It is not unusual to find unexplained or unusual dental abscesses in our routine dental practice. There are certain dental anomalies than can go unnoticed, which can potentially be pathways for pulpal disease. Dens evaginatus (DE) is one such aberration that results in an extra tubercle on the occlusal surface of and hence becomes a hidden pathway for infection to traverse. This article presents a case of a young female patient undergoing orthodontic treatment who developed a periradicular pathosis in a seemingly intact tooth. On careful investigation the reason for pulp necrosis and subsequent sequela was attributed to DE. Thus DE can be considered as a potential cause for endodontic diseases. An early identification of these aberrations will help us provide prophylactic care and also aid in formulating a proper treatment plan.teeth, mostly the premolars. It has an extension of the pulp which connects the main pulp chamber.
