Talon Cusp Research Articles

Supplemental Mesiodens with Facial Talons Cusp-An Unusual Case Report

ABSTRACT Supernumerary tooth is one that is additional to the normal series and can be found in almost any region of the dental arch. Mesiodens is the most common type of supernumerary tooth found in the premaxilla between two central incisors. Talon cusp is a supernumerary structure projecting from the dento-enamel junction to a variable distance towards the incisal edge of an anterior tooth and mostly on the palatal aspect. Only few have been reported on the facial aspect of the teeth. Here we present a case of a ten year old male child with supplemental mesiodens associated with facial talons cusp.

Supernumerary Teeth in Indian Children: A Survey of 300 Cases

The aim of this investigation was to study children with supernumerary teeth who visited the Department of Pedodontics and Preventive Dentistry, Government Dental College and Hospital, Rohtak, Haryana, India. Only children with supernumerary teeth were included in the study while patients having supernumerary teeth with associated syndromes were excluded. Supernumeraries were detected by clinical and radiographic examination. The results indicated that males were affected more than females with a sex ratio of 2.9 : 1. Single supernumerary tooth was seen in 79% of the patients, 20% had double, and 1% had three or more supernumeraries. Premaxillary supernumeraries accounted for 93.8% of the cases. Conical shaped supernumerary teeth were the most common type (59.7%). Majority of supernumeraries remained unerupted (65%). Fusion of supernumerary tooth with a regular tooth was observed in 4% of the patients. Talon cusp, an associated dental anomaly, was seen in 5% of the cases. Simultaneous hypodontia occurred in 2.3% of patients with supernumeraries.

Facial talon cusp: A rarity, report of a case with one year follow up and flashback on reported cases

Talon cusp is a relatively uncommon developmental anomaly characterized by cusp-like projections, usually presenting on palatal/lingual surface of the anterior teeth. This cusp resembles an eagle's talon, and hence the name. Normal enamel and dentin covers the cusp, which may or may not contain an extension of pulp. Presence of this anomalous cusp on the facial surface of an anterior tooth is a rare finding and very few cases have been reported in the literature. In most instances, such cusps are associated with clinical problems such as poor esthetics and caries susceptibility. Management of such cases requires a comprehensive knowledge of the clinical entity as well as the problems associated with it. This case report presents a facial talon cusp on the maxillary left central incisor of a 10 year old boy, which was conservatively treated. Vitality of the affected tooth was maintained and followed up for a period of 1 year.

Multiple talon cusps, dens in dente and concrescence in a child with hypomelanosis of Ito

Hypomelanosis of Ito (HI) is a rare neurocutaneous disorder most likely caused by chromosomal mosaicism. HI patients may suffer from numerous clinical manifestations, but the expression of the disease is highly variable. Ophthalmologic, musculoskeletal, neurologic, and dental anomalies may be associated with the syndrome. The dental abnormalities found in HI include talon cusps, a single maxillary central in-cisor, enamel defects, hypodontia, and irregularly spaced teeth. The aim of this case report is to present multiple talon cusps, dens in dente and concrescence of maxillary permanent incisors in an 8-year-old boy affected with hypomelanosis of Ito. This unusual dental anomaly has been described in two previous reports of this neurocutaneous syndrome. HI can be difficult to diagnose, these dental findings may help to identify the syndrome in cases where other findings are minimal or atypical.

Oral and Dental Manifestations in Rubinstein-Taybi Syndrome: Report of a Rare Case

Rubinstein-Taybi syndrome, or broad thumb-hallux syndrome, is a well-defined rare congenital disorder characterised by postnatal growth deficiency, craniofacial dysmorphism, broad thumbs and great toes, and mental retardation (intellectual disability). Occurrence may be either sporadic or through autosomal dominant inheritance. Reports of Rubinstein-Taybi syndrome are scarce in the literature. This case report describes the oral and dentofacial findings of Rubinstein-Taybi syndrome affecting a 13-year-old Indian female, including the uncommon presence of talon cusps and an unerupted supernumerary tooth.

