Multiple dens evaginatus and talon cusp: classification, pathophysiology, prevalence, clinical problems and treatment. Report of a two cases

Abstract

Relevance. Currently, an odontogenic anomaly of tooth development, which is referred to as a bump on the crown surface of the affected crown, is encountered more and more often at the dental reception. and premolar Leong. Often this malformation is combined with spatula incisors (talon cusp). The prevalence of this strain in the Asian group of the population, whose representatives in the territory of the Russian Federation constitute a significant part of the population, makes it necessary and relevant knowledge of this pathology by dentists.

Aim is to draw the attention of dentists to the features of treatment of Dens evaginatus due to the high prevalence of this pathology.

Materials and methods. The paper describes the clinical cases of patients with Dens evaginatus (DE) with a description of the treatment plan in order to prevent the development of complications at the dental admission with the wrong approach to the treatment of this pathology. A comprehensive examination and treatment of patients was carried out, in accordance with the data obtained using CBCT, a treatment plan was drawn up. The main treatment method for DE is to prevent erasing and breaking off the DE bump, especially in teeth with unformed roots.

Results. The obtained results indicate a high prevalence and frequency of occurrence of this pathology at the dental admission, which, if improperly treated, may cause complications leading to loss of viability of the tooth pulp.

Conclusions. Based on the results of the study, it can be concluded that C-shaped channels are often found in the lower premolars in the Asian group of the population, which present the greatest difficulty in endodontic treatment.