A patient with multiple anomalies of the maxillary teeth, including shovel-shaped incisors, talon cusp, bilateral dens invaginatus and bilateral peg-shaped supernumerary incisors is reported. The patient also exhibited Carabelli's cusp on both maxillary first molars. No developmental syndrome was identified. This very unusual combination of anomalies has not been reported previously.

Talon cusp occurs as a result of disturbances during the morpho-differentiation stage of tooth development. It is more common on the palatal surface of the permanent maxillary incisors. It can be unilateral/bilateral, but can also occur on the same tooth. Only 2 published reports exist documenting talons on both labial and lingual surfaces of the same tooth in permanent incisors. The purpose of...

Developmental anomalies affecting number, size, shape, structure, and location of teeth are varied. One such rare anomaly affecting the shape of anterior teeth is talon cusp. It is an accessory cusp-like projection found on lingual or labial surfaces of the upper or lower incisors, unilaterally or bilaterally in both dentitions. It is composed of normal enamel and dentine, with or without pulp....

Talon cusp is an uncommon anomaly, whose etiology may be disturbances in the morphodifferentiation stage. Dens in dente is also a rare anomaly that is challenging in clinic as it may cause pulp necrosis or periapical lesions due to the communication with the oral cavity. This article reports multiple talon cusps on permanent maxillary and mandibular incisors and molars in 3 siblings. A 9-year-o...

To cite: Bargale S, Sagari S, Purohit S, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2013202300 DESCRIPTION The occurrence of talon cusp in the deciduous dentition is very rare. Aetiology for the formation of the talon cusp is unknown. However, it may be due to the combination of genetic and environmental factors and hyperactivity of the dental lamina e...

Background: Talon cusp is a supernumerary structure projecting from the dento-enamel junction to a variable distance towards the incisal edge of an anterior tooth. Studies have shown that it consists of enamel, dentine and a variable amount of pulp tissue. Hyperactivity of the enamel organ during morphodifferentiation has been attributed to its formation. Most previous reports have been made co...

Developmental malformations of tooth can occur due to various environmental and genetic factors playing role while tooth development. It is not unusual to find two or more such malformations in a dentition and in a single tooth. Simultaneous occurrence of dens invaginatus and dens evaginatus (talon cusp) is rare and complex. Hence, proper diagnosis and treatment plan is important so as to achie...

Developmental anomalies affecting the teeth are often seen in the oral cavity. Abnormalities in the physiological processes of tooth development lead to these anomolies. Talon cusp or dens evaginatus of anterior tooth is one of the dental anomalies affecting the shape of a tooth, in which an accessory cusp like structure projects from the cingulam area or cementoenamel junction.