International Journal of Clinical Pediatric Dentistry

Register      Login

VOLUME 3 , ISSUE 2 ( May-August, 2010 ) > List of Articles


Conservative Management of Dens Evaginatus: Report of Two Unusual Cases

M Guna Shekhar, S Vijaykumar, J Tenny, GR Ravi

Citation Information : Guna Shekhar M, Vijaykumar S, Tenny J, Ravi G. Conservative Management of Dens Evaginatus: Report of Two Unusual Cases. Int J Clin Pediatr Dent 2010; 3 (2):121-124.

DOI: 10.5005/jp-journals-10005-1067

License: CC BY-NC 4.0

Published Online: 01-06-2018

Copyright Statement:  Copyright © 2010; The Author(s).


Dens evaginatus (DE) is a rare developmental anomaly characterized by presence of an extra cusp arising from occlusal or lingual surfaces. Isolated occurrence or concomitant presence of DE with other dental anomalies has been reported. DE commonly affects permanent teeth and is rarely seen in primary dentition. Treatment may be conservative or radical. This article presents two unusual cases of concomitant occurrence of a supernumerary tooth and DE affecting maxillary deciduous lateral incisor and conservative management of DE occurring concurrently with a possible Oehler’s type I invagination in maxillary permanent lateral incisor.

PDF Share
  1. Sicher, S.; Bhasker, SN. Orban’s oral histology and embryology. 7th ed. St Louis: CV Mosby Co; 1972. p. 17-37
  2. ; Heine, MK.; Levy, BM. A textbook of oral pathology. 4th ed. Philadelphia: WB Saunders; 1983. p. 40-41
  3. Multiple dens evaginatus: Diagnosis, management, and complications: Case report. Pediatr Dent 1994 Jul-Aug;16(4):314-317
  4. Talon cusp–clinical significance and management: Case reports. Quintessence Int 1995Feb;26(2):115-120
  5. Bilateral talon cusps on primary central incisors: A case report. Int J Pediatr Dent 1996 Sep;6(3):191-195
  6. Talon cusp in primary lateral incisor: report of a case. J Indian Soc Pedod Prev Dent 1989 Mar;7(1):20- 22
  7. Talon cusp in permanent dentition associated with other dental anomalies: Review of literature and reports of seven cases. ASDC J Dent Child 1996 Sep-Oct;63(5):368-376
  8. Supernumerary occlusal cusps on permanent human teeth. Acta Biol Szeged 2002;46:71-82
  9. Conservative treatment of dens evaginatus of anterior teeth. Endod Dent Traumatol 1996 Aug;12(4):206-208
  10. Molecular genetics of tooth morphogenesis and patterning: The right shape in the right place. J Dent Res 1999 Apr;78(4):826-834
  11. Facial talon cusp in primary maxillary lateral incisor: A report of two unusual cases. Acta Odontol Scand 2006 Apr;64(2):74-78
  12. An unusual case of talon cusp on geminated tooth. J Can Dent Assoc 2001 May;67(5):263-266
  13. Clinical management of a maxillary lateral incisor with vital pulp and type 3 dens invaginatus: A case report. J Endod 2004 Oct;30(10):726-731
  14. Pulpal tissue in bilateral talon cusps of primary central incisors: report of a case. Oral Surg Oral Med Oral Path Oral Radiol Endod 2000 Feb;89(2):231-235
  15. Dens evaginatus (evaginated odontome): Its structure and responses to external stimuli. Dent Pract Dent Rec 1967 Mar;17(7):239-244
  16. Treatment of a talon-cusp incisor: report of case. ASDC J Dent Child 1980 Mar-Apr;47(2):119-121
  17. Talon cusp: a preventive approach to treatment. J Am Dent Assoc 1985 Jan;110(1):60-62.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.