Management of a talon cusp using mineral trioxide aggregate

To report on the successful conservative management of three patients having a talon cusp with pulpal involvement using mineral trioxide aggregate (MTA). Mineral trioxide aggregate was used to induce hard-tissue formation following the direct pulp capping of a resected talon cusp in three cases. • Talon cusp is an odontogenic anomaly which can cause occlusal interferences, displacement of the affected tooth, caries-susceptible developmental grooves and speech difficulties • Direct pulp capping using MTA following the resection of a talon cusp is a suitable treatment option.

Labial canine talon cusp from the Early Holocene site of Gobero, central Sahara Desert, Niger

AbstractThe specimen reported here presents a rare form of dental variant—a permanent, mandibular labial canine talon cusp. This anomaly has not previously been reported in the clinical or archaeological literatures and is currently unique. The affected individual is an adult male from the Early Holocene cemetery of Gobero located in the Sahara Desert in the Republic of Niger. The age of this site (ca. 9500 bp) makes this the first archaeological case of labial talon cusp from Africa and the oldest reported talon cusp of any kind (lingual or labial, maxillary or mandibular, incisor or canine) in the world. Previous case studies, population frequency data, sexual dimorphism patterns and distribution within the dentition are discussed for labial talon cusp. The morphological aetiology of talon cusps is reviewed with respect to this specimen. Copyright © 2010 John Wiley & Sons, Ltd.

Talon Cusps: Conservative Management

Talons cusp is an uncommon developmental dental anomaly characterized by presence of an accessory cusp like structure projecting from tooth neck towards incisal edge. This anomaly commonly affects permanent dentition than primary dentition. This article describes early diagnosis and management of two patients with talons cusp. Conservative treatment by selective grinding, followed by fluoride varnish application was done. The patients were followed up for one year without any complications. This indicates conservative means of management to be the most desirable way of managing such anomalies.

Taurodontism in association with the cusp of carabelli: a report of 2 cases

Taurodontism is a malformation of multirooted teeth characterized by abnormally large pulp chamber and abnormally short roots. It is diagnosed by the use of radiographs. The cusp of Carabelli is a morphological anomaly of the crown usually seen clinically on the mesiopalatal surface of the maxillary first permanent molars. The aetiology of both anomalies is not entirely clear, however, both genetic and exogenous factors have been proposed. There are recent reports that mutation of some chromosomes could be a cause of taurodontism. Taurodontism has been reported along with talon cusp, dens evaginatus and some Syndromes. This paper presents an unusual occurrence of taurodontism in association with the cusp of Carabelli in a 15 year-old girl presenting with a toothache of 4 months duration and her 46 year-old mother. All the second permanent molars were taurodont. Other siblings investigated had cusps of Carabelli but no taurodont tooth. There was no associated syndrome in both mother and child. Root canal treatment of the pulpally involved taurodont mandibular left permanent second molar of the 15 year-old was carried out. Appropriate restorations were placed on all other carious molars. Her mother had no carious tooth. Taurodontism may present as pain when the affected tooth is carious or as a chance radiographic finding as it is the case in the mother. Preventive restorations of taurodont teeth is ideal treatment when detected early. The anthropological and clinical significance of the cusp of Carabelli is highlighted. The association of these two dental anomalies needs further investigation. Key words: Taurodontism, cusp of carabelli

Mandibular talon cusp: A rare presentation with the literature review

A talon cusp is a supernumerary structure projecting from the dento-enamel junction to a variable distance towards the incisal edge of an anterior tooth. It consists of enamel, dentine and a variable amount of pulp tissue. Hyperactivity of the enamel organ during morpho-differentiation has been attributed to its formation. It has esthetic and functional concerns. Reports of a mandibular talon cusp are rare in the literature. To the best of our knowledge, only 14 cases have been reported, of which only 2 cases in mandibular left central incisors. We report the second instance of a talon cusp in the lingual aspect of the mandibular left central incisor and the first such report in a patient of Libyan origin. A talon cusp is an odontogenic anomaly, which can cause occlusal interferences, displacement of the affected tooth and speech difficulties. Early diagnosis of a talon cusp helps in selecting the appropriate treatment procedure and to avoid future complications.

