Bilateral Talon Cusps Research Articles

Endodontic management of bilateral talon cusps: A case report

Endodontic management of bilateral talon cusps: A case report

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.

Tooth Impaction and Hypodontia in a Patient with Talon Cusp: Report of a Case

Objectives This study is aimed to introduce an unusual case of a female with two talon teeth on both maxillary lateral incisors.Case A 38-year-old female was referred to oral medicine department, Qom university of medical sciences for routin examinations. Bilateral maxillary talon cusp was observed on maxillary lateral incisors. Future evaluation revealed impaction of maxillary left canine and missing all wisdom teeth. Since talon teeth were not decayed and no occlusal interferences were present, no treatment was performed and patient was scheduled for routine follow up recalls.Conclusion Comprehensive examination of the case revealed the province of bilateral talon cusp teeth in maxilla

Talons Cusps: The Achilles’ Heel of the Incisors

Abnormalities in tooth morphology are not uncommon. However talon's cusp is a recherche dental anomaly of the permanent dentition. It's an anomalous structure resembling an eagle's talon that projects lingually from the cingulum area of a maxillary or mandibular permanent incisor. Presence of bilateral talon's cusp in primary lateral incisors is an extremely recondite clinical finding. Its presence makes the otherwise caries resistant incisors prone to tooth decay. It is generally asymptomatic but sometimes it may pose functional or esthetic problems and so it demands a preventive line of management. This paper reports one such rare case of non-syndromic bilateral talon's cusp in primary lateral incisors during mixed dentition period and its preventive management.

Prevalence of talon cusp in the North Indian population

Aim: Talon cusp is an uncommon dental anomaly seen commonly in the maxillary anterior. Mostly asymptomatic, it can result in functional and esthetic problems. The aim of the present study was to determine the prevalence of talon cusp in the North Indian population. Materials and Methods: The data was collected from the radiographic examination of 6048 periapical films showing 18,754 teeth from a random sample of 3320 patients attending the Department of Oral Medicine and Radiology. A tooth with a superimposed V-shape radiopaque structure was considered having a talon cusp. Results: Talon cusp was detected in 122 teeth with a tooth prevalence of 0.65. Maxillary lateral incisors were the most commonly affected teeth (86 teeth, 70.5%), followed by maxillary canines (24 teeth, 19.7%) and maxillary central incisors (12 teeth, 9.8%). None of the patients had talon cusp in the mandibular teeth. The person prevalence was estimated at 2.95. Bilateral talon cusp was found in 24 patients. Conclusion: Talon's cusp is a rare clinically evident dental anomaly. Careful observation during the routine dental examination can help in the early diagnosis of talon cusp and associated anomalies. This can help prevent the associated treatment problems and further complications.

Bilateral talon cusp on maxillary incisors: A unique case report

The talon cusp, or dens evaginatus of anterior teeth, is a relatively rare dental developmental anomaly characterized by the presence of an accessory cusp-like structure projecting from the cingulum area or cementoenamel junction. This cusp resembles an eagle's talon and hence is named after it. It usually contains normal enamel, dentin and, sometimes, extending into the pulp. Most of the cases are unilateral and only one-fifth of the cases are bilateral. We are hereby highlighting a rare and distinctive presentation of talon cusp involving the bilateral maxillary incisors.

Bilateral geminated teeth with talon cusps: A case report

Talon cusps and gemination are rare dental anomalies that can cause significant aesthetic and clinical problems. Bilateral talon cusps on geminated teeth have not been reported so far. The case of gemination with talon cusps on both maxillary central incisors was presented in this report. The main complaints of the patient were tongue irritation and aesthetic problems. The talon cusps were gradually reduced at 2 consecutive sittings and the exposed surface was treated with a fluoride gel. The aesthetical appearance was improved using a composite resin. Fixed orthodontic treatment was initiated for repositioning the left maxillary lateral incisor. A long term, multidisciplinary approach is necessary for the treatment of gemination with talon cusps.

Talons Cusp in Primary Incisors: A Rarity

Talon cusp is an uncommon anomaly in the primary dentition. The present report describes a case of bilateral talon cusps on the maxillary primary central incisors in a 1-year, 4-month-old Indian boy. Both central incisors exhibited a sharp prominent accessory cusp on the palatal surface which extended from the cementoenamel junction to the incisal edge. There were no associated developmental syndromes.

Prevalence of talon cusps in Jordanian permanent teeth: a radiographic study

BackgroundThe aim of the study is to investigate the prevalence of talon cusps in a sample of Jordanians dental patients and their distribution among different types of teeth.MethodsThe data were collected from radiographic examination of 3,024 periapical films showing 9,377 teeth from a random sample of 1,660 patients. A tooth was considered having talon cusp if there was a V-shape radiopaque structure superimposed the tooth structure.ResultsTalon cusps were detected in 52 teeth (tooth prevalence = 0.55%). Maxillary canines were the most commonly affected teeth (46% of cases), followed by maxillary lateral incisor teeth (39% of cases) and maxillary central incisors teeth (15% of cases). Teeth with talon cusps were found in 40 subjects (person prevalence = 2.4%). Bilateral talon cusps were seen in 12 patients.ConclusionsAttention should be paid to the presence of talon cusp and the treatment problems associated with it.

Labial and Palatal Talon Cusps on Geminated Tooth Associated with Dental Root Shape Abnormality: a case report

Talon cusp on a geminated tooth is a very rare condition. To the best of our knowledge, the literature contains only one case report of a labial talon cusp on a geminated tooth. This is the first clinical report describing a case of bilateral talon cusps on geminated permanent maxillary central incisors associated with dental root shape abnormality and its successful management.

Unusual Case of Labial and Lingual Talon Cusps

Talon cusp is an uncommon developmental anomaly affecting the anterior teeth, characterized by cusp-like projections, usually presenting on the lingual surface of the affected tooth. The occurrence ranges from 0.73% to 8% of the population. Talon cusp has been associated with other dental anomalies such as dens invaginatus, odontomas, and impacted teeth; associations with somatic anomalies such as Mohr's, Rubenstein-Taybi, and Sturge-Weber syndromes have also been reported. Only a few cases of labial talon cusp have been reported and only one previously published report exists documenting talons appearing both labially and lingually on the same tooth. This study reports the unusual case of a 10-year-old girl with bilateral talon cusps and one tooth possessing both lingual and labial talons. The lingual talon on the right maxillary lateral incisor was interfering with normal occlusion and was responsible for labioversion of the tooth. Treatment options were presented.

Talon cusp affecting permanent maxillary lateral incisors in 2 family members

The term talon cusp refers to a relatively rare dental anomaly in which an accessory cusplike structure projects from the cingulum area or cement-enamel junction. The condition can occur in either maxillary or mandibular anterior teeth in both the primary and permanent dentitions. This article reports 2 cases of talon cusp affecting consanguineous first cousins: a case of bilateral talon cusps on the permanent maxillary lateral incisors of a 16-year-old girl, and a case of talon cusp on the maxillary permanent lateral incisor of an 11-year-old boy. The talon cusps caused clinical problems that were related to caries or occlusal interferences. The presence of the dental anomaly in 2 members of the same family suggests that genetic inheritance may be a causative (related) factor. Examination of relatives could facilitate early diagnosis of the talon cusp and aid in preventing carious and occlusal problems. (Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1999;88: 90-2)