Facial talon cusp: A rarity, report of a case with one year follow up and flashback on reported cases

Abstract

Talon cusp is a relatively uncommon developmental anomaly characterized by cusp-like projections, usually presenting on palatal/lingual surface of the anterior teeth. This cusp resembles an eagle's talon, and hence the name. Normal enamel and dentin covers the cusp, which may or may not contain an extension of pulp. Presence of this anomalous cusp on the facial surface of an anterior tooth is a rare finding and very few cases have been reported in the literature. In most instances, such cusps are associated with clinical problems such as poor esthetics and caries susceptibility. Management of such cases requires a comprehensive knowledge of the clinical entity as well as the problems associated with it. This case report presents a facial talon cusp on the maxillary left central incisor of a 10 year old boy, which was conservatively treated. Vitality of the affected tooth was maintained and followed up for a period of 1 year.

Management of a Facial Talon Cusp on a Maxillary Permanent Central Incisor: A Case Report and Review of the Literature

“…A case reported by Glavina and Skrinjaric included gradual cuspal grinding and resin‐based composite restoration of a facial talon cusp on a maxillary permanent left central incisor . Another case reported by Kulkarni and colleagues included treatment of a talon cusp using reduction every 45 days, followed by fluoride varnish application for 9 months …”

“…21 Another case reported by Kulkarni and colleagues included treatment of a talon cusp using reduction every 45 days, followed by fluoride varnish application for 9 months. 22 The management of talon cusps includes no treatment, sequential grinding, 23 pit and fissure sealants, 24 pulp therapy, 2,20 restorative treatment, 2,6,20 full crown coverage, and extraction of the affected tooth. 12,25 In our case, the tooth fulfilled functional and esthetic requirements when first diagnosed, and the authors believe that restorative treatment was the best solution.…”

Epidemiological Distribution and Data Analysis of Facial Talon Cusp: A Comprehensive Review of the Literature

“…has been suggested. 19,36,37 Root canal treatment, 19 and extraction and orthodontic treatment also been suggested if pulp infection is present. Nevertheless, the reported management strategies by various authors for facial talon cusps were mention in Table 2.…”

A rare report of mandibular facial talon cusp and its management

“…The complications of talon cusp are diagnostic (if unerupted, resembles supernumerary, or compound odontomes), functional (occlusal interferences, trauma to lip and tongue, speech problems, and displacement of teeth), pathological (caries, abrasion, accidental cusp fracture, apical periodontitis, and periodontal diseases due to plaque accumulation in the grooves), and esthetics. [ 1 9 11 18 19 20 21 ] The purpose of the present report is to emphasize the rarity of mandibular facial talon and treatment options for good prognosis.…”