Concommitant occurance of dens invaginatus and talon cusp: A case report

PURPOSE: Morphological dental anomalies of the maxillary lateral incisors are relatively common. However, their simultaneous occurrence is a relatively rare event. We report a case of dens invaginatus and talon cusp concurrently affecting maxillary lateral incisors. The etiology, pathophysiology, association with other dental anomalies, as well as various treatment modalities of these anomalies are discussed. CASE DESCRIPTION: An 18-year-old male patient reported with a complaint of crowding of maxillary front teeth. On intraoral examination, permanent dentition with Class I malocclusion with anterior crowding was observed. Tooth 12 showed a radiopaque invagination from a lingual pit but confined to the crown of the tooth. This invagination was approximately circular with a central core of radiolucency, which was consistent with the diagnosis of a dens invaginatus type I. Tooth 22 showed the talon cusp as a typical inverted cone with enamel and dentine layers and a pulp horn extending only into the base of the cusp. Talon cusp was treated by prophylactic enameloplasty to avoid plaque accumulation, the deep lingual pit was sealed using composite resin and regular clinical and radiographic follow-up was advised. Patient was scheduled for orthodontic treatment to correct crowding of maxillary anterior teeth. CONCLUSION: We emphasize the fact that detailed clinical and radiographic examination of the maxillary lateral incisors is vital in avoiding complications.

Facial talon in mandibular incisor: An unusual occurrence

Talon cusp, also known as an eagle's talon, is a dental anomaly that occurs on the lingual aspect of teeth commonly, but occurrence on the facial aspect has rarely been reported. It is an extra cusp on an anterior tooth, which arises as a result of evagination on the surface of a crown before calcification has occurred. The incidence of talon cusp on lingual side is less than 6% and is even lesser on the facial aspect. Commonly involved teeth are maxillary incisors, usually unilateral but in some instances bilateral. The classical radiographical feature of talon cusp is double teeth appearance. The anomaly has been reported to be unusual in the mandibular dentition and extremely rare on the facial aspect. We report one such extremely rare case of facial talon cusp in mandibular central incisor.

Talon cusps in mandibular incisors: an unusual presentation in a child patient.

Talon cusp is a dental anomaly also known as an eagle’s talon. It is an extra cusp on an anterior tooth which arises as a result of evagination on the surface of a crown before calcification has occurred. The exact etiology is unknown. The inci-dence of talon cusp is less than 6%. Commonly involved teeth are maxillary incisors, usually unilateral but in some instanc-es bilateral. The classical radiographical feature of talon cusp is double teeth appearance. The anomaly has been reported to be unusual in the mandibular dentition. This article reports an unusual case of talon cusp of permanent mandibular central incisors.

Talon cusp in a primary incisor: A rare entity

This case report describes the presence of a talon cusp in a right primary incisor in a 6-year-old girl. It is a rare entity with only three cases having been reported from the Indian population. The talon cusp showed presence of wear facets along with altered morphology of the involved tooth. No treatment was done apart from sealing the cusp-tooth interface with fissure sealant.

Prevalence and distribution of selected developmental dental anomalies in an Indian population

The purpose of this study was to determine the prevalence of developmental dental anomalies in an Indian population and to statistically analyze the distribution of these anomalies. The study was based on clinical examination, evaluation of dental casts, and panoramic radiographs of 1123 Indian subjects (572 males, 551 females), who visited the outpatient clinic at Government Dental College, Indore between November 2009 and September 2010, after obtaining their informed consent. These patients were examined for the following developmental dental anomalies: shape anomalies (microdontia, talon cusp, dens evaginatus, fusion, taurodontism), number anomalies (hypodontia, oligodontia, anodontia), structural anomalies (amelogenesis imperfecta, dentinogenesis imperfecta) and positional anomalies (ectopic eruption, rotation, impaction). The percentages of these anomalies were assessed for the whole group and compared using statistical analysis. Among the 1123 subjects, a total of 385 individuals (34.28%) presented with the selected developmental dental anomalies. The distribution by sex was 197 males (34.44%), and 188 females (34.06%). Out of the total 1123 individuals, 351 (31.26%) exhibited at least one anomaly, 28 (2.49 %) showed two anomalies and 6 (0.53%) displayed more than two anomalies. P values indicated that the dental anomalies were statistically independent of sex. On intergroup comparison, positional anomalies were significantly most prevalent (P < 0.05) in the Indian population. The most common developmental dental anomaly was rotation (10.24%), followed by ectopic eruption (7.93%). The next common group was number anomalies. The most common number anomaly was hypodontia (4.19%), which had a higher frequency than hyperdontia (2.40%). Analyzing the next prevalent group of shape anomalies, microdontia (2.58%) was found to be the most common, followed by taurodontism (2.49%), dens evaginatus (2.40%) and talon cusp (0.97%). Dentinogenesis imperfecta (0.09%) was the rarest, followed by amelogenesis imperfecta (0.27%) and fusion (0.27%).

