The tubercle brought upon by the dens evaginatus of the tooth presented an unusual pulpal anatomy. Unlike supplementary cusps, such as the cusp of Carabelli, dens evaginatus tubercles can present with pulpal extension 70% of the time. [morninghuddle.co]

Present case describes the use of mineral trioxide aggregate (MTA) in type II dens evaginatus of maxillary central incisor. [saudiendodj.com]

There was one patient with three teeth with dens evaginatus in the present study. All teeth in the present study were lower premolars. [bmcoralhealth.biomedcentral.com]

The patient was explained regarding the aberrant corono-radicular morphology, periapical, and pericervical lesions present in relation to tooth #34 and the treatment plan. [contempclindent.org]

[…] cases reported), if esthetic appearance is satisfactory, function is within normal limits, no caries or advanced attrition are present and if the anomalous cusp is not sharp to irritate the tongue or affect speech. [jisppd.com]

• Asymptomatic

  Clinically and radiographically, all the follow-up examinations revealed an asymptomatic tooth with evidence of periapical healing with stunted root development. The tooth remained asymptomatic even after 4 years. [idexlab.com]

  Six months re-evaluation revealed that tooth was asymptomatic with resolution of radiolucency indicating success of the endodontic treatment (Figure D). [rroij.com]

  The patient has been kept on regular follow-ups and the patient is asymptomatic. [ijdr.in]

  Semitalon, an additional cusp that extends less than half the distance from the CEJ to the incisal edge Type 3 - Trace talon, prominent cingula Posterior teeth Occlusal DE Buccal DE Palatal DE/ Lingual DE Management[edit] If the tooth involved is asymptomatic [en.wikipedia.org]

• Inflammation

  The endodontist attributed the pulpal inflammation to excessive prophy-cup heating during the patient’s prophylaxis the previous month by the referring pediatric dentist during a preventive care visit. [pocketdentistry.com]

  Early detection is important to avoid pulpal complications and periapical inflammation. Frequently, it goes unnoticed and is discovered late when pulpitis and periapical pathology occur. [srmjrds.in]

• Weakness

  Along with the drawback of prolonged therapy, apexification with Ca(OH)2 induces weakness of the root and tooth structure with a reduction in fracture strength, i.e. by about one half after one year of investigation [6]. [bmcoralhealth.biomedcentral.com]

• Eruptions

  This study suggests that management of Dens Evaginatus initiate as soon as premolars erupt. [idexlab.com]

  Synonyms Dental sac; Tooth follicle; Tooth sac Anatomy The dental follicle is the tissue which surrounds the crown of a developing tooth and remains until that tooth erupts. [link.springer.com]

  If early, ideally pre-eruptive diagnosis is not made, there is a significant risk that, on eruption, these protuberances will shear off under occlusal forces, exposing the pulp, and potentially leading to loss of teeth in an otherwise healthy dentition [magonlinelibrary.com]

  Grinding of the intact tubercles of newly erupted evaginated premolars may contribute to secondary infection of the pulp, and is not recommended. Similar articles Multiple dens evaginatus: diagnosis, management, and complications: case report. [pubmed.ncbi.nlm.nih.gov]

  Many cases of spontaneous healing of eruption cyst associated with the eruption of unerupted permanent premolars have been reported in the literature.[24] Such anomalies, as was found in the present case, require in-depth investigation to determine its [contempclindent.org]

• Fracture

  What happen if a dens evaginatus fracture? As it is more prominent, the tubercle may be worn or fractured when chewing/biting against the opposing tooth. [theoralcarecentre.com.sg]

  The primary dental complication of dens evaginatus is fracture or wear of the tubercle which leads to pulp exposure, pulpal necrosis and periapical infection. [journal.kapd.org]

  Long-term calcium hydroxide as a root canal dressing may increase risk of root fracture. Dent Traumatol. 2002; 18: 134-137 Al-Jundi S. [jendodon.com]

  Due to occlusal trauma this tubercle tends to fracture thus exposing the pathway to the pulp chamber of teeth. [hindawi.com]

  The clinical intendment is focused on early pulpal exposure due to occlusal trauma, fracture or attrition leading to infection. Treatment may be conservative or interventional. [longdom.org]

• Withdrawn

  The file was gently given 2–3 clockwise turns and then withdrawn by giving counterclockwise rotation. A calcium sulfate-based cement (Cavit) was introduced in the access cavity. [contempclindent.org]

• Hyperactivity

  However, previously, it was thought to arise genetically during morphodifferentiation stage of tooth development, as a result of outfolding of the enamel organ or hyperactivity of the dental lamina.[5] However, now, it is believed that the PAX and MSX [ijds.in]

