Dens evaginatus: The hornet's nest of adolescent orthodontics

John W. Turner, G. Thomas Kluemper, Kenneth Chance, Linwood Sonny Long

Research output: Contribution to journalArticlepeer-review

3 Scopus citations


Dens evaginatus is a rare dental anomaly that occurs during tooth development and results in an abnormal protrusion from the occlusal surface of the affected tooth, often in the area of the central groove between the buccal and lingual cusps. Of clinical importance to the orthodontist is that these occlusal tubercles fracture easily or can be worn away, resulting in direct pulp exposure in a noncarious tooth. This can cause severe complications, including loss of tooth vitality, facial infection in the form of an abscess or cellulitis, or osteomyelitis of the jaw. If extraction of premolars is indicated for orthodontic treatment after careful diagnosis and treatment planning, it is paramount to establish the health of the premolars that will remain in the dentition before extracting the teeth.

Original languageEnglish
Pages (from-to)570-573
Number of pages4
JournalAmerican Journal of Orthodontics and Dentofacial Orthopedics
Issue number4
StatePublished - Apr 2013

ASJC Scopus subject areas

  • Orthodontics


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