Author/Authors :
Nagarajan, S. Faculty of Dentistry - Centre for Family Oral Health - The National University of Malaysia (UKM), Kuala Lumpur, Malaysia , Sockalingam, M. P. Faculty of Dentistry - Centre for Family Oral Health - The National University of Malaysia (UKM), Kuala Lumpur, Malaysia , Affan Alli Awang Talip, Mohd Safwani Faculty of Dentistry - Centre for Family Oral Health - The National University of Malaysia (UKM), Kuala Lumpur, Malaysia , Shuhud Irfani Zakaria, Ahmad Faculty of Dentistry - Centre for Family Oral Health - The National University of Malaysia (UKM), Kuala Lumpur, Malaysia
Abstract :
Dens evaginatus is a dental developmental anomaly that arises due to the folding of the inner dental epithelium that leads to the
formation of an additional cusp or tubercle on the occlusal surface of the affected tooth. This accessory tissue projection may
carry with it a narrow and constricted pulp horn extension. Occasionally, the tubercle easily fractures, thus leading to
microexposure of the pulp horn and eventual pulp necrosis. Often, the pulp necrosis occurs at a time the root development of
the affected tooth is incomplete. Apexification with calcium hydroxide and mineral trioxide aggregates has been the mainstay of
treatment options before root canal obturation in immature nonvital permanent teeth. Lately, regenerative endodontics
(maturogenesis) is becoming one of the preferred treatment modalities to manage such teeth. The current case highlights the
possibility of a bioceramic material (EndoSequence Root Repair Material, BC RRM-Fast Set Putty™, Brasseler, USA) which
supposed to provide apical root closure (apexification) and could also induce continuation of root growth (maturogenesis).
