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Mesiodens is an extra tooth most frequently seen in the maxillary anterior region. It occurs in different forms as conical, tuberculate, molariform or multi-lobed. The development of supernumerary tooth itself is a developmental anomaly of tooth number. Although its occurrence is the most observed clinical entity, supernumerary containing another anomaly is an interesting incident. Herewith, we present such four cases of supernumerary tooth containing anomaly of tooth shape i.e., dens evaginatus or talon cusp on facial surface which clinicians can encounter very rarely. A brief review of literature pertaining to this anomaly of rare combination is also reported.

An Unusual Presentation of Mesiodens Tooth with Talon Cusp – Report of Four Cases and Literature Review