# The Extra Cusp Mystery: Exploring Dens Evaginatus

**Authors:** Rachid Boudi, Majid Sakout, Hind Ramdi

PMC · DOI: 10.7759/cureus.94526 · Cureus · 2025-10-14

## TL;DR

This paper discusses a case of dens evaginatus, a tooth abnormality, and how it was managed without pulpal involvement.

## Contribution

The paper presents a case of dens evaginatus managed with a dual prophylactic strategy without pulpal extension.

## Key findings

- Dens evaginatus can be managed without pulpal involvement using a dual prophylactic strategy.
- Prompt diagnosis and intervention are crucial in managing dens evaginatus to prevent complications.

## Abstract

Dens evaginatus (DE) is a shape abnormality characterized by a tubercle extending over the surface of the affected tooth. This tubercle is usually found in the main grooves of the molars and premolars. It is vulnerable to fractures or wear that can cause inflammation. This may be followed, or not, by pulp necrosis due to the irritation of the pulp in the affected tubercle.

We present a case of dens evaginatus that did not involve pulpal extension, managed using a dual prophylactic strategy. This case report highlights the importance of prompt diagnosis and intervention.

## Full-text entities

- **Diseases:** fractures (MESH:D050723), DE (MESH:D003719), pulp necrosis (MESH:D003790), inflammation (MESH:D007249)

## Full text

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## Figures

5 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12612649/full.md

## References

8 references — full list in the complete paper: https://tomesphere.com/paper/PMC12612649/full.md

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Source: https://tomesphere.com/paper/PMC12612649