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Interdisciplinary Approach to Treat Unusual Development of Dens Evaginatus: A Case Report

  • Ok Hyung Nam1
  • Ho Yeon Kang2,*,
  • Hyeonjong Lee4
  • Sung Chul Choi1
  • Seung-Il Shin3
  • Hyun-Chang Lim3

1Department of Pediatric Dentistry, School of Dentistry, Kyung Hee University, Seoul, Republic of Korea

2Department of Pediatric Dentistry, Graduate School, Kyung Hee University, Seoul, Republic of Korea

3Department of Periodontology, Periodontal-Implant Clinical Research Institute, School of Dentistry, Kyung Hee University, Seoul, Republic of Korea

4Department of Prosthodontics, School of dentistry, Pusan National University, Yangsan, Republic of Korea

DOI: 10.17796/1053-4625-44.2.8 Vol.44,Issue 2,March 2020 pp.112-115

Published: 01 March 2020

*Corresponding Author(s): Ho Yeon Kang E-mail: periodent81@gmail.com

Abstract

The present case report describes a rare case of dens evaginatus on the labial surface of mandibular incisor and interdisciplinary management including endodontic and periodontal treatment. A 10-year-old girl presented unusual whitish tubercle-like structure penetrated through the buccal gingiva of mandibular later incisor. In cone-beam computed tomographic view, pulpal tissue was extended from the principal root to the tubercle. Following full thickness flap reflection, the tubercle was carefully removed, resulting in dentin and pin-point pulp exposure. In order to prevent pulp necrosis and facilitate periodontal attachment to this area, Biodentine and enamel matrix derivative were applied. Gingival defect was compensated using a collagen matrix. Up to 2 years, harmonious gingiva state and no loss of tooth vitality were observed. In summary, dens evaginatus on mandibular later incisor could be successfully treated by means of interdisciplinary approach.

Keywords

Dens evaginatus; Biodentine; Enamel matrix derivative; Three-dimensional collagen matrix

Cite and Share

Ok Hyung Nam,Ho Yeon Kang,Hyeonjong Lee,Sung Chul Choi,Seung-Il Shin,Hyun-Chang Lim. Interdisciplinary Approach to Treat Unusual Development of Dens Evaginatus: A Case Report. Journal of Clinical Pediatric Dentistry. 2020. 44(2);112-115.

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