Talon cusp on palatally erupted mesiodens

Abstract

Talon cusp is an accessory cusp-like structure or an extra cusp on an anterior tooth arising as a result of evagination on the surface of the crown before calcification has occurred. The cusp is composed of normal enamel and dentin containing varying extensions of pulp tissue. It is associated with few developmental anomalies such as peg laterals, dens invaginatus, and mesiodens. Mesiodens is a supernumerary tooth located in the premaxillary central incisor region which is supplemental or rudimentary type. Association of mesiodens with talon cusp is a rare occurrence with 25 cases reported. The presence of Talon cusp or a supernumerary tooth – mesiodens – leads to clinical implications such as poor esthetics, crowding, rotations, and also occlusal discrepancies. In this report, we present a case report of an 18-year-old male having a talon cusp on palatally erupted mesiodens.

Keywords

• Maxillary anterior teeth
• mesiodens
• occlusal interference
• talon cusp