Dens Evaginitis

The opinions  within this web page are not ours.Authors have been credited  for the individual posts
where they are. - www.rxroots.com  photographs courtesy: Ahmad
On Thu, May 1, 2008 at 12:10 AM, ahmad tehrani wrote:

Started this case about 2 month ago.
raging sinus tract and slight swelling at consult appt.
EPT, Cold, Heat all negative response. Traced the ST to the lower premolar.
3-4 weeks later the ST was completely resolved after initial C&S and dressing with Ca(OH)2.
obturated a month later.
not sure about termination of the apical extent. did I make my made my
own canal? or is this where the POE is?
I will see him shortly for a recall... will post a follow up. - ahmad







On Thu, May 1, 2008 at 8:00 PM, GRANT MERRITT  wrote:

Ahmad, Was this a dens evaginatus case?  If so, had the tubercle been removed or did it fracture off?
What does the contralateral look like?  My trusty consultant, Dr. Photoshop, indicates that there was
a bifurcation of the canal at the level indicated by your seals.  I talked to Watson the other day
to get a referral with a neurologist familiar with Ramsey-Hunt syndrome.  It's a small world.
He suggested the brother of one of my former dental students.  As you may know, this form of Bell's Palsy
is characterized by a reactivation of Herpes zoster virus in the facial nerve, causing pain in and around
the ear.  He said he would enjoy a visit. - Grant

Good morning Grant:

Yes it was Dens Evaginitis. There was a pin point carious lesion within the fold to contaminate the pulp. The tubercle
seemed intact, even though it looked like it had been removed before. The contra lateral tooth seemed normal and responded
WNL to sensitivity tests.

I had never heard of R-H syndrome, it gave me something else to learn. Thanks!
Grant you have been a positive influence on many students through out your illustrious career. You know so many people, and the degree of separation is much smaller for you .

Thanks for looking at this case. I am planning to recall this patient for a long time too. I have a very interesting D.E. case going on 5 years......had huge apical radiolucency with an open apex.
I need to ask her to come in for a recall and post the case again. - Ahmad

Bizarre tooth, Ahmad.  I think you did a great job and don't think you made your own POE. - Mark