Talon Cusp Research Articles

Endodontic Treatment and Esthetic Management of a Geminated Central Incisor Bearing a Talon Cusp

Gemination with talon cusps is an uncommon morphologic dental anomaly, characterized by the formation of clinically wide tooth that can cause significant aesthetic and clinical problems including esthetic impairment, pain, caries susceptibility, and tooth crowding. These morphological dental anomalies have specific treatment needs due to the abnormal morphology and need virtuous radiologic diagnosis. Multidisciplinary approach can supply success of the treatment plan that can provide esthetic and occlusal requirements. In this case report, the multidisciplinary approach for the treatment of geminated tooth with talon cusp is presented with the clinical and radiographic findings.

Talons Cusp: A Report of Seven Cases and Review of Literature

ABSTRACT Talon cusp is a well-delineated additional cusp which is located on the surface of an anterior tooth. Histologically it is composed of normal enamel, dentin and a pulp tissue. It is been classified into various types based on its extension and shape of the cusp. This anomaly generally poses problems for the patient in terms of esthetics, caries control and occlusal accommodation. Seven new cases of talon cusp with different clinical presentations are being presented along with approved diagnostic criteria. How to cite this article Radhika MB, Paremala K, Sudhakara M, Soumya M. Talons Cusp: A Report of Seven Cases and Review of Literature. World J Dent 2014;5(1):76-79.

Concomitant hypodontia and unusual dental anomalies in families

Certain human dental anomalies occur frequently together which supports the accumulated evidence of the shared genetic control of dental developmental disturbances. The present study reports an interesting case series of two families where parent and offspring having hypodontia also showed rare dental abnormalities like talons cusp and macrodontia. The absence of teeth in young patients can cause aesthetic, functional and psychological problems, particularly if the teeth of the anterior region are involved. Diagnosing dental abnormality early can alert healthcare professional to the possible development of others in the same patient or other family members, sometimes, facilitating appropriate treatment intervention.

Mesiodens with Facial Talon Cusp- A Rarity

ABSTRACT Mesiodens is the most common type of supernumerary tooth found in premaxilla between two the central incisors. Talon cusp, also known as eagle's talon, is a dental anomaly that occurs on lingual aspect of the teeth. This paper reports a rare presentation of talon cusp on facial aspect of mesiodens in 9 year old female child. The treatment plan consisted of extraction of mesiodens.

An Immature Type II Dens Invaginatus in a Mandibular Lateral Incisor with Talon’s Cusp: A Clinical Dilemma to Confront

Dens invaginatus (DI) is a malformation of teeth probably resulting from an infolding of the dental papilla during tooth development. DI is classified as type I, II, and III by Oehlers depending on the severity of malformation. The maxillary lateral incisor is the most commonly affected tooth. Structural defects do exist in the depth of the invagination pits, and as a consequence, the early development of caries and the subsequent necrosis of the dental pulp, as well as abscess and cyst formation are clinical implications associated with DI. Occasionally, we can see more than one developmental anomaly occurring in a single tooth. In such cases it becomes important to identify the anomalies and initiate a proper treatment plan for good prognosis. In this paper, an unusual case of DI which clinically presented as a huge talons cusp affecting a mandibular lateral incisor tooth is described. This case report illustrates grinding of the talons cusp followed by nonsurgical endodontic management of dens invaginatus type II with an immature apex and periapical lesions, in which Mineral Trioxide Aggregate (MTA) shows a complete periapical healing with bone formation at the site of the lesions.

Double talon cusps on supernumerary tooth fused to maxillary central incisor: Review of literature and report of case.

Human tooth development is a continuous process begin at the sixth weeks in utero and extends to about sixth months after birth for the primary dentition and from sixteenth week in utero to late adolescence for permanent dentition. There is no other organ of the human body which takes so long to attain its ultimate morphology as dentition. Several physiologic growth processes participate in the progressive development of the teeth including: initiation, proliferation, histodifferentiation, morphodifferentiation, apposition, calcification, and eruption. Aberrations in different stages of tooth development can result in unique manifestations both in primary and permanent dentitions. The fact that premaxilla is the predilection site for the occurrence of supernumerary teeth, talon cusp, dens invaginatus, and geminated teeth may suggest that the embryological development of premaxilla differ from other sites of the jaws. The dental abnormalities presented in this review are of great concern to dentist and parents because they create clinical, pathological and esthetic problems. Dental practitioner should be aware of the clinical sign, associated problems and treatment options for a given case. Key words:Double talon cusps, fusion, supernumerary, case report.

Endodontic Treatment of Fused Teeth with Talon Cusp

Tooth anomalies are rare phenomena that may be reported by patients as chief complaints or may be discovered by dentists in the oral examination. In a few cases, rare anomalies are found together in one mouth. Decision to treat such anomalies depends on whether or not they interfere with function and esthetics and also the patient's preference. In the present case, a 19-year-old male presented with two right maxillary fused central and lateral incisors and a geminated left maxillary central incisor. A talon-like projection was found at the junction site of the fused teeth. His chief complaint was sensitivity to cold at the site of the giant fused tooth. This report describes the process of diagnosis and treatment of the two anomalies according to patient preference and needs.

