Management of a permanent lateral incisor with a talon cusp and immature apex: A case report.

This case report focuses on the diagnosis and treatment of a maxillary lateral incisor affected by a talon cusp, a rare developmental dental anomaly. The case presented with irreversible pulpitis and an immature apex. The article discusses the prevalence, etiology, classification, and treatment options for talon cusps, highlighting their clinical significance and potential complications. Clinical and radiographic findings obtained from a periapical radiograph and a cone-beam computed tomography (CBCT) scan are outlined. The treatment approach involved the removal of the talon cusp, endodontic therapy including apexification with mineral trioxide aggregate, and aesthetic restoration of the tooth. The report underscores the value of precise diagnosis, careful treatment planning, and the utility of CBCT scans in effectively managing talon cusps.

Double Labial Talon Cusp on Permanent Incisior-An Unusual Occurrence.

A labial or lingual talon cusp is a well distinct extra cusp that is positioned on the plane or surface of the tooth of either upper or lower tooth usually covers an area of at least fifty percent of the teeth extends from the CEJ to the edge of the incisors. A talon cusp is considered be an extra or an accessory cusp enlarges from cingulum and to continually enlarge to be a fully formed cusp. Around three fourth of all documented talon cusps are present in the permanent dentition. The usual radiographic finding is a double teeth appearance. Here, we shared one case report of rare entity of double talon or eagle cusp on permanent central incisor.

Facial Cellulitis Due to Type I Talon Cusp in a Pediatric Patient: A Case Report.

Talon cusp is a rare odontogenic developmental anomaly with male predilection and multifactorial etiology. It projects as an accessory cusp-like structure from the cingulum area or the cement enamel junction (CEJ) affecting both primary and permanent dentition. It is imperative to clinically examine the developing dentition for occlusal harmony, especially in children with this anomaly. This report highlights facial cellulitis as a complication arising from a type I taloned maxillary lateral incisor and its endodontic management in a female pediatric patient. It emphasizes the clinical significance, early diagnosis, and prompt prophylactic management of the talon cusp so as to prevent the development of acute sequelae in children.

Rare variant of dens invaginatus with accessory root and labial talon cusp in maxillary lateral incisor-Case report.

Dens invaginatus (DI) often causes dysmorphic changes in both the crown and root. This case report presents a complicated type 3a DI in a maxillary lateral incisor with labial talon cusp and root bifurcation. Although lingual talon cusp is common in maxillary lateral incisor, labial talon cusp is rare. An auxiliary palatal root in maxillary lateral incisor is also unusual. No such case involving all three variations has been described in the literature. The DI was classified as type B4 according to Schulze and Brand, as it involved division of pulp and root. DI was managed by orthograde MTA, radisectomy and periodontal regeneration was done for the palatal root. Labial talon associated with DI and can lead to early periodontal/pulpal involvement. Type 3 DI can affect the root with marked dilatation and division. Additional palatal root should be carefully detected in type 3a DI and managed with the aid of CBCT.

The Study of Prevalence and Distribution of Shape Anomalies of Teeth in Indian Population on the Basis of Age and Gender.

INTRODUCTION: Dental anomaly of shape leads to various clinical dental pathologies requiring the intervention of a dental specialist. Early diagnosis and intervention in earlier stages can restore a near-normal dentition and esthetics. So, the present study was undertaken to determine the prevailing dental anomalies of shape and its various subtypes in various age groups and gender variations. MATERIALS AND METHODS: Retrospective dental casts and radiographs were evaluated in 3,000 cases consisting of an equal proportion of males and females. Only cases with an age range from 10 to 40 years were included in the study. Dental anomalies of shape were evaluated for the presence of Gemination, fusion, talon cusp, dens evaginates, the cusp of carabelli, dens invaginatus, taurodontism, and dilacerations and recorded. RESULT: A total of 538 (17.9%) cases were found to have dental anomalies of shape which included 288 (19.2%) males and 250 (16.6%) females. Dilaceration was found to be the most common (9.2%) dental anomaly of shape followed successively by taurodontism (3.7%), talon cusp (2.23%), and the cusp of carabelli (1.4%). Most of the shape anomalies showed male predilection. A higher prevalence of most dental anomalies of shape was found in the younger age group of 10 to ≤25 years as it is not linked with age but still has got importance to know while the treatment is carried out in this age group. CONCLUSION: It is quite imperative to have complete knowledge of trends and patterns of shape anomalies in India. It will guide dental practitioners to formulate a treatment plan on the basis of existing prevailing anomalies.

Bilateral talon cusp in permanent maxillary lateral incisors: A case report, clinico-pathological review and proposal of an integrated classification.

