Dens evaginatus in association with necrotic pulp and periapical abscess in a 13-year-old girl

Introduction: Dens evaginatus (DE) is an uncommon dental anomaly, where an extra cusp or tubercle protrudes from the occlusal surface of posterior teeth, as well as the lingual surface of anterior teeth. Tubercles are susceptible to pulp exposure from wear or fracture, because of malocclusion, leadi...

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Main Authors:	Kusumawardani, Anisa, Ardini, Yunita Dewi, Hasan, Taufiq Hidayat
Format:	Conference or Workshop Item
Language:	English
Published:	2016
Subjects:	RK Dentistry
Online Access:	http://irep.iium.edu.my/53440/ http://irep.iium.edu.my/53440/ http://irep.iium.edu.my/53440/1/53440.pdf

id	iium-53440
recordtype	eprints
spelling	iium-534402016-12-09T08:41:32Z http://irep.iium.edu.my/53440/ Dens evaginatus in association with necrotic pulp and periapical abscess in a 13-year-old girl Kusumawardani, Anisa Ardini, Yunita Dewi Hasan, Taufiq Hidayat RK Dentistry Introduction: Dens evaginatus (DE) is an uncommon dental anomaly, where an extra cusp or tubercle protrudes from the occlusal surface of posterior teeth, as well as the lingual surface of anterior teeth. Tubercles are susceptible to pulp exposure from wear or fracture, because of malocclusion, leading to pulpal complications early after eruption. DE most commonly affects premolars; mandibular premolars are five times more frequent than maxillary premolars. Case report: A 13-year-old girl presented to IIUM dental polyclinic with sinus track at the posterior lower left buccal gingiva since 1 year ago. The tooth 35 was sound. At the lingual side there was supernumerary tooth seen in close relation to tooth 35. Electric pulp test showed that tooth 35 already non vital. Intra-oral periapical radiograph and cone beam computed tomography scan showed an abnormal-appearing root which correspond to DE type III with radiolucency at the periapical area. Root canal treatment was performed using crown down pressureless technique and obturation was done using lateral condensation technique. The tooth was restored using composite restoration. Comments: DE is an uncommon condition. It is reported in Asian population with varying estimates at 0.5 to 4.3%, depend on the population group studied. It is quite a challenge for dental practitioner since the diagnosis is difficult and the treatment options are limited. In the case of DE with necrotic pulp and periapical abscess, root canal treatment can be a treatment of choice. It shows high success rate if it is followed by adequate restoration. 2016-07-30 Conference or Workshop Item NonPeerReviewed application/pdf en http://irep.iium.edu.my/53440/1/53440.pdf Kusumawardani, Anisa and Ardini, Yunita Dewi and Hasan, Taufiq Hidayat (2016) Dens evaginatus in association with necrotic pulp and periapical abscess in a 13-year-old girl. In: Malaysia-International Dental Exhibition and Conference (MIDEC 2016), 28th-31st July 2016, Kuala Lumpur. http://mda.org.my/midec/2016/
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English
topic	RK Dentistry
spellingShingle	RK Dentistry Kusumawardani, Anisa Ardini, Yunita Dewi Hasan, Taufiq Hidayat Dens evaginatus in association with necrotic pulp and periapical abscess in a 13-year-old girl
description	Introduction: Dens evaginatus (DE) is an uncommon dental anomaly, where an extra cusp or tubercle protrudes from the occlusal surface of posterior teeth, as well as the lingual surface of anterior teeth. Tubercles are susceptible to pulp exposure from wear or fracture, because of malocclusion, leading to pulpal complications early after eruption. DE most commonly affects premolars; mandibular premolars are five times more frequent than maxillary premolars. Case report: A 13-year-old girl presented to IIUM dental polyclinic with sinus track at the posterior lower left buccal gingiva since 1 year ago. The tooth 35 was sound. At the lingual side there was supernumerary tooth seen in close relation to tooth 35. Electric pulp test showed that tooth 35 already non vital. Intra-oral periapical radiograph and cone beam computed tomography scan showed an abnormal-appearing root which correspond to DE type III with radiolucency at the periapical area. Root canal treatment was performed using crown down pressureless technique and obturation was done using lateral condensation technique. The tooth was restored using composite restoration. Comments: DE is an uncommon condition. It is reported in Asian population with varying estimates at 0.5 to 4.3%, depend on the population group studied. It is quite a challenge for dental practitioner since the diagnosis is difficult and the treatment options are limited. In the case of DE with necrotic pulp and periapical abscess, root canal treatment can be a treatment of choice. It shows high success rate if it is followed by adequate restoration.
format	Conference or Workshop Item
author	Kusumawardani, Anisa Ardini, Yunita Dewi Hasan, Taufiq Hidayat
author_facet	Kusumawardani, Anisa Ardini, Yunita Dewi Hasan, Taufiq Hidayat
author_sort	Kusumawardani, Anisa
title	Dens evaginatus in association with necrotic pulp and periapical abscess in a 13-year-old girl
title_short	Dens evaginatus in association with necrotic pulp and periapical abscess in a 13-year-old girl
title_full	Dens evaginatus in association with necrotic pulp and periapical abscess in a 13-year-old girl
title_fullStr	Dens evaginatus in association with necrotic pulp and periapical abscess in a 13-year-old girl
title_full_unstemmed	Dens evaginatus in association with necrotic pulp and periapical abscess in a 13-year-old girl
title_sort	dens evaginatus in association with necrotic pulp and periapical abscess in a 13-year-old girl
publishDate	2016
url	http://irep.iium.edu.my/53440/ http://irep.iium.edu.my/53440/ http://irep.iium.edu.my/53440/1/53440.pdf
first_indexed	2023-09-18T21:15:36Z
last_indexed	2023-09-18T21:15:36Z
_version_	1777411541270790144

Dens evaginatus in association with necrotic pulp and periapical abscess in a 13-year-old girl

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