Abstract

BackgroundMorphological alterations in tooth structure involving either crown or root are common in the literature. But co-occurrence of multiple anomalies in a permanent mandibular central incisor is extremely rare. Case reportThis paper reports an unusual combination of multiple dental anomalies–talon cusp, dens invaginatus and macrodontia affecting both the crown and root of a permanent mandibular left central incisor of a 12-year old Indian boy. Case management has been described and the implications are discussed. ConclusionDiagnosis and treatment of teeth affected by multiple anomalies is a challenging proposition, requiring careful clinical and radiographic interpretation.

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