sealant. The patient should be kept under periodic monitoring.

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Author Biographies

Bruna Vaz Gallego Lima Rover, Private practice

Graduated in Dentistry from the Várzea Grande University Center, Várzea Grande. Specialist in Pediatric Dentistry from the Avantis University Center. Works in a private practice in Cuiabá.

Annelyze Podolan Kloster, Várzea Grande University Center

Graduated in Dentistry from the University of Cuiabá (2006). Specialist in Public Health from the IBPEX/FACINTER Institute (2008) and Specialist in Pediatric Dentistry from UNIPOS/UNIC (2008). Master in Pediatric Dentistry from the Bauru School of Dentistry - University of São Paulo FOB-USP (2011). Works in the area of Clinical Dentistry with an emphasis on Pediatric Dentistry.

Rafael Almeida Rocha, Anhanguera-Pitagoras School of Dentistry

Graduated in Dentistry from the Federal University of Juiz de Fora (2010). Specialist in Oral and Maxillofacial Surgery and Traumatology Hospital Sul Fluminense - USS (2014). Master's degree in Clinical Dentistry from the Federal University of Juiz de Fora (2016). PhD in Integrated Dental Sciences - UNIC Cuiabá (2023-2026). He is currently an undergraduate professor at Faculdade Anhanguera-Pitagoras - Governador Valadares and a postgraduate professor at the Center for Dental Studies - Muriaé. Member of the clinical staff at Hospital Bom Samaritano - GV. Coordinator of the Dentistry course at Faculdade Anhanguera-Pitagoras - Governador Valadares. Undergraduate experience in the subjects of: Oral and Maxillofacial Anatomy, Oral Pathology, Anesthesiology, Oral Surgery and Clinical Dentistry. Postgraduate experience: Oral Surgery, Orofacial Harmonization.

Luiz Evaristo Ricci Volpato, University of Cuiabá

He holds a degree in Dentistry from the University of Cuiabá (1997), a specialization in Public Health from the Federal University of Mato Grosso (1999), a specialization in Pediatric Dentistry from the University of Cuiabá (2000), a master's degree in Health and Environment from the Federal University of Mato Grosso (2003) and a PhD in Dentistry, with a concentration in Pediatric Dentistry, from the Bauru School of Dentistry, University of São Paulo (2009). Member of the clinical staff of the Cancer Hospital of Mato Grosso and professor of postgraduate studies at the University of Cuiabá. His area of expertise is Dentistry, with an emphasis on Pediatric Dentistry, Dentistry for patients with special needs, collective oral health and photonic therapies.

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