Maturogenesis of an Immature Dens Evaginatus Nonvital Premolar with an Apically Placed Bioceramic Material (EndoSequence Root Repair Material®): An Unexpected Finding

Dens evaginatus is a dental developmental anomaly that arises due to the folding of the inner dental epithelium that leads to the formation of an additional cusp or tubercle on the occlusal surface of the affected tooth. This accessory tissue projection may carry with it a narrow and constricted pul...

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Main Authors: S. Nagarajan M. P. Sockalingam, Mohd Safwani Affan Alli Awang Talip, Ahmad Shuhud Irfani Zakaria
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Case Reports in Dentistry
Online Access:http://dx.doi.org/10.1155/2018/6535480
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author S. Nagarajan M. P. Sockalingam
Mohd Safwani Affan Alli Awang Talip
Ahmad Shuhud Irfani Zakaria
author_facet S. Nagarajan M. P. Sockalingam
Mohd Safwani Affan Alli Awang Talip
Ahmad Shuhud Irfani Zakaria
author_sort S. Nagarajan M. P. Sockalingam
collection DOAJ
description Dens evaginatus is a dental developmental anomaly that arises due to the folding of the inner dental epithelium that leads to the formation of an additional cusp or tubercle on the occlusal surface of the affected tooth. This accessory tissue projection may carry with it a narrow and constricted pulp horn extension. Occasionally, the tubercle easily fractures, thus leading to microexposure of the pulp horn and eventual pulp necrosis. Often, the pulp necrosis occurs at a time the root development of the affected tooth is incomplete. Apexification with calcium hydroxide and mineral trioxide aggregates has been the mainstay of treatment options before root canal obturation in immature nonvital permanent teeth. Lately, regenerative endodontics (maturogenesis) is becoming one of the preferred treatment modalities to manage such teeth. The current case highlights the possibility of a bioceramic material (EndoSequence Root Repair Material, BC RRM-Fast Set Putty™, Brasseler, USA) which supposed to provide apical root closure (apexification) and could also induce continuation of root growth (maturogenesis).
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spelling doaj-art-f0447b97bd1345f69f7ce387bed468562025-02-03T01:00:40ZengWileyCase Reports in Dentistry2090-64472090-64552018-01-01201810.1155/2018/65354806535480Maturogenesis of an Immature Dens Evaginatus Nonvital Premolar with an Apically Placed Bioceramic Material (EndoSequence Root Repair Material®): An Unexpected FindingS. Nagarajan M. P. Sockalingam0Mohd Safwani Affan Alli Awang Talip1Ahmad Shuhud Irfani Zakaria2Centre for Family Oral Health, Faculty of Dentistry, The National University of Malaysia (UKM), Kuala Lumpur, MalaysiaCentre for Family Oral Health, Faculty of Dentistry, The National University of Malaysia (UKM), Kuala Lumpur, MalaysiaCentre for Family Oral Health, Faculty of Dentistry, The National University of Malaysia (UKM), Kuala Lumpur, MalaysiaDens evaginatus is a dental developmental anomaly that arises due to the folding of the inner dental epithelium that leads to the formation of an additional cusp or tubercle on the occlusal surface of the affected tooth. This accessory tissue projection may carry with it a narrow and constricted pulp horn extension. Occasionally, the tubercle easily fractures, thus leading to microexposure of the pulp horn and eventual pulp necrosis. Often, the pulp necrosis occurs at a time the root development of the affected tooth is incomplete. Apexification with calcium hydroxide and mineral trioxide aggregates has been the mainstay of treatment options before root canal obturation in immature nonvital permanent teeth. Lately, regenerative endodontics (maturogenesis) is becoming one of the preferred treatment modalities to manage such teeth. The current case highlights the possibility of a bioceramic material (EndoSequence Root Repair Material, BC RRM-Fast Set Putty™, Brasseler, USA) which supposed to provide apical root closure (apexification) and could also induce continuation of root growth (maturogenesis).http://dx.doi.org/10.1155/2018/6535480
spellingShingle S. Nagarajan M. P. Sockalingam
Mohd Safwani Affan Alli Awang Talip
Ahmad Shuhud Irfani Zakaria
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
title Maturogenesis of an Immature Dens Evaginatus Nonvital Premolar with an Apically Placed Bioceramic Material (EndoSequence Root Repair Material®): An Unexpected Finding
title_full Maturogenesis of an Immature Dens Evaginatus Nonvital Premolar with an Apically Placed Bioceramic Material (EndoSequence Root Repair Material®): An Unexpected Finding
title_fullStr Maturogenesis of an Immature Dens Evaginatus Nonvital Premolar with an Apically Placed Bioceramic Material (EndoSequence Root Repair Material®): An Unexpected Finding
title_full_unstemmed Maturogenesis of an Immature Dens Evaginatus Nonvital Premolar with an Apically Placed Bioceramic Material (EndoSequence Root Repair Material®): An Unexpected Finding
title_short Maturogenesis of an Immature Dens Evaginatus Nonvital Premolar with an Apically Placed Bioceramic Material (EndoSequence Root Repair Material®): An Unexpected Finding
title_sort maturogenesis of an immature dens evaginatus nonvital premolar with an apically placed bioceramic material endosequence root repair material r an unexpected finding
url http://dx.doi.org/10.1155/2018/6535480
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