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Management of a Facial Talon Cusp on a Maxillary Permanent Central Incisor: A Case Report and Review of the Literature
Author(s) -
Yazıcıoğlu Oktay,
Ulukapı Haşmet
Publication year - 2014
Publication title -
journal of esthetic and restorative dentistry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.919
H-Index - 60
eISSN - 1708-8240
pISSN - 1496-4155
DOI - 10.1111/jerd.12101
Subject(s) - medicine , dentistry , maxillary central incisor , orthodontics , cusp (singularity) , maxillary lateral incisor , incisor , radiography , surgery , geometry , mathematics
Background A talon cusp is a morphologically well‐delineated accessory cusp. This case report discusses the unusual appearance of a talon cusp on the facial surface of the maxillary right permanent central incisor, which was conservatively treated and followed up for a period of 1 year. Methods A 21‐year‐old female was referred for the treatment of a maxillary right central incisor that caused an esthetic problem. Intraoral examination and radiographic and computerized tomographic investigation indicated that there was no connection between the pulp chamber, a “ V ”‐shaped radiopaque structure, and three radiolucent globe areas. The accessory cusp was treated by selective cuspal grinding, followed by resin‐based composite placement. The restoration was clinically evaluated 1 week after placement, as a baseline, and after 1 year. The restoration did not exhibit postoperative sensitivity at the 1‐year evaluation. No difference was observed in the color match, marginal discoloration, marginal adaptation, or anatomic form compared with the baseline evaluation. Conclusion The management and treatment outcome of a talon cusp depends on its size, presenting complications and patient cooperation. The present case report outlines the conservative management of a talon cusp. Clinical Significance This paper outlines a viable esthetic treatment option and a review of the relevant literature with regards to managing a facial talon cusp.