Dens evaginatus: a review.

A review of the developmental dental anomaly, dans evaginatus, and a discussion of its clinical management is presented. Fracture or wear of the tubercle of dens evaginatus frequently results in pulp necrosis and early periapical infection, often prior to completion of root formation. Early recognition of this anomaly, followed by timely treatment can prevent the loss of pulp vitality in these teeth. Patients presenting with nonvital teeth and incomplete root development have been successfully treated by apexification followed by conventional endodontic therapy.