Dens evaginatus (DE) presents a clinical conundrum due to its fragility and propensity to cause pulpal and periapical complications. Clinicians should heed the presence of DE during clinical examinations and avoid unnecessary intervention.
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http://dx.doi.org/10.1002/ccr3.8804 | DOI Listing |
Cureus
October 2024
College of Dentistry, King Saud bin Abdulaziz University for Health Sciences, Riyadh, SAU.
Facial talon cusp is a rare developmental dental anomaly with unknown etiology. This case report is about an 11-year-old boy who presented with discomfort associated with tooth #11. After clinical and radiographical examination, the diagnosis of facial talon cusp (stage 1) was established.
View Article and Find Full Text PDFInt J Paediatr Dent
November 2024
State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases & Department of Pediatric Dentistry, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan, China.
Background: Dens evaginatus is a dental morphological developmental anomaly. Failing to detect it may lead to tubercles fracture and pulpal/periapical disease. Consequently, early detection and intervention of dens evaginatus are significant to preserve vital pulp.
View Article and Find Full Text PDFEur Arch Paediatr Dent
November 2024
Faculty of Dentistry, Discipline of Orthodontics and Paediatric Dentistry, National University of Singapore, 9 Lower Kent Ridge Road, Singapore, 119085, Singapore.
Purpose: Dens evaginatus (DE) is characterised by the presence of a tubercle projection, which when fractured may lead to pulpal pathology. The aim of this study was to assess prevalence of DE in the local population and the long-term outcomes of asymptomatic DE premolars managed with tubercle grinding and composite overlay.
Methods: This is a retrospective cohort study of 9-year-old Singaporean children.
Eur J Dent
February 2025
Division of Comprehensive Oral Health - Endodontics, Adams School of Dentistry, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States.
Regenerative endodontics is a rapidly growing field within dentistry that aims to replace damaged tooth structures and cells of the pulp-dentin complex. This case report presents the successful management of an immature permanent second mandibular premolar with an acute apical abscess and extensive apical bone loss caused by a dens evaginatus. This tooth was unexpectedly treated with long-term calcium hydroxide (Ca(OH)) that was replenished several times over 6 months.
View Article and Find Full Text PDFInt J Clin Pediatr Dent
June 2024
Department of Family Oral Health, The National University of Malaysia (UKM), Federal Territory of Kuala Lumpur, Malaysia.
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