“…A review of the literature reveals an abundance of terms for this anomalous dental structure, the most frequently encountered being: odontome, odontoma (odontome) of the axial core type, evaginatus odontoma (evaginated odontome), occlusal enamel pearl, occlusal tubercle, tuberculum anomalous, accessory cusp, supernumerary cusp, interstitial cusp, tuberculated cusp, tuberculated premolar, Leong's premolar, and talon cusp (specifically for anterior teeth) (5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22). While one article attempts to distinguish talon cusp from DE (23), most authors agree both are the result of an exacerbation of the same phenomena during the morphodifferentiation stage of tooth development (1,5,20).…”