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DENSE EVAGINATUS

THIS IS THE PPT ABOUT DENSE EVAGINATUS MANGEMENT PULPAPAL INVOLVEMENT

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DENSE EVAGINATUS

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  1. JOURNAL CLUB PRESENTATION DR MUHAMMAD SALEEM QURESHI MDS OPERATIVE DENTISTRY R4 DATE :28/03/2024

  2. CURRENT MANAGEMENT OF DENS EVAGINATUS TEETH BASED ON PULPAL DIAGNOSIS JOE .VOLUME 49, NUMBER 10, OCTOBER 2023 REVIEW ARTICLE

  3. DENSE EVAGINATUS • DE is a developmental anomaly with a supernumerary tubercle projection on the occlusal surface of posterior teeth or the palatal aspect of anterior teeth, ie, a talon Cusp. • DE may form when the inner enamelepitheliumand ectomesenchymal cells of the dental papilla evaginate into the stellatereticulumof the enamel organ during the bellstageof tooth development • The DE tubercle consists of an outer layer of enamelandan inner dentin core, which may contain an extension of the pulpal horn.

  4. PREVELANCE • Predominantly occurs in mongoloids suggest genetic relationship • May delvelop in all tooth types • Commonly found in first and second mandibular premolars and either bilaterally 50.9% to 70.8% or unilaterally • Incissors

  5. OEHLER’S CLASSIFICATION TYPE A

  6. TYPE B

  7. TYPE C

  8. TYPE D

  9. TYPE E

  10. REINFORCMENT TECHNIQUE

  11. PREP-AND-FILL TECHNIQUE

  12. MANAGEMENT

  13. CONCLUSION • Prophylactic management with normal pulp either by prep-and –fill technique and reinforcement technique • Preserve tooth vitality by preventing tubercle fracture • In DE tooth with RP • In DE tooth with IRP with PP OR CP should be considered first specially in immature teeth • If the infection is extended in Rpulp Excessive bleeding after PP or CP the pulpectomy should be performed • In DE Teeth PN mature root NRCT perfrmed • In DE teeth PN immature root REPs or an MTA apical barrier performed according to root stage formation

  14. CRITIQUE • Cover all the aspect of tooth anomiley

  15. REFERENCES 1. Glossary of endodontic terms. 10th ed. Chicago, Illinois: American Association of Endodontists; 2022. p. 14. 2. Chen RS. Conservative management of dens evaginatus. J Endod 1984;10:253–7. 3. Levitan ME, Himel VT. Dens evaginatus: literature review, pathophysiology, and comprehensive treatment regimen. J Endod2006;32:1–9. 4. Cho SY. Dental abscess in a tooth with intact dens evaginatus. Int J Paediatr Dent 2006;16:135–8. 5. Trope M. Treatment of the immature tooth with a non-vital pulp and apical periodontitis. Dent ClinNorthAm 2010;54:313–24. 6. Nanci A. Ten Cate’s oral histology. 8th ed. Canada: Mosby Elsevier Inc.; 2012. 7. Palmer ME. Case reports of evaginatedodontomes in Caucasians. Oral Surg Oral Med Oral Pathol 1973;35:772–9. 8. Sykaras SN. Occlusal anomalous tubercle on premolars of a Greek girl. Oral Surg Oral Med Oral Pathol 1974;38:88–91. 9. Pearlman JCM. An evaginatedodontoma in an American Negro: report of case. J AmDentAssoc 1977;95:570–2. • JOE

  16. 10. Ragno JR Jr. Dens evaginatus of a central incisor in a black American female. Gen Dent1986;34:372–3.11. Kato K. Contribution to the knowledge concerning the cone-shaped supernumerary cusp in thecenterof the occlusal surface on premolars of Japanese. NehonShikaGakukaiZasshi1937;30:28–49.12. Pedersen PO. The East Greenland Eskimo dentition. Copenhagen: BiancoLunosBogtnykkeni;1949.13. Lau TC. Odontomes of the axial core type. Br Dent J 1955;99:219–25.14. Wu KL. Survey on mid-occlusal tubercles in bicuspids. China StomatolMag1955;3:294.15. Sumiya Y. Statistical study on dental anomalies in the Japanese. J AnthropSocNipponJinruigakuZasshi 1959;67:215–33. 16. Merrill RG. Occlusal anomalous tubercles on premolars of Alaskan Eskimos and Indians. OralSurg Oral Med Oral Pathol 1964;17:484–96.17. Oehlers FA, Lee KW, Lee EC. Dens evaginatus (evaginatedodontome). Its structure andresponses to external stimuli. Dent Pract Dent Rec 1967;17:239–44.18. Curzon ME, Curzon JA, Poyton HG. Evaginatedodontomes in the Keewatin Eskimo. Br Dent J1970;129:324–8.19. Yip WK. The prevalence of dens evaginatus. Oral Surg Oral Med Oral Pathol 1974;38:80–7.

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