When this occurs in an immature tooth, regenerative endodontic treatment may be a good treatment approach to promote root formation. [idexlab.com]

[…] canal treatment and Apexification [4]. [rroij.com]

Patient has been clearly explained regarding the treatment options and the time involved. Informed consent of the treatment procedure has been taken. [saudiendodj.com]

Endodontic treatment of bilateral dens evaginatus premolars with large periapical lesions. J Oral Sci 2009; 51: 475–479. Google Scholar 28. Yong SL. Prophylactic treatment of dens evaginatus. ASDC J Dent Child 1974; 41: 289–292. [magonlinelibrary.com]

When pulp exposure is not encountered, preventive resin composite sealing of the dentin or class I amalgam cavity preparation would be the treatment of choice. < It is important that the dentist be well prepared to carefully plan treatment of dens evaginatus [forp.usp.br]

When considering treatment options, the long-term prognosis of the tooth, its root length, the general alignment of the teeth, and overall arch length should be reviewed. [pubmed.ncbi.nlm.nih.gov]

Prognosis of root-fractured permanent incisors. Endod Dent Traumatol. 1989; 5: 11-22 Cvek M. Prognosis of luxated non-vital maxillary incisors treated with calcium hydroxide and filled with gutta-percha. Endod Dent Traumatol. 1992; 8: 45-55 Yong S. [jendodon.com]

Prognosis of luxated non-vital maxillary incisors treated with calcium hydroxide and filled with gutta-percha. A retrospective clinical study. Endod Dent Traumatol. 1992;8(2):45–55. [bmcoralhealth.biomedcentral.com]

This article presents with a case report of conjoined occurrence of multiple DE (Schulge type 5) along with partial anodontia of maxillary premolars and left molars and also reviews the etiology, classification, diagnosis and management strategies of [longdom.org]

Dens evaginatus in the etiology of bilateral periapical involvement in caries-free premolars. Oral Surg Oral Med Oral Pathol 1974; 38: 465–468. Google Scholar 13. Stewart R, Dixon G, Graber R. [magonlinelibrary.com]

The absence of an obvious etiology such as caries, trauma, or pathological alterations such as attrition, abrasion, or erosion obscures the detection of this pathology. [srmjrds.in]

Etiology :  Remains undetermined.  Autosomal dominant and X-linked dominant inheritance patterns are seen,  Localized trauma, possibly from pressure exerted upon the developing tooth bud has been suggested. 6. [slideshare.net]

The etiology in our case could have been multifactorial with trauma most likely cause of the trigger for above malformation. [ijdr.in]

Himel Dens Evaginatus: Literature Review, Pathophysiology, and Comprehensive Treatment Regimen. J Endod 2006;32:1–9 Neville B, Damm D, Allen C, Bouquot J. Oral and maxillofacial pathology, 2nd ed. Philadelphia: WB Saunders, 2002;77–9. Ash M. [slideshare.net]

Review Dens evaginatus: literature review, pathophysiology, and comprehensive treatment regimen Marc E Levitan et al. J Endod. 2006 Jan. Abstract Dens evaginatus (DE) is an uncommon dental anomaly, having been well documented since 1925. [pubmed.ncbi.nlm.nih.gov]

Dens evaginatus: literature review, pathophysiology, and comprehensive treatment regimen. J Endod.. 2006; 32: 1-9. Suksamai S. The prevalence of dens evaginatus and apical periodontitis in dens evaginatus in a group of thai school children. [rroij.com]

Dens evaginatus: literature review, pathophysiology, and comprehensive treatment regimen. J Endod 2006; 32: 1–9. Medline, Google Scholar 3. Hattab FN, Yassin OM, Al-Nimri KS. Talon cusp? clinical significance and management. [magonlinelibrary.com]

Dens evaginatus: Literature review, Pathophysiology and Comprehenive Treatment Regimen. J Endod 2006; 32: 1-9. Referans17. Mupparapu M, Singer SR, Goodchild JH. [dergipark.org.tr]

This treatment would include careful sequential grinding, pulp capping, preventive resin restoration. [journal.kapd.org]

Therefore, it is important to prevent further worse complications through the early diagnosis and intervention. [kyushu-u.pure.elsevier.com]

The infection has spread to the tooth supporting bone and the tooth has to be endodontically treated to prevent further complications. [rroij.com]

Preventative measures[3] include: Oral hygiene instruction[3] Scaling and polishing[3] Application of topical fluoride on reduced cusp[3] Application of fissure sealant[6][3] Frequent dental check-up, pay extra attention to fissures[2] Perform direct [en.wikipedia.org]