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    Variants of Talon Cusp (Dens2017

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    This document presents 5 cases of rare dental anomalies called talon cusps. Talon cusps are additional cusps that project from the lingual surface of anterior teeth, resembling an eagle's talon. The 5 cases include examples of facial and lingual talon cusps on primary and permanent teeth. Treatment for talon cusps depends on the location and severity, but may include monitoring, filing down protrusions, applying fluoride, or restorative procedures like pulpotomy or crowns. Early diagnosis is important so preventive treatment can be provided, as talon cusps can cause issues like irritation, cavities, and tooth fracture.

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    Variants of Talon Cusp (Dens2017

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    This document presents 5 cases of rare dental anomalies called talon cusps. Talon cusps are additional cusps that project from the lingual surface of anterior teeth, resembling an eagle's talon. The 5 cases include examples of facial and lingual talon cusps on primary and permanent teeth. Treatment for talon cusps depends on the location and severity, but may include monitoring, filing down protrusions, applying fluoride, or restorative procedures like pulpotomy or crowns. Early diagnosis is important so preventive treatment can be provided, as talon cusps can cause issues like irritation, cavities, and tooth fracture.

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    This document presents 5 cases of rare dental anomalies called talon cusps. Talon cusps are additional cusps that project from the lingual surface of anterior teeth, resembling an eagle's talon. The 5 cases include examples of facial and lingual talon cusps on primary and permanent teeth. Treatment for talon cusps depends on the location and severity, but may include monitoring, filing down protrusions, applying fluoride, or restorative procedures like pulpotomy or crowns. Early diagnosis is important so preventive treatment can be provided, as talon cusps can cause issues like irritation, cavities, and tooth fracture.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    52 views2 pages

    Variants of Talon Cusp (Dens2017

    Uploaded by

    Hukjvccx Jjyfdxxvb
    This document presents 5 cases of rare dental anomalies called talon cusps. Talon cusps are additional cusps that project from the lingual surface of anterior teeth, resembling an eagle's talon. The 5 cases include examples of facial and lingual talon cusps on primary and permanent teeth. Treatment for talon cusps depends on the location and severity, but may include monitoring, filing down protrusions, applying fluoride, or restorative procedures like pulpotomy or crowns. Early diagnosis is important so preventive treatment can be provided, as talon cusps can cause issues like irritation, cavities, and tooth fracture.

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    © All Rights Reserved
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    of 2

    DOI: 10.7860/JCDR/2017/24042.

    9207
    Images in Medicine

    Variants of Talon Cusp (Dens


    Dentistry Section

    Evaginatus)

    Mythri Sarpangala1, Ashwin Devasya2

    Keywords: Accessory cusp, Mesiodens, Primary dentition

    Talon cusp is a well delineated additional cusp that is located on the cusps and palatal accessory cusps. It contains enamel, dentine
    surface of an anterior tooth and extends at least half the distance and possible pulpal extension histologically and radiologically
    from the Cementoenamel Junction (CEJ) to the incisal edge. It superimposed over the tooth on which it occurs. It is also seen in
    was first described by Mitchell WH in 1982 [1,2]. This is a type of syndromes like Berardinelli-Seip, Mohr, Rubinstein-Taybi, Ellis-van
    accessory cusp that projects from the lingual surface that resembles Creveld, Sturge-Weber and incontinentia pigmenti achromians [5].
    an eagle’s talon and hence, the name [3]. Based on the literature, occurrence of talon cusp has been
    It could be due to an excess layering during morphodifferentiation of uncommon and has many variants. Here we present and discuss
    tooth development [4]. The occurrence is seen 1 to 6% in population, the occurrence of five cases of talon cusp [Table/Fig-1].
    mainly in permanent dentition [1].
    Talon cusp can be presented as exaggerated cingula, cusp like DISCUSSION
    hyperplasia, accessory cusps, supernumerary cusps, interstitial Presence of talon cusp may cause difficulty in maintaining hygiene,

    Age/Sex Chief Complaint Intraoral Examination Radiographic Examination Diagnosis Treatment Given
    10 years/male Abnormally Maxillary right permanent lateral incisor had a Not available Facial talon The parents were assured that
    shaped upper projection on the labial surface [Table/Fig-2] cusp it is a rare occurrence and
    front tooth regular check up is needed.
    13 years/male Irritation to the No signs of injury or presence of ulcers on IOPA radiograph showed Lingual talon The projection was grinded
    tongue tongue. Patient had no tongue thrusting habit. radiopacity on the lingual surface cusp gradually with topical fluoride
    Mandibular left permanent central incisor had of mandibular left permanent application in multiple
    a sharp, prominent talon cusp [Table/Fig-3] central incisor [Table/Fig-4] appointments.
    Eight years/ Extra tooth in Mesiodens with a projection in the cingulum OPG showed mesiodens in Talon Parents were explained that
    male upper front tooth [Table/Fig-5] between the permanent central cusp with it is a rare occurrence and
    region incisors [Table/Fig-6] mesiodens regular check-up is needed
    Four years/male Caries in upper Talon cusp in maxillary primary left lateral IOPA radiograph showed Talon cusp Parents were explained that
    tooth incisor [Table/Fig-7] radiopacity on the lingual aspect of on primary it is a rare occurrence and
    the crown [Table/Fig-8] teeth regular check-up is needed
    12 years/female Deciduous Maxillary left deciduous canine was mobile. IOPA radiograph showed typical Bilateral Asked to come for regular
    canine was Further examination showed that the presentation of talon cusp, talon cusp check-up
    mobile patient had bilateral talon cusps in maxillary adiopacity in the lingual portion of
    permanent lateral incisors [Table/Fig-9] the lateral incisors [Table/Fig-10]

