Talon Cusp Type I: Restorative Management

Abstract

The teeth are formed during intrauterine life (i.e., gestation) during the odontogenesis stage. During this period, the teeth move until they enter the oral cavity. This course covers various stages of dental development, namely, initiation, proliferation, histodifferentiation, morphodifferentiation, and apposition. The talon cusp is an anomaly that occurs during morphodifferentiation, and this anomaly may have numerous adverse clinical effects on oral health. The objective of this study was to report a case of “Talon Cusp Type I” and to discuss diagnostic methods, treatment options for this anomaly, and the importance of knowledge of this morphological change among dental professionals so that it is not confused with other morphological changes; such knowledge is required to avoid unnecessary surgical procedures, to perform treatments that prevent caries and malocclusions as well as enhancing aesthetics, and to improve the oral health and quality of life of the patient.

Management of a permanent lateral incisor with a talon cusp and immature apex: A case report

“…Symptoms associated with talon cusps will also guide the practitioner to the right treatment approach. If it is mainly an aesthetic concern, a premature contact or minor occlusal interference then gradual reduction will be an ideal treatment approach, however, if the tooth fractured exposing the pulp or traumatic occlusion is causing tooth mobility, partial or complete removal might be indicated 31 . During partial or complete removal—pulp therapy should be planned and executed in accordance with the pulp status and degree of root formation.…”

“…If it is mainly an aesthetic concern, a premature contact or minor occlusal interference then gradual reduction will be an ideal treatment approach, however, if the tooth fractured exposing the pulp or traumatic occlusion is causing tooth mobility, partial or complete removal might be indicated. 31 During partial or complete removal—pulp therapy should be planned and executed in accordance with the pulp status and degree of root formation. Vital pulp therapy in the form of a direct pulp cap or pulpotomy might be necessary depending on the size of the exposure.…”

Unilateral Talon Cusp on Primary Lateral incisor in a three-year-old Libyan Girl: A Case Report and Literature Review.

“…The talon cusp can occur alone or combined with another dental anomalies such as mesiodens, odontoma. It has also been associated with some systemic conditions like Mohr syndrome, Sturge-Weber syndrome (12) . Talon cusp is a projection that ranges in appearance from an enlarged cingulum to a well formed cusp (13) , extend at least half the distance from cementoenamel junction to the incisal edge (1,(13)(14)(15)(16) .…”