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Pulp management in dens evaginatus

R A Augsburger1, M T Wong

  • 1Dental Policy, Office of the Assistant Secretary of Defense for Health Affairs, Washington, D.C., USA.

Journal of Endodontics
|June 1, 1996
PubMed
Summary
This summary is machine-generated.

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Early diagnosis and treatment of dens evaginatus, a dental anomaly, are crucial for successful root development. Interventions like calcium hydroxide pulpotomy and composite reinforcement preserve pulp vitality and promote complete root formation.

Area of Science:

  • Dentistry
  • Pediatric Dentistry
  • Endodontics

Background:

  • Dens evaginatus is a developmental anomaly where an extra cusp-like structure protrudes from a tooth.
  • This anomaly can lead to complications such as pulp exposure, fracture, and necrosis, particularly in young patients.

Observation:

  • A case study involving a 12-year-old girl with seven premolars affected by dens evaginatus.
  • One tooth presented with pulp necrosis due to evagination fracture, while others had compromised pulps or intact evaginations.

Findings:

  • Successful management of necrotic pulp with calcium hydroxide apexification and endodontic obturation.
  • Vital pulp management using calcium hydroxide pulpotomy in teeth with fractured evaginations allowed continued root development.
  • Composite restorations protected intact evaginations, preserving pulp vitality and enabling normal root development.

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Implications:

  • Timely diagnosis and appropriate dental interventions are essential for managing dens evaginatus.
  • Conservative treatments can preserve pulp vitality and promote complete root maturation in affected teeth.
  • This approach maximizes the potential for normal tooth development and function in cases of dens evaginatus.