Talon Cusp Case Study
Abstract
A talon cusp is a rare form of developmental anomaly characterized by a well-delineated additional cusp like projection located on the surface of an anterior tooth and extends at least half the distance from the cementoenamel junction to the incisal edge 1. It usually occurs on palatal and lingual surface of the anterior teeth.2 On rare occasions the cusp may project from the facial surface or from both surfaces of a single tooth.1 When it occurs on facial surface of anterior teeth, the prime consideration is aesthetic, plaque retention and function. Thus early detection and treatment is essential in its management to avoid complications. Here we report a rare case of Labial Talon cusp in Maxillary Central Incisor of a 45 year old male patient found incidentally on routine clinical examination.
Keywords: Labial Talon, Tubercle, Central Incisor, Cusp, Cingulum
Introduction
Talon cusp is an unusual cuspal projection from an anterior tooth with normal enamel and dentin containing varying degrees of pulp tissue.1 Other synonyms\ terminologies include dens evaginatus, interstitial cusp, tuberculated premolar, odontoma of the axial core type, evaginated odontoma, occlusal enamel pearl, occlusal anomalous tubercle, supernumerary cusp and occlusal enamel pearl , of which dens evaginatus is used for both anterior and
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Periodic and gradual reduction of the cusp/ recontouring followed by application of a desensitizing agent/ Fluoride agents, reduction of cusp with or without endodontic therapy, sealant application on the grooves, and esthetic restorations are the various treatment options available. The main objective of the treatment is to provide better esthetics, function (elimination of occlusal/ Incisal interferences) and prevent the occurrence of dental caries, periodontal problems in the involved tooth.
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