Talon cusp: clinical features, diagnosis and orthodontic consideration in management

Abstract

Talon cusp is a rare odontogenic anomaly of tooth shape comprising of accessory cusp-like structure often present on the palatal surface of maxillary or mandibular incisor. This developmental anomaly causes clinical problems including unsightly dental appearance, occlusal interference, and displacement of the affected tooth, irritation of the tongue, caries and malocclusion. Few cases have been reported in this environment. Management of the talon cusp varies according to the circumstances of the individual case and should be as conservative as possible. This report presents a case of a 15-year -old Nigerian girl with talon cusp on the maxillary left central incisor. The talon cusp was managed conservatively and orthodontic treatment was concurrently carried out. It is concluded that when talon cusp occur in association with an occlusal anomaly, careful evaluation of the patient is crucial for successful talon cusp occur in association with an occlusal anomaly, careful evaluation of the patient is crucial for successful orthodontic treatment.