Talon cusp (TC) is an uncommon developmental anomaly resulting from the invagination of inner enamel epithelium cells. It is primarily seen in people of Asian descent. Maxillary lateral incisors are the teeth most commonly affected by this dental malformation. Early detection and management are pertinent to prevent complications that may be associated with the TC. We describe the successful diagnosis and management of a rare case of nonsyndromic bilateral TC in permanent maxillary lateral incisors with conservative therapy. Further, while discussing the case, we present a brief clinicopathological review on TC and also propose an "integrated classification of talon cusp (ICTC) to describe the morphological aspects as well as indicate the severity and difficulty in the management of cases. An early specific diagnosis along with multidisciplinary treatment approach is recommended for TC, especially to avoid pulpal complications in teeth.

Talon's cusp in a primary maxillary central incisor: A report of a rare odontogenic anomaly.

Talon's cusp, a type of dens evaginatus (DE) in a primary tooth, is a rare odontogenic anomaly which is reported sparingly in the literature. We report this case describing the presence of a talon's cusp on the right primary maxillary central incisor in a 2-year-old boy precipitating discomfort, owing to occlusal interference. The treatment plan involved pulpectomy and reduction of the lingula DE extension under general anesthesia.

Ternion Cusp: An Unusual Variant of Talon's Cusp: A Case Report.

Background: Teeth are hard mineralized anatomical components of the dentofacial skeleton that are developed during the gestation period by odontogenesis. This dental development comprises five stages viz. initiation, proliferation, histodifferentiation, morphodifferentiation, and apposition. Excitation to the dental organ during morphodifferentiation is responsible for the formation of a talon cusp, which manifests as a cusp-like structure of hard tissue projecting from the cingulum to a varying measurable length toward the incisal edge of maxillary and mandibular anterior teeth. Various literature has reported that it comprises enamel, dentine, and an inconsistent amount of pulp tissue. Old literature suggests its occurrence in primary and permanent teeth and mostly on the palatal aspect of teeth as one cusp; therefore, known as a talon cusp (eagle's talon). Case description: An exceptional case of three cusped structures projecting from the palatal side of a maxillary central incisor is thus reported. The rare occurrence of an atypical talon cusp with three well-defined mamelon-like cusps on the palatal surface of the permanent maxillary central incisor is coined as ternion cusp, meaning "three" by authors. Its occurrence is repercussed as attrition of the teeth in the opposite arch. Selective or retruded contact position (RCP) was done, followed by topical fluoride application was rendered. Conclusion: Managing and treating these exceptional cusps depends upon their size, present complications, and patient compliance. How to cite this article: Sharma V, Mohapatra A, Bagchi A. Ternion Cusp: An Unusual Variant of Talon's Cusp: A Case Report. Int J Clin Pediatr Dent 2022;15(6):784-788.

Double facial talons on maxillary incisor-A rare case report and new proposed classification system.

Background: Double facial talon's cusp is a rare developmental anomaly affecting the deciduous or/and permanent dentition. The major complications associated with facial talons of maxillary incisors include poor esthetic appearance with increased susceptibility to caries and, sometimes, even soft tissue irritation, thereby needing early detection and precise management. Case Report: We report a case of a 10 year-old female patient with a large double talon's cusp on the permanent left maxillary central incisor who presented with issues of soft tissue irritation and esthetic concern. One of the highlighting feature of this documented case was the difference in the extent of both talon's cusps on the facial surface of 21 teeth. As per Mayes' classification system, the talon towards the midline belonged to stage 2 and the talon away from the midline belonged to stage 3. Highlights: Based on the previous literature search on classification systems, we intended to propose a new classification system for double facial talons depending on their size (equal/unequal) and presence of developmental grooves (separate or fused). The aim of this new classification system is to enlighten a new area of research that can be conducted on the treatment aspect by studying the difference in the structure of enamel rods, dentin, especially in case of double talons of unequal size (as the direction of enamel rods/dentinal tubules of the talons with that of the direction of enamel rods/dentinal tubules of the underlying tooth will vary) and their compatibility with choice of dental materials, to be used for proper adaptation and develop new treatment protocols of tooth preparation and restoration for such cases.

Bilateral gemination of permanent maxillary canine with labial and palatal talon's cusps: A rare entity.

Gemination is a morphologic anomaly of the tooth characterized by the formation of a macrodont. Bilateral presentation is rarely reported in permanent canines. Talon's cusp is an accessory cusp projecting lingually from the cingulum to the incisal edge and may be seen facially sometimes. Simultaneous occurrence of facial and lingual talons on the same tooth is rare. Concurrent occurrence of all the three entities has not been reported. These anomalies can cause unpleasant esthetic appearance due to irregular morphology. The presence of deep grooves on these teeth increases the susceptible to caries and periodontal disease requiring an endodontic intervention. Proper clinical and radiographic examination provides an accurate diagnosis and helps the clinician in the proper treatment planning and avoiding further complications. This article presents a unique case of simultaneous occurrence of bilateral gemination in the permanent maxillary canines with labial and palatal talon's cusps, which has not been reported in the literature till date.

