Pulp management in dens evaginatus

Augsburger, Robert A.; Wong, Murray T.

doi:10.1016/s0099-2399(96)80269-x

Cited by 18 publications

(13 citation statements)

References 5 publications

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“…Dens evaginatus primarily involves the premolars. It usually occurs in the mandibular second premolars, but is also known to occur in the maxillary second molars, although at low frequency [1][2][3][4] . The rate of occurrence in the mandibular molars is 3 or 4 times higher than that in the maxillary molars.…”

Section: Discussionmentioning

confidence: 99%

“…Although allowing restoration of the dentine after excising the tubercle has been advocated, several studies have sugDens Evaginatus on Maxillary Second Molar gested that this might be unfavorable due to uncertainty with regard to the formation of restorative dentine 1,2) . In response to this, Yong recommended excision of the tubercle and direct pulp capping by calcium hydroxide preparation 6) .…”

Section: Discussionmentioning

confidence: 99%

“…In dens evaginatus, the dentinal core is covered by enamel and a slender pulp horn may extend into the tubercle itself [1][2][3]6) . It occurs almost exclusively among the Mongoloid ethnic group [1][2][3] , and the occurrence rate of dens evaginatus on the mandibular second premolar is approximately 0.13-3.6% generally 1,3,4) . Few reports have investigated the frequency of this condition in other ethnic groups.…”

Section: Introductionmentioning

confidence: 99%

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Dens Evaginatus on Occlusal Surface of Maxillary Second Molar: A Case Report

Morinaga

Aida

Asai

et al. 2010

Bull. Tokyo Dent. Coll.

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Dens evaginatus is a rare dental anomaly characterized by the development of a tubercle on the occlusal surface of the tooth and can cause pulpitis, pulp necrosis, and periapical periodontitis due to tubercular fracture or attrition. Unlike with caries, pain caused by dens evaginatus may manifest itself in a distant location. Therefore, diagnosing the cause of that pain may prove problematic. Dens evaginatus usually occurs in the mandibular premolars. We report a successfully treated case in which dens evaginatus was difficult to diagnose due to distant radiation of pulpitis-induced pain. This pain occurred as a result of fracture of a tubercle located on the occlusal surface of the maxillary second molar, which is very rare.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Dens Evaginatus on Occlusal Surface of Maxillary Second Molar: A Case Report

Morinaga

Aida

Asai

et al. 2010

Bull. Tokyo Dent. Coll.

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“…While not always the case (76,77), usually there is some traumatic occlusal interference from the opposing tooth with the tubercle. When present, the opposing cusp should be slightly reduced by about 0.5 mm, leaving approximately 1.5 mm of enamel.…”

Section: Prophylaxismentioning

confidence: 99%

Dens Evaginatus: Literature Review, Pathophysiology, and Comprehensive Treatment Regimen

Levitan

Himel

2006

Journal of Endodontics

103

119

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“…[21][22][23] This method should afford protection from cuspal wear and fracture, and should ideally be performed prior to the tooth reaching full occlusal function. Although suggested by some authors, the radical procedure of prophylactic tubercle fracture, Cvek partial pulpotomy, and calcium hydroxide direct pulp capping 17,24 is difficult to justify due to the unpredictable outcomes of these procedures.…”

Section: Managementmentioning

confidence: 99%