Talon Cusp Management: A Case Series

Abstract

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.