Prevalence of talon cusp: Systematic literature review, meta-analysis and new scoring system.

OBJECTIVES: Talon cusp is a developmental anomaly consisting of a vertical ridge or cusp projecting labially or lingually from an anterior permanent or primary tooth. A range of prevalence between 0.06 % and 40.8 % has been reported in the literature. Although many epidemiological studies have been conducted, no synthesis of these data has been performed to date. The aim of this paper was to determine the prevalence of talon cusp and to investigate the link between sex and talon cusp. SOURCE: A systematic search was undertaken using the PubMed/Medline, Embase and Cochrane Library electronic databases for publications from 1981 to 2020 investigating the prevalence of talon cusp and the link between talon cusp and sex. STUDY SELECTION: Three reviewers selected the studies independently, extracted the data in accordance with the PRISMA statement, and assessed the risk of bias via the GRADE & Cochrane approaches. RESULTS: From 39 potentially eligible studies, 9 were selected for full text analysis and 8 were included in the meta-analysis, representing 35,224 participants. The meta-analyses were performed with a random model, calculating a weighted-mean prevalence (at least one talon cusp per individual) of 1.67 %. Sex and talon cusp were not statistically significantly associated in our study (OR = 1.10; 95 % CI [0.82-1.47]; p > 0.05). DISCUSSION: We report the first prevalence of talon cusp provided by meta-analysis in a non-syndromic sample. A non-statistically significant association between sex and talon cusp is relevant in terms of genetic etiology. In order to improve the homogeneity and accuracy of the results of further studies, we propose a new universal scoring system for talon cusp. CLINICAL SIGNIFICANCE: Talon cusp is a developmental anomaly with various clinical implications. Therapeutics may vary from simple monitoring to extraction of the supporting tooth. This condition occurs in approximately 1.67 % of the population.

Clinical Significance of Talon Cusp in a Mixed Dentition Patient.

Talon cusp is a developmental dental anomaly with supernumerary structure projecting from the dento-enamel junction towards the incisal edge of an anterior tooth. The etiology is usually unknown but studies states that talons cusp can occur due to the hyperactivity of the enamel organ during morph differentiation. The incidence is 0.04-10% and the prevalence is more in maxillary incisors than mandibular incisors and more in palatal aspect of the teeth. The most common complications are esthetics, increased risk for caries and occlusal accommodation. This article reports a case of talon cusp on the palatal surface of the permanent maxillary lateral incisor. Due to its clinical significance the dentist should be able to diagnose the supernumerary tooth and definitive treatment should be done.

Dens evaginatus: Current treatment options.

BACKGROUND: Teeth with dens evaginatus (DE) are more commonly observed in Western countries than previously. This is due to the increase in populations of patients of Asian origin, in whom DE is more common than in people of European origin. The interest in DE has also increased with the introduction of a procedure called regenerative endodontics. CASE DESCRIPTION: A narrative review of treatment options for teeth with DE is presented, based on pulpal conditions and maturity of the teeth. PRACTICAL IMPLICATIONS: Early recognition of teeth with DE allows for treatment choices that generally lead to good outcomes and can aid in preserving developing teeth in young patients.

Intentional Partial Pulpotomy for Treatment of Immature Permanent Maxillary Incisor with Talon Cusp.

We report the successful morphological correction of a maxillary lateral incisor with a talon cusp and the preservation of vital pulp by employing an intentional partial pulpotomy. A talon cusp is a comparatively rare morphological tooth anomaly that may cause multiple clinical problems. An 11-year-old girl was referred to our department for morphological correction of a maxillary lateral incisor with a talon cusp prior to orthodontic treatment. Following a detailed CT examination of the interior morphology, the abnormal cusp was resected and an intentional partial pulpotomy performed. Five years postoperatively, the tooth showed no abnormalities. These results indicate that an intentional partial pulpotomy following a detailed CT examination is effective in correcting complicated morphological anomalies such as a talon cusp containing extended dental pulp.

Coexistence of true talon cusp and double dens invaginatus in a single tooth: a rare case report and review of the literature.

Co-occurrence of a talon cusp and double dens invaginatus is an extremely rare developmental dental anomaly. This case report represents a talon cusp with two dens invaginatus on a maxillary right lateral incisor. Early identification is needed for prevention of potential problems on the affected or opposing tooth.

Multidisciplinary management of a fused maxillary central incisor moved through the midpalatal suture: A case report.