Permanent mandibular incisor with multiple anomalies - report of a rare clinical case

Permanent mandibular central incisor is rarely affected by tooth shape anomalies of crown and root. Co-occurrence of multiple anomalies in a permanent mandibular central incisor is extremely rare. This paper reports an unusual concurrent combination of multiple dental anomalies affecting both the crown and root of a permanent mandibular left central incisor - talon cusp, dens invaginatus, short root anomaly and macrodontia -, which has not previously been reported together. Case management is described and implications are discussed. The dentist should be aware of these rare entities in order to provide an accurate diagnosis and management for which detailed examination of the tooth both clinically and radiographically is very important.

Bilateral Palatal Talon Cusps on Permanent Maxillary Lateral Incisors: A Case Report

Talon cusp is a rare developmental extra cusp-like projection on the cingulum area of affected anterior teeth that may cause various functional and aesthetic problems. The present report describes a case of bilateral palatal talon cusps on permanent maxillary incisors and the treatment procedure to overcome the clinical problems associated with talon cusps.

Atypical presentation of bilateral supplemental maxillary central incisors with unusual talon cusp

Delayed eruption of maxillary permanent central incisors in a child poses a distressing esthetic quandary to parents, by virtue of its location in the dental architecture. Well-aligned anterior teeth add confidence to smile and have enhanced self-esteem, which is critical even in early life. Impaction of the maxillary central incisors compared to third molars or the canines is less reported; bilateral supplemental maxillary central incisors related to impacted permanent maxillary central incisors are rare and one of the supplemental central incisors showing unusual talon is still infrequent. A case of impacted maxillary permanent central incisors related to supplemental maxillary central incisors, with one of them showing an unusual talon cusp, is presented.

Talon cusp from two archaic period cemeteries in North America: Implications for comparative evolutionary morphology

Talon cusps are rare morphological features of the anterior dentition that represent a spectrum of lingual cingulum diversity. In this paper, talon cusp prevalence is described in two Archaic period North American samples, Windover Pond (Florida) and Buckeye Knoll (Texas). Given the early date of these cemeteries (~7500 BP), these specimens represent the oldest reported cases of lingual talon cusp in the New World, and perhaps globally. Windover preserves three cases of talon cusp (representing three different individuals) affecting the permanent maxillary lateral incisors. The sample frequencies were 1.8% and 3.1% for the left and right maxillary lateral incisors, respectively. Buckeye Knoll preserves four cases of talon cusp representing three individuals. Talon cusps at this site were distributed throughout the maxillary anterior dentition, including a permanent maxillary central incisor, bilateral permanent maxillary lateral incisors, and a deciduous maxillary lateral incisor. The multicomponent nature of this site complicates sample frequency calculation with by-tooth estimates ranging from 3.6% to 25%. This paper discusses the difficulties with comparative frequency estimation, resulting from a proliferation of terminology that is discipline-specific. Understanding the evolutionary basis and significance of dental morphological variation requires an inclusive approach to the comparative literature that focuses on homology within the context of odontogenetic process.

THE PRESENTATION OF TUBERCULATED INCISORS [TALON CUSP]- A REPORT OF THREE CASES

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. It commonly occurs in either maxilla or mandibular anterior teeth in both the primary and permanent dentition. This article reports three cases of talon cusp and its management.