English

Talon cusp is an accessory cusp similar to a projection, extending from the cingulum or cemento-enamel junction to the incisal edge. It occurs on labial or palatal surfaces of primary or permanent anterior teeth in both arches. This accessory cusp can occur as an isolated entity or in association with other dental anomalies. Occurrence of a talon cusp on supernumerary teeth is rare and uncommon. This paper reports an unusual case of a talon cusp on a supernumerary tooth associated with hyperdontia.

First Records of Talon Cusps on Baboon Maxillary Incisors Argue for Standardizing Terminology and Prompt a Hypothesis of Their Formation

Dental characters can provide vital clues for understanding intra- and intertaxonomic morphological variation and its underlying genetic and environmental components. However, the unambiguous identification of particular traits and their comparative study is often confounded by lack of consistent terminology in the relevant literature. This difficulty is exacerbated when the etiologies are not completely understood, as is the case with talon cusps. To date, research on talon cusps has focused on modern humans. In many instances, descriptions of talon cusps appear in clinical case studies focusing on their treatment and removal. What is lacking in those discussions, though, is a comparative framework, in which the occurrence of talon cusps in nonhuman primates, and possibly other mammals, is established and understood. Here, we report on a taloned upper central incisor of a wild baboon (Papio hamadryas ursinus) from South Africa. The anomalous incisor of this individual includes an exaggerated accessory cusp diagnosed as a Type II talon. Microcomputed tomographic and radiographic analyses show that the taloned cusp possesses enamel, dentin, and pulp. In addition, we identified an unclassifiable talon cusp on a central maxillary incisor of a baboon skull housed in the Smithsonian Institution's Natural History Museum collection. Our observations of talon cusps on baboon incisors demonstrate that, with regard to this phenomenon, systematic study of nonhuman primates is much needed, along with a consistent use of terminology in the anatomical and anthropological literature. Finally, we present a hypothesis of the formation of talon cusps on mammalian incisors.

Facial talon cusp on permanent maxillary canine: A rare dental anomaly

AbstractTalon cusp is a rare form of developmental anomaly characterized by cusp like projections, usually presenting on palatal and lingual surface of the anterior teeth. Maxillary lateral incisor is most often affected followed by maxillary central incisor. This developmental anomaly is rare on the facial surfaces and very few cases have been reported. When it occurs, the effects are mainly aesthetic and functional and so early detection and treatment is essential in its management to avoid complications. An unusual case of talon cusp on the facial aspect of maxillary canine is reported. The chief complaint of the patient was impaired aesthetics. Aesthetic correction was There is only one reported case of facial talon cusp on maxillary canine till date. This case reports a very rare form of such anomaly along with management.

Shovel-shaped incisors in the Black Sea region population of Turkey

Background/purposeShovel-shaped incisors are teeth with thick marginal ridges surrounding a deep lingual fossa. They have a higher prevalance in Asian racial groups. In this study, we aimed to find the incidence of shovel shaped incisors in Turkish population, distribution of them according to teeth and sex, and to show the relationship between SSI and the other morphological changes. Materials and methodsThe study was carried out on 3960 women and men. Shovel-shaped incisors were detected on 437 individuals. Photographic images of the palatinal surfaces were obtained and after the examiantion of high resolution digitalized images by two observers, teeth of 400 individuals were diagnosed as shovel-shaped. Teeth were classified as “Trace shovel” (type I), “semi shovel” (type II), and “shovel-shaped” (type III) according to the Hrdlicka's scale. the results were analyzed with Chi-square (χ2) test. ResultsPrevalence was 10.1%. Shovel-shaped incisors were found in both central incisors and lateral incisors of 273 individuals (68.5%), solely in lateral incisors of 119 individuals (29.5%), and in both maxillary central and lateral incisors and canines of 8 individuals (2%). Shovel-shaped incisors were present in the teeth of 228 women and in the teeth of 172 men (P = 0.015). The majority of the inisors were showing Type II severity (in the central-lateral incisor group 127 individuals, in the lateral group 71 individuals (P= 0.013). Thirty-four accompanied dental anomalies were dens in dente, Talon cusp, peg-shaped laterals, microdonty, and cingulum hypertrophy. was 34. Dens in dente constituted the majority (n = 23, ratio = 67.6%). ConclusionThe incidence of shovel-shaped incisors was 10.1% in our study group; SSI affected lateral incisors more than central incisors; the number of women reflecting SSI was higher than men; and the majority of individuals had Type II (semi-shovel) severity.

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.