Fusion of teeth is a developmental anomaly. It occurs at the stage of tooth formation, which determines the shape and size of the tooth crown, when one or more teeth fuse at the dentin level during the morphodifferentiation of the dental germs. Such teeth show macrodontia and may cause crowding, as well as esthetic and endodontic problems. In this article, we report a rare case of a maxillary central incisor fused to a supernumerary tooth showing labial and palatal talon cusps, which was orthodontically moved across the midpalatal suture. A 13-year-old Caucasian boy sought treatment for the unesthetic appearance of his maxillary central incisor and anterior crowding. He was rehabilitated successfully via a multidisciplinary approach involving orthodontic, nonsurgical endodontic, periodontal, and prosthodontic treatments. After a 26-month treatment period, the patient's macroesthetics and microesthetics were improved. The overall improvement of this macrodontic tooth and its surrounding tissues through multidisciplinary treatment was documented using cone-beam computed tomography.

A Rare Concomitant Occurrence of Talon Cusp in Fused Mandibular Permanent Teeth: Report of Two Cases.

Fusions of teeth and talon cusp are two rare developmental dental anomalies, affecting both primary and permanent dentitions. Both the anomalies are mostly reported as isolated finding and are rarely associated with other dental anomalies. Talon cusp is more common in maxillary anterior teeth in permanent dentition and fusion is commonly reported in mandibular teeth in primary dentition. The concomitant occurrence of talon cusp and fusion is rare and its occurrence in fused mandibular permanent teeth is also rare. This case report presents two unusual cases of concomitant occurrence of talon cusp with fusion in permanent mandibular incisors. The clinical problems associated with these dental anomalies and importance of their management are discussed in these case reports. HOW TO CITE THIS ARTICLE: Goswami M, Jangra B. A Rare Concomitant Occurrence of Talon Cusp in Fused Mandibular Permanent Teeth: Report of Two Cases. Int J Clin Pediatr Dent 2017;10(2):208-212.

Multiple talon cusps on maxillary central incisor: A case report.

Dental anomalies affecting the teeth are relatively common. Simultaneous occurrence of multiple dental abnormalities in a single tooth is uncommon and relatively rare. One such abnormality routinely encountered in dental clinics is the talon cusp. It is also referred to as dens evaginatus, characterized by the presence of an accessory cusp-like structure projecting from the cingulum of anterior teeth. It has an increased predilection for maxillary teeth and permanent dentition. Although numerous cases of talon cusp have been reported in the literature, occurrence of multiple talon cusps in maxillary central incisors has not been found in the literature. This case report highlights the presence of talon cusps in maxillary anterior teeth with multiple impacted supernumerary teeth.

Multidisciplinary management of a fused maxillary central incisor moved through the midpalatal suture: A case report / 대한치과교정학회지

Fusion of teeth is a developmental anomaly. It occurs at the stage of tooth formation, which determines the shape and size of the tooth crown, when one or more teeth fuse at the dentin level during the morphodifferentiation of the dental germs. Such teeth show macrodontia and may cause crowding, as well as esthetic and endodontic problems. In this article, we report a rare case of a maxillary central incisor fused to a supernumerary tooth showing labial and palatal talon cusps, which was orthodontically moved across the midpalatal suture. A 13-year-old Caucasian boy sought treatment for the unesthetic appearance of his maxillary central incisor and anterior crowding. He was rehabilitated successfully via a multidisciplinary approach involving orthodontic, nonsurgical endodontic, periodontal, and prosthodontic treatments. After a 26-month treatment period, the patient's macroesthetics and microesthetics were improved. The overall improvement of this macrodontic tooth and its surrounding tissues through multidisciplinary treatment was documented using cone-beam computed tomography.

Clinical evaluation of nonsyndromic dental anomalies in Dravidian population: A cluster sample analysis.

AIM: To record the prevalence rate of dental anomalies in Dravidian population and analyze the percentage of individual anomalies in the population. METHODOLOGY: A cluster sample analysis was done, where 244 subjects studying in a dental institution were all included and analyzed for occurrence of dental anomalies by clinical examination, excluding third molars from analysis. RESULTS: 31.55% of the study subjects had dental anomalies and shape anomalies were more prevalent (22.1%), followed by size (8.6%), number (3.2%) and position anomalies (0.4%). Retained deciduous was seen in 1.63%. Among the individual anomalies, Talon's cusp (TC) was seen predominantly (14.34%), followed by microdontia (6.6%) and supernumerary cusps (5.73%). CONCLUSION: Prevalence rate of dental anomalies in the Dravidian population is 31.55% in the present study, exclusive of third molars. Shape anomalies are more common, and TC is the most commonly noted anomaly. Varying prevalence rate is reported in different geographical regions of the world.