Dens Evaginatus: A Problem-Based Approach
Dens evaginatus is an uncommon developmental anomaly of human dentition characterized by the presence of tubercle on the occlusal surface of mandibular premolars and lingual surface of anterior teeth. Due to occlusal trauma this tubercle tends to fracture thus exposing the pathway to the pulp chambe...
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Case Reports in Dentistry |
| Online Access: | http://dx.doi.org/10.1155/2015/393209 |
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| _version_ | 1832567829918908416 |
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| author | A. Ayer M. Vikram P. Suwal |
| author_facet | A. Ayer M. Vikram P. Suwal |
| author_sort | A. Ayer |
| collection | DOAJ |
| description | Dens evaginatus is an uncommon developmental anomaly of human dentition characterized by the presence of tubercle on the occlusal surface of mandibular premolars and lingual surface of anterior teeth. Due to occlusal trauma this tubercle tends to fracture thus exposing the pathway to the pulp chamber of teeth. This case report is about the presentation of dens evaginatus in mandibular premolars bilaterally; among them tooth 44 was associated with chronic apical periodontitis. Fractured tubercle of three premolars was sealed with composite resin. Root canal treatment was performed with tooth 44. Routine endodontic treatment did not result in remission of infection. Therefore, culture and sensitivity tests were performed to identify the cause and modify treatment plan accordingly. Triple antibiotic paste was used as an intracanal medicament to disinfect the root canal that resulted in remission of infection. |
| format | Article |
| id | doaj-art-ca22f302b5524b84a69d7c1544b65eda |
| institution | Kabale University |
| issn | 2090-6447 2090-6455 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Dentistry |
| spelling | doaj-art-ca22f302b5524b84a69d7c1544b65eda2025-02-03T01:00:31ZengWileyCase Reports in Dentistry2090-64472090-64552015-01-01201510.1155/2015/393209393209Dens Evaginatus: A Problem-Based ApproachA. Ayer0M. Vikram1P. Suwal2Department of Conservative Dentistry & Endodontics, B.P. Koirala Institute of Health Sciences, Dharan 56700, NepalDepartment of Conservative Dentistry & Endodontics, B.P. Koirala Institute of Health Sciences, Dharan 56700, NepalDepartment of Prosthodontics, B.P. Koirala Institute of Health Sciences, Dharan 56700, NepalDens evaginatus is an uncommon developmental anomaly of human dentition characterized by the presence of tubercle on the occlusal surface of mandibular premolars and lingual surface of anterior teeth. Due to occlusal trauma this tubercle tends to fracture thus exposing the pathway to the pulp chamber of teeth. This case report is about the presentation of dens evaginatus in mandibular premolars bilaterally; among them tooth 44 was associated with chronic apical periodontitis. Fractured tubercle of three premolars was sealed with composite resin. Root canal treatment was performed with tooth 44. Routine endodontic treatment did not result in remission of infection. Therefore, culture and sensitivity tests were performed to identify the cause and modify treatment plan accordingly. Triple antibiotic paste was used as an intracanal medicament to disinfect the root canal that resulted in remission of infection.http://dx.doi.org/10.1155/2015/393209 |
| spellingShingle | A. Ayer M. Vikram P. Suwal Dens Evaginatus: A Problem-Based Approach Case Reports in Dentistry |
| title | Dens Evaginatus: A Problem-Based Approach |
| title_full | Dens Evaginatus: A Problem-Based Approach |
| title_fullStr | Dens Evaginatus: A Problem-Based Approach |
| title_full_unstemmed | Dens Evaginatus: A Problem-Based Approach |
| title_short | Dens Evaginatus: A Problem-Based Approach |
| title_sort | dens evaginatus a problem based approach |
| url | http://dx.doi.org/10.1155/2015/393209 |
| work_keys_str_mv | AT aayer densevaginatusaproblembasedapproach AT mvikram densevaginatusaproblembasedapproach AT psuwal densevaginatusaproblembasedapproach |