Differences in the approach of two lower premolars with dens evaginatus: case report

Authors

DOI:

https://doi.org/10.47990/alop.v13i.606

Keywords:

bicuspid, tooth abnormalities, preventive dentistry, endodontics, non vital teeth

Abstract

Dens evaginatus is a dental abnormality consisting of a cusp- or tubercle-shaped elevation of the enamel that is in the central groove or in the buccal area of ​​the cusps of premolars or molars, as well as on the palatal surfaces of teeth. The internal structure of the tubercle is formed by a layer of enamel that covers a core of dentin which contains, in 90% of cases, an evagination of pulp tissue. This article reports the case of a patient of Asian descent with two lower premolars with dens evaginatus, which were approached differently: one premolar received preventive and minimally invasive treatment while the other premolar required root canal treatment.

References

Chen JW, Huang GTJ, Bakland LK. Dens evaginatus: Current treatment options. Journal of the American Dental Association. 2020;151(5):358–67. https://doi.org/10.1016/j.adaj.2020.01.015 2.

Bollin Ga; Atencio JP; Blanco L. Dens Evaginatus en segundos premolares inferiores de un cráneo de Mendoza | Revista Ciencias Morfológicas. 2017; 19:21–34. Disponible en http://sedici.unlp.edu.ar/handle/10915/62272

Thomas MS, Ankita S, Reddy KS. Dens Evaginatus - a hidden pathway to the dental pulp. International Journal of Clinical Dentistry. 2020;12(4):299–305. Disponible en https://www.proquest.com/docview/2415521339?pq-origsite=gscholar&fromopenview=true

Lin CS, Llacer-Martinez M, Sheth CC, Jovani-Sancho M, Martín Biedma B. Prevalence of premolars with dens evaginatus in a taiwanese and Spanish population and related complications of the fracture of its tubercle. European Endodontic Journal. 2018;3(2):118–22. https://doi.org/10.14744/eej.2018.08208

Sockalingam SNMP, Talip MSAAA, Zakaria ASI. Maturogenesis of an immature dens evaginatus nonvital premolar with an apically placed bioceramic material (EndoSequence Root Repair Material®): An unexpected finding. Case Reports in Dentistry. 2018;2018(tooth 45). https://doi.org/10.1155/2018/6535480

Bansode P V, Wavdhane MB, Pathak SD, Khedgikar SB, Rana HB. Dense Evaginatus : Management Using Novel Materials A Case Report. Journal of Medical and Dental Science Research. 2017;4(3):14–7.

Cho SY, Ki Y, Chu V, Chan J. Concomitant developmental dental anomalies in Chinese children with dens evaginatus. International Journal of Paediatric Dentistry. 2006;16:247–51. https://doi.org/10.1111/j.1365-263X.2006.00744.x

Bedi R, Pitts N. Dens evaginatus in the Hong Kong Chinese population. Endod Dent Traumatol. 1988; 4:104–7. https://doi.org/10.1111/j.1600-9657.1988.tb00305.x

Yip WK. The prevalence of dens evaginatus. Oral Surgery, Oral Medicine, Oral Pathology. 1974;38(1):80–7. https://doi.org/10.1016/0030-4220(74)90315-6

Ganapathy S, Hiremath S, Vedam V, Jeyaraj A. Regenerative endodontic treatment in bilateral dens evaginatus teeth – interesting case report. International Journal of Current Research and Review. 2021;13(8):152–6.

Naini FB, Levisianos I, Foo L, Gill DS. Pre-eruptive diagnosis and management of occlusal dens evaginatus in premolar teeth. Dental Update. 2018;45(9):882–8. https://doi.org/10.12968/denu.2018.45.9.882

Stecker S, DiAngelis AJ. Dens evaginatus: A diagnostic and treatment challenge. Journal of the American Dental Association. 2002;133(2):190–3. https://doi.org/10.14219/jada.archive.2002.0143

Ayer A, Vikram M, Suwal P. Case Report Dens Evaginatus : A Problem-Based Approach. Case Reports in Dentistry. 2015;2015(Figure 4). https://doi.org/10.1155/2015/393209

Wu ZF, Lu LJ, Zheng HY, Tu Y, Shi Y, Zhou ZH, et al. Separated root tip formation associated with a fractured tubercle of dens evaginatus: A case report. World Journal of Clinical Cases. 2021;9(12):2944–50. https://doi.org/10.12998/wjcc.v9.i12.2944

Levitan ME, Himel VT. Dens evaginatus: literature review, pathophysiology, and comprehensive treatment regimen. Journal of Endodontics. 2006;32(1):1–9. https://doi.org/10.1016/j.joen.2005.10.009

Guerrero F, Mendoza A, Ribas D, Aspiazu K. Apexification: A systematic review. J Conserv Dent. 2018;21(5).

Hameed MH, Meisha Gul RG, Badar SB. Management of immature necrotic permanent teeth with regenerative endodontic procedures — a review of literature. J Pak Med Assoc. 2019;69. https://doi.org/10.5455/JPMA.294366

Downloads

Published

2023-07-08

Issue

Section

Case report

How to Cite

Differences in the approach of two lower premolars with dens evaginatus: case report. (2023). Latin American Pediatric Dentistry Journal, 13. https://doi.org/10.47990/alop.v13i.606