Prevalence of Developmental and Acquired Dental Anomalies on Digital panoramic Radiography in Patients Attending the Dental Faculty of Rasht, Iran

Materials and Methods: In this retrospective cross-sectional study, 1224 digital panoramic radiographs belong to 758 females and 466 males were assessed for evaluation of 10 developmental and acquired dental anomalies. This study was done in two steps; prospective and retrospective. Both clinical and radiographic evaluation of patients was conducted for diagnosis of missing teeth, talon cusp, amelogenesis imperfecta, dentinogenesis imperfecta and dentine dysplasia. The chi-square test, Fisher-Exact test, Independent t-test and Kappa were used for statistical analysis of data.

Facial talon cusp in multilobed mesiodens: A rarest case report

Talon cusp is a well-delineated, talon shaped additional cusp arises during the morphodifferentiation stage of tooth development. It occurs on lingual/palatal or facial surface of either primary or permanent anterior teeth.Occurrence of talon cusp on supernumerary teeth is extremely rare. We report a case of facial talon cusp in a multilobed mesiodens in a 8-year-old girl, which is a rarest of the rare.

Talon cusp in primary dentition: A case report

Introduction: talon cusp is a well delineated accessory cusp projecting from the cingulum area of an anterior tooth. It is named so due to its resemblance with eagle’s talon, which is the shape of eagle’s claw when hooked on to its prey. Various alterations in shape in talon’s cusp may be present like it may be either sharp or spiked, teat like or may have rounded and smooth tips. Only two cases have been reported in Indian population till date. case report: Hereby, we report a unique case of talon’s cusp in a fouryear-old boy. conclusion: the occurrence of talon’s cusp in mandibular primary dentition is extremely rare.

Talon cusp: A case report with management guidelines for practicing dentists

Introduction: Talon cusp is an uncommon odontogenic anomaly which most frequently affects maxillary permanent incisors. Its presence causes the problem in esthetics, prevention of caries, and occlusal accommodation for the patient and problems in the diagnosis and clinical management for the dentist. Case Report: This article reports a case of talon cusp on the palatal surface of the permanent maxillary central incisor. Discussion: Since, the presence of talon cusp usually demands that definitive treatment be instituted; it represents a problem of clinical significance. The dentist should be able to diagnose it as the maxillary incisor is also the principal site for supernumerary tooth.

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.

Prevalence of dental anomalies in pretreatment orthodontic patients in Western Maharashtra, India: An epidemiological study

Aim: The aim of this study was the evaluation of the prevalence and distribution of dental anomalies in the pre-treatment records of orthodontic patients at a rural dental OPD in Western Maharashtra, India. Materials and Methods: Retrospective examination was done of 220 panoramic radiographs, study models, and pre-orthodontic records. Dental anomalies were recorded using panoramic radiographs and study models and reported as descriptive statistics. Statistical Analysis Used: Descriptive analyses-using the Statistical Package for Social Science (SPSS 9.0)-were used. Results: Patients were between 8 and 14 years of age (mean 11.6 years). The patient types included: Class I: 123 (55.9%), Class II: 94 (42.7%), Class III: 17 (7.7%), and Superclass I: 6 (2.7%). Crowding and spacing were found in 162 (73.6%) and 40 (18.1%) of patients, respectively. It was found that 27.7% of patients had at least one dental anomaly: hypodontia being the most common 23 (10.4%), followed by microdontia 17 (7.7%), hyperdontia 14 (6.3%), transposition 9 (4.1%), root dilaceration 9 (4.1%), macrodontia 7 (3.2%), Talon's cusp 3 (1.4%), and fusion 2 (0.9%). Conclusions: The present study investigating the prevalence of various dental anomalies in orthodontic patients found that 27.7% of the patients showed at least one dental anomaly. No significant association between the occurrences of dental anomalies was found in the study. Prevalence and distribution of some dental anomalies in rural Indian orthodontic patients differed from other studies. Careful prior detection of dental anomalies would simplify orthodontic treatment plan and reduce complications.

Concurrence of Dens Invaginatus and Evaginatus Involving All Maxillary Anteriors: A Rare Case with Comprehensive Review

Developmental malformations of tooth can occur due to various environmental and genetic factors playing role while tooth development. It is not unusual to find two or more such malformations in a dentition and in a single tooth. Simultaneous occurrence of dens invaginatus and dens evaginatus (talon cusp) is rare and complex. Hence, proper diagnosis and treatment plan is important so as to achieve favourable prognosis. This paper will discuss about such a rare combination in light of review on its various aspects.

A rare case of dilated invaginated odontome with talon cusp in a permanent maxillary central incisor diagnosed by cone beam computed tomography

It has been a challenge to establish the accurate diagnosis of developmental tooth anomalies based on periapical radiographs. Recently, three-dimensional imaging by cone beam computed tomography has provided useful information to investigate the complex anatomy of and establish the proper management for tooth anomalies. The most severe variant of dens invaginatus, known as dilated odontome, is a rare occurrence, and the cone beam computed tomographic findings of this anomaly have never been reported for an erupted permanent maxillary central incisor. The occurrence of talon cusp occurring along with dens invaginatus is also unusual. The aim of this report was to show the importance of cone beam computed tomography in contributing to the accurate diagnosis and evaluation of the complex anatomy of this rare anomaly.