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

Abstract

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.

Bilateral Supplemental Maxillary Incisors with Both Dens Invaginatus and Dens Evaginatus in a Non Syndromic Patient: A Rare Case Report

“…It has been suggested by several researchers that it has to be removed as soon as it has been observed. Erupted supernumeraries should be extracted and unerupted supernumeraries associated with any complications should be surgically removed or can be kept under observation until eruption if asymptomatic [1]. In the present case all erupted supplemental teeth were removed without any complications.…”

“…The term supplemental tooth was first used by Tomes, which refers to an extra tooth resembling a tooth of normal series of dentition [1]. Supernumerary teeth can occur either unilaterally or bilaterally, in permanent or primary dentition and in maxillary or mandibular region [2].…”

A rare report of mandibular facial talon cusp and its management

“…[28] When viewed from incisal aspect, the morphology appear as either “T,” “Y,” or “π” shape for major, minor, or bifid talon cusp. [29] The presented talon is type 1 or major with a T-shaped outline.…”

Bilaterally impacted mandibular supernumerary premolars associated with unusual clinical complications

“…[1] The term supplemental tooth refers to extra tooth resembling the tooth of normal series in dentition. [8] Supernumerary premolars are usually of normal form and 75% are impacted and generally unerupted. [9] In the present cases, both supernumerary premolars were unerupted and of supplemental type.…”