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.

The concept of ‘fibro-osseous lesions’ of bone has evolved over the last several decades and now includes two major entities, viz., fibrous dysplasia and ossifying fibroma, as well as other less common entities such as periapical dysplasia, focal osseous dysplasia, florid osseous dysplasia and familial gigantiform cementoma. Florid osseous dysplasia is a central lesion of the bone and periodontium, which has caused considerable controversy because of confusion regarding terminology and criteria for diagnosis. This paper reports a rare case of florid osseous dysplasia affecting maxilla and mandible bilaterally in a 14-year-old Indian male patient.

Developmental anomalies can occur as a result of conjoining or twinning defects. These include fusion, gemination and concrescence. Such anomalies occur more often in the deciduous than in the permanent dentition and only a few cases involving molar and premolar teeth have been reported in the literature. Cases of bilateral double teeth are less frequent than unilateral and prevalence seems to be higher in the anterior region. The present article is a rare case report of simultaneous occurrence of double teeth in permanent dentition involving the mandibular premolar-molar teeth in a 45-year-old male patient. Clinical observation along with radiographic examination was used to arrive at a diagnosis.

No abstract

Spindle cell soft tissue neoplasms are rarely reported in the oral cavity and account for less than 1% of all tumors. Spindle cell carcinoma (SpCC) synonymously called sarcomatoid tumor occurs mainly in the upper aerodigestive tract. This peculiar malignant neoplasm predominantly affects males in 6-7 th decades of life. SpCC is potentially aggressive with a high incidence of metastases. Its precise and early diagnosis is the key to good prognosis. We report a case of SpCC in a 50-year-old male patient with special reference to histogenesis of this entity. SpCC is an aggressive variant of squamous cell carcinoma which needs to be identified and differentiated from the other spindle cell tumors for proper treatment.