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Cervical Enamel Projection - A Rare Case Report with its Management
1Department of Periodontology, Pacific Dental College and Hospital, Debari, Udaipur, Rajasthan 313024, India.
Kathmandu University Medical Journal (KUMJ)
|July 8, 2020
Summary
A rare cervical enamel projection in the front teeth caused pain and chewing difficulty. Treatment involved enameloplasty and a regenerative procedure, with successful healing observed a year later.
Area of Science:
- Dentistry
- Oral Pathology
- Developmental Biology
Background:
- Cervical enamel projections (CEPs) are uncommon developmental anomalies.
- Typically found in the furcation region of molars, their presence in the maxillary anterior region is rare.
- CEPs can predispose teeth to periodontal issues.
Observation:
- An 18-year-old male presented with a pronounced bilobed cingulum extending as a cervical enamel projection on the maxillary right lateral incisor.
- The anomaly was associated with significant pain, exudation, and mastication difficulties.
- This presentation represents a combined anomalous lesion in an unusual location.
Findings:
- Enameloplasty and a regenerative surgical procedure were performed to manage the condition.
- Cone-beam computed tomography (CBCT) was utilized to evaluate the healing process.
- Post-operative follow-up at one year demonstrated satisfactory healing with no recurrence of the abscess.
Implications:
- This case highlights the importance of recognizing and managing rare dental anomalies in the anterior maxilla.
- The successful outcome suggests that prompt intervention with appropriate procedures can effectively treat CEPs.
- Further research into the etiology and long-term prognosis of anterior CEPs is warranted.
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