Abstract
<p class="abstract">There are morphological variations reported in both primary and permanent dentition. This case report describes the presentation of dens evaginatus causing periapical pathology in a caries-free mandibular second premolar. The tubercle-like presentation of dens evaginatus interferes with the occlusion of posterior teeth. Occlusal wear caused exposure of the pulp within the cusp resulting in pulpal necrosis and, eventually, periapical pathology. Proper diagnosis and management by root canal treatment resulted in the resolution of the symptoms and complete healing.</p>
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