Dens evaginatus

Chen, Jung‐Wei; Huang, George T.‐J.; Bakland, Leif K.

doi:10.1016/j.adaj.2020.01.015

Cited by 13 publications

(21 citation statements)

References 32 publications

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“…17 In modern times, treatment options for DE with immature apices and thin roots have been further expanded to include regenerative endodontics. 8 Apexification of the mandibular second premolar in the present case was the treatment option of choice over regenerative endodontics, as the existing root thickness was considered adequate for success despite the open apex.…”

Section: Discussionmentioning

confidence: 79%

“…The contralateral (left) mandibular second premolar of the same patient was previously treated in a similar way, and had also demonstrated clinical success with an MTA apexification approach 17 . In modern times, treatment options for DE with immature apices and thin roots have been further expanded to include regenerative endodontics 8 . Apexification of the mandibular second premolar in the present case was the treatment option of choice over regenerative endodontics, as the existing root thickness was considered adequate for success despite the open apex.…”

Section: Discussionmentioning

confidence: 80%

“… 8 Treatment options may include: tubercle preservation, gradual tubercle reduction, vital pulp therapy, apexification, root canal filling and regenerative endodontics. 8 In 2006, Levitan and Himel proposed a comprehensive regimen for the management of DE cases, which varied from preventive measures only for simpler cases, to more advanced endodontic approaches given classification of the anomaly's extent using their system. 1 The classification is as follows: Type I: normal pulp, mature apex; Type II: normal pulp, immature apex; Type III: inflamed pulp, mature apex; Type IV: inflamed pulp, immature apex; Type V: necrotic pulp, mature apex; Type VI: necrotic pulp, immature apex.…”

Section: Discussionmentioning

confidence: 99%

“…DE has been described in several population groups, but predominantly affects individuals of Asian descent as opposed to Europeans 8,10 . In Asian populations, the overall prevalence of the anomaly has been estimated to range between 0.5%–4.3% 10 .…”

Section: Discussionmentioning

confidence: 99%

“…7 Additionally, teeth with DE often present with immature roots and open apices, necessitating the need for the provision of an apical barrier, increasing the complexity of the endodontic management. 1 Treatment for this condition may vary from early recognition and preventive measures to conventional endodontic approaches such as root canal treatment, with or without apexification, and/or regenerative endodontics, 8 depending on the severity of pulpal involvement and level of root development. 1 The following report details the diagnosis and management of a mandibular second premolar in a female patient that presented with DE, pulpal necrosis and an immature apex.…”

Section: Introductionmentioning

confidence: 99%

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Apexification of dens evaginatus in a mandibular premolar: A case report

Vyver

Vorster

Buchanan

2023

Clinical Case Reports

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Key Clinical Message Dens evaginatus is an uncommon dental anomaly presenting on mandibular premolar teeth. Affected teeth are difficult to diagnose and manage, and often demonstrate immature apices requiring complex endodontic treatment approaches. Abstract Dens evaginatus (DE) is an uncommon anomaly affecting mandibular premolars, frequently requiring endodontic intervention. This report documents the treatment of an immature mandibular premolar presenting with DE. Early diagnosis and preventive strategies remain the preferred management for these anomalies, however endodontic approaches may be successfully applied to retain these teeth.

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Section: Discussionmentioning

confidence: 79%

Section: Discussionmentioning

confidence: 80%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Apexification of dens evaginatus in a mandibular premolar: A case report

Vyver

Vorster

Buchanan

2023

Clinical Case Reports

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Extreme Impactions, Unusual Phenomena, Difficult Decisions

Becker¹

2022

Orthodontic Treatment of Impacted Teeth

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Dens evagination and complete invagination in the same tooth with extraoral fistula: A rare case report

Bolhari,

Ghabraei,

Noori

et al. 2024

Clinical Case Reports

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Key Clinical MessageSuccessful management of a rare case involving both dens evaginatus and dens invaginatus in the same tooth, monitored over a 24‐month follow‐up.AbstractDens invaginatus (DI) is a congenital dental anomaly characterized by the presence of a tooth that resembles a “tooth within a tooth.” Conversely, dens evaginatus (DE) is a developmental anomaly distinguished by an additional tubercle or cusp on the tooth's crown. Both DI and DE can result in pulpal and periapical diseases in the affected tooth. This article presents a case of a healthy 14‐year‐old male with recurrent swelling under the chin and a wound with pus drainage on the right side of the submental area, associated with his left mandibular lateral incisor affected by both DI and DE. Clinical and radiographic examinations revealed that the tooth was necrotic and had a chronic apical abscess. Cone beam computed tomography (CBCT) confirmed Oehlers' type III DI and a talon cusp on the lingual surface of the same tooth. The patient underwent orthograde endodontic treatment. Passive ultrasonic activation of a 5.25% NaOCl solution and a mixture of Ca(OH)2 and a 2% chlorhexidine solution were utilized to effectively clean and eliminate the persistent pus discharge. After the resolution of the patient's symptoms, the apical third of the root canal and the invaginated space were filled with a plug of mineral trioxide aggregate (MTA), while the remaining root canal was filled using a sealer‐based obturation technique. A 24‐month follow‐up visit revealed complete bone regeneration in the previously affected periradicular tissues.

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Dens evaginatus

Cited by 13 publications

References 32 publications

Apexification of dens evaginatus in a mandibular premolar: A case report

Apexification of dens evaginatus in a mandibular premolar: A case report

Extreme Impactions, Unusual Phenomena, Difficult Decisions

Dens evagination and complete invagination in the same tooth with extraoral fistula: A rare case report

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