Tratamiento de diente evaginado mediante técnica de apexificación: reporte de caso / Treatment of dens evaginatus by apexification technique: a case report

El diente evaginado (DE) es una anomalía del desa-rrollo que se define como un tubérculo o protube-rancia que se extiende desde la superficie oclusal del diente afectado. La fractura o desgaste de esta pro-longación, internamente compuesta por tejido pul-par, puede causar diversas enfermedades pulpares, como pulpitis, necrosis pulpar e incluso dar lugar a una periodontitis apical. En el presente caso clíni-co se muestra el tratamiento de DE en un segundo premolar superior izquierdo que presentaba como diagnóstico necrosis pulpar y absceso alveolar cró-nico. El tratamiento consistió en realizar la terapia endodóntica con técnica de apexificación empleando BiodentineTM (AU)

Dens evaginatus (DE) is a dental developmental defect defined as a tubercle or protuberance that extends from the occlusal surface of the affected tooth. Fracture or wear of this extension, internally composed of pulp tissue, can cause diverse pulp diseases, such as pulpitis, pulpal necrosis and it can even induce apical periodontitis.The following clinical case shows the treatment of DE in a maxillary left second premolar diagnosed with pulp necrosis and chronic alveolar abscess. The treatment of choice was endodontic therapy using BiodentineTM (AU)

Talon's cusp in a primary maxillary central incisor A report of a rare odontogenic anomaly

Talon's cusp, a type of dens evaginatus (DE) in a primary tooth, is a rare odontogenic anomaly which is reported sparingly in the literature. We report this case describing the presence of a talon's cusp on the right primary maxillary central incisor in a 2-year-old boy precipitating discomfort, owing to occlusal interference. The treatment plan involved pulpectomy and reduction of the lingula DE extension under general anesthesia.

Multiple Dens Evaginatus- A Rare Case Report With A Review Of Literature

Densevaginatus (DE) is a developmental disturbance affecting the shape of the teeth which is characterized by the presence of accessory enamel projections along with dentin and pulpal core on the occlusal or lingual surface of the teeth. It affects both the primary and permanent dentition. 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. The occurrence of DE either isolated or conjoined with other dental anomalies has been reported. 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 the teeth with DE.

Dens evaginatus and dens invaginatus in a double tooth: A rare case report.

The presence of dens invaginatus (DI) and dens evaginatus (DE) on same tooth is a rare phenomenon. However, when these dental anomalies occur on a double tooth, it becomes an extremely rare phenomenon. The authors report a rare case of DI and DE on fused permanent maxillary central incisor with supernumerary tooth in a 40‑year‑old male. The present article also focuses on the differentiating fusion from gemination and also reviews preventive and management strategies for tooth with complex dental anatomy.

Mandibular talon cusp - a case report

Talon cusp is a relatively rare developmental dental anomaly, characterized by cusp-like projections from the cingulum area, or cemento-enamel junction of maxillary or mandibular anterior teeth, in both the primary and permanent dentition. In most of the cases it involves maxillary lateral incisors. The anomaly has been reported to be rare especially when it occurs on mandibular teeth. This article reports a case of talon cusp on permanent mandibular central incisor, which makes it a rare entity.

The Presentation of Tuberculated Incisors { TALON CUSP }- A Report of Three Cases.

The talon cusp or dens evaginatus of anterior teeth is a relatively rare dental developmental anomaly characterized by the presence of an accessory cusp like structure projecting from the cingulum area or cementoenamel junction. It commonly occurs in either maxilla or mandibular anterior teeth in both the primary and permanent dentition .This article reports three cases of talon cusp and its management.

Dens evaginatus in hemophilic patient: a case report / Dens evaginatus en un paciente hemofílico: reporte de un caso

Tooth development occurs through the interaction between oral tissues during embryogenesis. Alteration through odontogenesis may cause tooth morphological alterations, one of these could be Dens evaginatus. This anatomical variation could be originated from an abnormal proliferation and folding of a portion of the inner enamel epithelium and subjacent ectomesenchymal cells of the dental papilla into the stellate reticulum of the enamel organ during the bell stage of tooth formation. Dens evaginatus is defined as a tubercle, or supplemental solid elevation on some portion of the crown surface. Inadequate clinical management of these teeth may result in a pulpal exposure and possible loss of vitality of the tooth. The research wants to report a case of Dens evaginatusin a permanent mandibular premolar requiring endodontic treatment.A 13-year old male patient attended the Dental Service of a local Hospital, reporting pain the lower left side of the jaw. He reported to be in medical treatment for hemophilia. During an intra oral examination, the left side in the mandible exhibited a multitubercular appearance of left premolars which suggest. Patient shows a sinus tract related to tooth 3, 4, which was sore to palpation and percussion. In radiographic analysis a radio-opacity appeared in the tubercle area of the tooth. Due to low incidence of this anomaly among the young population, it is important that Dentistry related professionals know the characteristics of this anatomical variation in order to perform an adequate clinical management of Dens evaginatus.

El desarrollo dentario se produce por la interacción de tejidos orales durante la embriogénesis. Alteraciones en la odontogénesis pueden causar alteraciones morfológicas, una de ellas es Dens evaginatus. Esta variación anatómica se puede originar de la proliferación anormal de la porción interna del epitelio del órgano del esmalte y las células ectomesenquimáticas del retículo estrellado durante el estado de campana de la odontogénesis. La resultante puede ser una estructura definida como una elevación sólida suplementaria de la corona dentaria. Un manejo clínico inadecuado de dientes con esta alteración puede resultar en una exposición pulpar y posible pérdida de la vitalidad del diente. La investigación reporta el caso clínico de un paciente hemofílico con un Dens evaginatus que requiere tratamiento de endodoncia. Un paciente de 13 años de edad de sexo masculino consultó en el servicio dental del Hospital local en la zona izquierda de la mandíbula. Al examen intraoral presentó premolares mandibulares izquierdos con apariencia multitubercular compatibles con Dens evaginatus. Se observó una fístula en relación al diente 3.4, el que se encontraba sensible a la percusión y palpación. El análisis radiográfico reportó una zona radiopaca en relación a la zona tubercular del diente. En consideración a la baja incidencia de esta variación anatómica, es importante para los profesionales del área de la Odontología conocer las características del Dens evaginatus, con el ánimo de lograr un adecuado abordaje clínico al momento de tratar dientes con esta alteración morfológica.