Early detection of dens evaginatus appearing on the premolars and clinical management: histological study

A review of the methods for the prevention of central cusp fracture is presented, with a case of central cusp protection of a premolar by self-curing acrylic resin by early detection. The anomalous tooth was extracted for histological observation. Closure of the pulpal horn, could be accomplished by early detection and adequate treatment for the central cusp fracture of premolars. In this case, if the gradual attrition of a central cusp were not possible, a protecting the cusp using a self-curing acrylic resin would be an effective form of treatment.