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Facial cellulitis arising from dens evaginatus: a case report
Chun-Ming Chen1, Kun-Tsung Lee, Fu-Hsiung Chuang
1Department of Oral and Maxillofacial Surgery, Kaohsiung Medical University, Kaohsiung, Taiwan.
The Kaohsiung Journal of Medical Sciences
|August 11, 2005
Summary
Dens evaginatus, a tooth anomaly, can cause infections. This case report shows successful treatment of facial cellulitis using calcium hydroxide for apexification in a dens evaginatus case with an open apex.
Area of Science:
- Dentistry
- Endodontics
- Oral Pathology
Background:
- Dens evaginatus is a developmental dental anomaly characterized by an extra tubercle on the occlusal surface, most common in mandibular premolars.
- This anomaly can lead to occlusal interferences, attrition, fracture, and subsequent pulpal and periapical pathosis, including infection.
Observation:
- A case of facial cellulitis originating from dens evaginatus with an open apex in a mandibular premolar is presented.
- The affected tooth exhibited signs of infection secondary to the developmental anomaly.
Findings:
- Apexification using calcium hydroxide was performed to manage the open apex.
- Radiographic evaluation one year post-treatment showed no evidence of apical pathosis and confirmed a successful apical seal.
Implications:
- This case highlights the successful management of complex endodontic complications arising from dens evaginatus.
- Apexification with calcium hydroxide is an effective treatment for dens evaginatus-related periapical pathosis in immature teeth.
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