We report a 47 year old man who presented with painful non-healing tongue ulcers of 3 months duration. Examination revealed an additional buccal ulcer that he was unaware of. Histopathology of the ulcers showed caseation necrosis. Following this report, chest radiography and sputum microscopy performed revealed pulmonary tuberculosis. From this case-study, one should be aware of coexisting pulmonary tuberculosis in patients with chronic non-healing oral ulcers, both for diagnosis as well as prevention of transmission through respiratory droplets.

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Dens evaginatus is a developmental anomaly that is characterized by occurrence of an extra cusp-like structure projecting from the crown portion of the tooth. Unusual extension of enamel has been found in posterior teeth as enamel pearl or as cervical enamel extensions from the cementoenamel junction or at the furcation areas. We hitherto report a case of extra enamel formation from the proximal surface of the crown in a mandibular premolar, a finding that has previously not been reported.

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