DENS EVAGINATUS

SIDDHARTH GAUTAM
ROLL NO: 76
BATCH 2017-18
 GENERAL
INFORMATION

• Dense evaginatus is a developmental condition

that appears clinically as an accessory cusp or
globules of enamel on occlusal surface,
between buccal and lingual cusp of premolar
 PATHOGENESIS

• Caused by proliferation and evagination of

inner enamel epithelium and subsequent
odontogenic mesenchyme into dental organ,
during early tooth development
 CLINICAL FEATURES
• It occurs in premolar and molar teeth and
usually occurs unilaterally or bilaterally.
• Develops in people of mongoloidancestry.
• Consist of all three dental tissues that is
enamel , dentine and cementum.
• Tubercle of enamel on occlusal surface of the affected
tooth.
• Polyp like protuberance in central groove, on lingual
ridgeof buccal cusp is seen.
RADIOGRAPHIC APPEARANCE

• Dentine and enamel – dentine

core is covered with opaque
enamel
• Pulp – fine pulp horns may be
apparent
• Occlusal surface
have tuberculate
appearance
• Tubercle on occlusal surface of enamel isthe
key to diagnosis
• Tuberculated appearance of occlusalsurface

DIAGNOSIS
 MANAGEMENT
• Grinding
of
tubercle
• Composit
e
reinforce
ment