Davis PJ, Brook AH. The presentation of talon cusp: diagnosis, clinical features, associations and possible aetiology. Br Dent J. 1986; 160:84-8 https://doi.org/10.1038/sj.bdj.4805774
Arora A, Sharma P, Lodha S. Comprehensive and conservative management of talon cusp: a new technique. Case Rep Dent. 2016; 2016 https://doi.org/10.1155/2016/5843231
Guven Y, Kasimoglu Y, Tuna EB Prevalence and characteristics of talon cusps in Turkish population. Dent Res J (Isfahan). 2016; 13:145-50 https://doi.org/10.4103/1735-3327.178200
Kapur A, Goyal A, Bhatia S. Talon cusp in a primary incisor: a rare entity. J Indian Soc Pedod Prev Dent. 2011; 29:248-250 https://doi.org/10.4103/0970-4388.85835
Kumar V, Chawla A, Logani A, Shah N. Mineral trioxide aggregate pulpotomy: An ideal treatment option for management of talon cusp. Contemp Clin Dent. 2012; 3:491-493 https://doi.org/10.4103/0976-237X.107453
Hattab FN, Yassin OM, al-Nimri KS. Talon cusp in permanent dentition associated with other dental anomalies: review of literature and reports of seven cases. ASDC J Dent Child. 1996; 63:368-376
Maia RA, de Souza-Zaroni WC, Mei RS, Lamers F. Talon cusp type I: restorative management. Case Rep Dent. 2015; 2015 https://doi.org/10.1155/2015/425979
Proffit WR. Equilibrium theory revisited: factors influencing position of the teeth. Angle Orthod. 1978; 48:175-186
Oehlers FA. Dens invaginatus (dilated composite odontome). I. Variations of the invagination process and associated anterior crown forms. Oral Surg Oral Med Oral Pathol. 1957; 10:1204-1218 https://doi.org/10.1016/0030-4220(57)90077-4
Nuvvula S, Gaddam KR, Jayachandra B, Mallineni SK. A rare report of mandibular facial talon cusp and its management. J Conserv Dent. 2014; 17:499-502 https://doi.org/10.4103/0972-0707.139854
Gosselin ML, Doyle T, MacLellan J A talon cusp mistaken for a mesiodens: case report. J Can Dent Assoc. 2012; 78
Patel S, Brown J, Semper M European Society of Endodontology position statement: Use of cone beam computed tomography in Endodontics: European Society of Endodontology (ESE) developed by. Int Endod J. 2019; 52:1675-1678 https://doi.org/10.1111/iej.13187
San Chong B. Harty's Endodontics in Clinical Practice. E-Book.: Elsevier Health Sciences; 2016
Agrawal PK, Wankhade J, Warhadpande M. A rare case of type III dens invaginatus in a mandibular second premolar and its nonsurgical endodontic management by using cone-beam computed tomography: a case report. J Endod. 2016; 42:669-672 https://doi.org/10.1016/j.joen.2016.01.001
Chaniotis AM, Tzanetakis GN, Kontakiotis EG, Tosios KI. Combined endodontic and surgical management of a mandibular lateral incisor with a rare type of dens invaginatus. J Endod. 2008; 34:1255-1260 https://doi.org/10.1016/j.joen.2008.07.014
Zanini M, Hennequin M, Cousson PY. A review of criteria for the evaluation of pulpotomy outcomes in mature permanent teeth. J Endod. 2016; 42:1167-1174 https://doi.org/10.1016/j.joen.2016.05.008
Asgary S, Eghbal MJ. Treatment outcomes of pulpotomy in permanent molars with irreversible pulpitis using biomaterials: a multi-center randomized controlled trial. Acta Odontol Scand. 2013; 71:130-136 https://doi.org/10.3109/00016357.2011.654251
Parirokh M, Torabinejad M, Dummer PMH. Mineral trioxide aggregate and other bioactive endodontic cements: an updated overview – part I: vital pulp therapy. Int Endod J. 2018; 51:177-205 https://doi.org/10.1111/iej.12841
Vidal K, Martin G, Lozano O Apical closure in apexification: a review and case report of apexification treatment of an immature permanent tooth with Biodentine. J Endod. 2016; 42:730-734 https://doi.org/10.1016/j.joen.2016.02.007
Talon cusps are well-defined additional cusps on the palatal or labial surface of an anterior incisor. They typically extend half the distance from the cemento-enamel junction to the incisal edge and are primarily composed of enamel and dentine with varying degrees of pulpal involvement. Talon cusps can cause clinical problems such as caries, pulpal pathology and aesthetic concerns. This case series details the management of three cases involving complete removal of the talon cusps followed by partial pulpotomy. Follow up, ranging from 6 to 24 months, showed affected teeth responded positively to sensibility testing with no clinical symptoms or radiographic changes.
CPD/Clinical Relevance: Management of talon cusps may require a multidisciplinary team approach.
Article
A talon cusp is a well-defined additional cusp located on the lingual or buccal surface of an anterior incisor tooth, that typically extends at least half the distance from the cemento-enamel junction (CEJ) to the incisal edge.1 As the name suggests, a talon cusp bears resemblance to an eagle's talon, and is primarily composed of enamel and dentine with varying degrees of pulpal involvement.2 The anomaly can occur in both primary and permanent teeth, with a higher prevalence in the maxillary permanent dentition.3,4 Talon cusps occur most commonly on permanent maxillary lateral incisors, followed by maxillary central incisors.3 The prevalence of talon cusps described in the literature varies from 0.06% to 7.7%, with a male predilection.5 A classification based on the extent and form of talon cusps suggested by Hattab et al is presented in Table 1.6
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