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      Multiple talon cusps on maxillary central incisor: A case report

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          Abstract

          Dental anomalies affecting the teeth are relatively common. Simultaneous occurrence of multiple dental abnormalities in a single tooth is uncommon and relatively rare. One such abnormality routinely encountered in dental clinics is the talon cusp. It is also referred to as dens evaginatus, characterized by the presence of an accessory cusp-like structure projecting from the cingulum of anterior teeth. It has an increased predilection for maxillary teeth and permanent dentition. Although numerous cases of talon cusp have been reported in the literature, occurrence of multiple talon cusps in maxillary central incisors has not been found in the literature. This case report highlights the presence of talon cusps in maxillary anterior teeth with multiple impacted supernumerary teeth.

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

          Faiez Hattab, Hakan Colak (2014)
          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.
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            Multiple dens evaginatus: diagnosis, management, and complications: case report.

            E Echeverri, M. M. Wang, C Chavaria … (2016)
            Dens evaginatus is a disturbance in tooth formation that appears clinically as an accessory occlusal tuberculated cusp composed of enamel and dentin, usually enclosing pulp tissue. The tubercle often fractures or is worn away, with subsequent pulp exposure leading to pulpal inflammation, necrosis, and periapical inflammation. When this happens to an immature tooth, diagnosis may be complicated by the similarity in radiographic appearance of the periapical lesion and the dental follicle. The management of such teeth may be complicated because of their immaturity. A case report of multiple abraded dens evaginatus with pulp necrosis is presented that illustrates 1) the difficulty of diagnosing otherwise apparently healthy teeth associated with periapical lesions and sinus tracts, and 2) their management and treatment complications including recurrent infections and root fractures.
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              Mandibular Facial Talon Cusp: A Rare Case Report

              RV Prabhu, L Chatra, P Shenai … (2014)
              Talon cusp (TC) is a relatively uncommon developmental anomaly characterized by cusp-like projections from the cemento-enamel junction to a variable distance toward the incisal edge of an anterior tooth. It usually presents on palatal/lingual surface of the anterior teeth. Studies have revealed that it consists of enamel, dentine and a variable amount of pulp tissue. Presence of this cusp on the facial surface of an anterior tooth is a rare finding with very few cases being reported in the literature. The effects of TCs are mainly aesthetic and functional. The management requires a sufficient knowledge of the present clinical entity and the problems associated with it. Early detection and treatment plays a very vital role in avoiding the future complications. The present case reports a 25-year-old male patient with a facial TC on the mandibular left central incisor in which a prophylactic enameloplasty was carried out to avoid the stagnation of debris and stain.
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                Author and article information

                Journal
                Journal ID (nlm-ta): J Dent Res Dent Clin Dent Prospects
                Journal ID (iso-abbrev): J Dent Res Dent Clin Dent Prospects
                Journal ID (publisher-id): J Dent Res Dent Clin Dent Prospects
                Journal ID (pmc): JODDD
                Journal ID (publisher-id): TBZMED
                Title: Journal of Dental Research, Dental Clinics, Dental Prospects
                Publisher: Tabriz University of Medical Sciences
                ISSN (Print): 2008-210X
                ISSN (Electronic): 2008-2118
                Publication date (Print): Spring 2017
                Publication date (Electronic): 21 June 2017
                Volume: 11
                Issue: 2
                Pages: 127-130
                Affiliations
                1Faculty of Dentistry, SEGi University, No. 9 Jalan Teknologi, Taman Sains, Petaling Jaya, Malaysia
                2Department of Oral Pathology & Microbiology, Faculty of Dentistry, Batterjee Medical College, Jeddah, Saudi Arabia
                3Department of Periodontology, Yogita Dental College & Hospital, Khed (Ratnagiri), Maharashtra, India
                4Department of Oral & Maxillofacial Surgery, School of Dental Sciences, Krishna Institute of Medical Sciences, Deemed University, Karad, Satara (District), Maharashtra (State), India.
                5Department of Oral Medicine and Radiology, Amrita School of Dentistry, Kochi, Kerala, India
                Author notes
                [* ] Corresponding Author E-mail: dr.suri88@ 123456gmail.com
                Article
                DOI: 10.15171/joddd.2017.023
                PMC ID: 5519994
                SO-VID: 2456a322-6cb1-48b0-9077-d8d7da811a27
                Copyright © © 2017 Suresh KV et al.
                License:

                This is an Open Access article published and distributed by Tabriz University of Medical Sciences under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Date received : 20 December 2015
                Date accepted : 20 June 2017
                Page count
                Figures: 3, References: 16, Pages: 4
                Categories
                Subject: Case Report

                ScienceOpen disciplines: Dentistry
                Keywords: dens evaginatus,maxilla,multiple,supernumerary tooth,talon cusp
                Data availability:
                ScienceOpen disciplines: Dentistry
                Keywords: dens evaginatus, maxilla, multiple, supernumerary tooth, talon cusp

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