    [Table/Fig-1]: Details of five cases of talon cusp.

    [Table/Fig-2]: Case 1: A 10-year-old male with facial talon cusp on maxillary right lateral incisor. [Table/Fig-3]: Case 2: A 13-year-old male patient with a complaint of irritation
    to the tongue due to the projection in mandibular left central incisor. [Table/Fig-4]: Case 2: IOPA showing a projection of tooth structure in the lingual surface of the lateral incisor.
    (Images left to right)

    [Table/Fig-5]: Case 3: An eight-year-old male patient having talon cusp in mesiodens. [Table/Fig-6]: OPG showing the mesiodens in between the permanent central incisors.
    [Table/Fig-7]: Case 4: A four-year-old male child with talon cusp in maxillary left lateral incisor. [Table/Fig-8]: IOPA of talon cusp showing projection of enamel and dentine.
    (Images left to right)

    Journal of Clinical and Diagnostic Research. 2017 Jan, Vol-11(1): ZJ01-ZJ02 1


    Mythri Sarpangala and Ashwin Devasya, Rare Variants of Talon Cusp www.jcdr.net

    To conclude, talon cusp is a rare morphological developmental


    anomaly that can occur both in primary and permanent dentition.
    The knowledge of different types, variety of presentations and
    occurrences can help in easy and early identification so that proper
    preventive and therapeutic treatments can be undertaken. In this
    case report, we discussed five cases of talon cusp hoping that it will
    help clinicians in identification, if encountered.

    [Table/Fig-9]: Case 5: A 12-year-old female with bilateral talon cusps on maxillary


    lateral incisors. [Table/Fig-10]: IOPA of both maxillary lateral incisors showing
    References
    [1] Neville BW, Damm DD, Allen CM, Bouquot JE . Abnormalities of Teeth. Oral and
    projection of tooth structure.
    Maxillofacial Pathology. 2nd ed. New Delhi, Saunders 2004;77-78.
    [2] Mitchell WH. Letter to editor. 1892;34;1036.
    aesthetics, occlusal interferences, carious developmental grooves, [3] Mellor JK, Ripa LW. Talon cusp: A clinically significant anomaly. 1970;29:225-
    irritation to the tongue during speech and mastication, nursing 28.
    difficulty and accidental cusp fracture [6]. The possible treatment [4] Tratman EK. An unrecorded form of simplest type of the dilated composite
    odontome. 1949;86:271-75.
    modalities for this are; periodic observation, application of topical [5] Davis PJ, Brook AH. The presentation of talon cusp: Diagnosis, clinical features,
    fluoride, sealing the fissures, aesthetic restorations, pulpectomy or associations and possible etiology. 1986;160:84-88.
    root canal treatment and crowns based on the tooth affected and [6] Yoon N, Chussid S. Dental management of a talon cusp on a primary incisor.
    2007;29:51-55.
    extraction, as a last resort [7]. Early diagnosis and proper preventive
    [7] Thakur S, Gupta R, Thakur NS, Gupta M. Facial talon cusp on permanent
    treatment is important. maxillary canine: A rare dental anomaly. 2013;2:324-27.


    PARTICULARS OF CONTRIBUTORS:
    1. Senior Lecturer, Department of Periodontology, Kannur Dental College, Anjarakkandy, Kannur, Kerala, India.
    2. Senior Lecturer, Department of Paedodontics and Preventive Dentistry, Kannur Dental College, Anjarakkandy, Kannur, Kerala, India

    NAME, ADDRESS, E-MAIL ID OF THE CORRESPONDING AUTHOR:


    Dr. Ashwin Devasya,
    Department of Paedodontics and Preventive Dentistry, Kannur Dental College, Anjarakkandy, Kannur-670612, Kerala, India. Date of Submission: Sep 08, 2016
    E-mail: [email protected] Date of Peer Review: Oct 07, 2016
    Date of Acceptance: Nov 14, 2016
    Financial OR OTHER COMPETING INTERESTS: None. Date of Publishing: Jan 01, 2017

    2 Journal of Clinical and Diagnostic Research. 2017 Jan, Vol-11(1): ZJ01-ZJ02

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