Article Data

  • Views 793
  • Dowloads 181

Original Research

Open Access

Selective Reduction of Talon Cusps- A Case Series

  • Rona Leith1,*,
  • Anne C O’Connell1

1Department of Public and Child Dental Health, Dublin Dental University Hospital, University of Dublin, Trinity College, Dublin 2, Ireland

DOI: 10.17796/1053-4628-42.1.1 Vol.42,Issue 1,January 2018 pp.1-5

Published: 01 January 2018

*Corresponding Author(s): Rona Leith E-mail: rona.leith@dental.tcd.ie

Abstract

Talon cusps associated with permanent incisors are a rare occurrence but can cause numerous complications. When treatment is indicated options include radical or selective reduction of the accessory cusp, but there is no standard protocol for management. Study design: Patients referred to the Dublin Dental University Hospital for treatment of talon cusps were identified, contacted and consent obtained. Clinical notes, photographs and radiographs were retrospectively reviewed. Results: Eleven patients with 14 talon cusps were identified. The age ranged from 8–15 with a mean of 11 years. Four teeth had radical talon cusp reduction carried out and 10 teeth underwent selective reduction. Follow up ranged from 3–66 months. Technical information from these cases was used to devise a protocol for selective reduction. Conclusions: Selective reduction is a valuable technique for managing talon cusps. It is a conservative approach which can be employed before an incisor has reached maturity and is acceptable in young children.

Keywords

Talon; Cusp; Permanent incisor children

Cite and Share

Rona Leith,Anne C O’Connell. Selective Reduction of Talon Cusps- A Case Series. Journal of Clinical Pediatric Dentistry. 2018. 42(1);1-5.

References

1. Mellor JK, Ripa LW. Talon cusp: a clinically significant anomaly. Oral Surg Oral Med Oral Pathol. Feb;29(2):225-8. 1970.

2. Hattab FN, Yassin OM, al-Nimri KS. Talon cusp in permanent dentition associated with other dental anomalies: review of literature and reports of seven cases. ASDC J Dent Child. Sep-Oct;63(5):368-76. 1996.

3. Hattab FN. Double talon cusps on supernumerary tooth fused to maxillary central incisor: Review of literature and report of case. J Clin Exp Dent. Oct 1;6(4):e400-7. 2014.

4. Davis PJ, Brook AH. The presentation of talon cusp: diagnosis, clinical features, associations and possible aetiology. Br Dent J. Feb 8;160(3):84-8. 1986.

5. Hattab FN, Yassin OM, al-Nimri KS. Talon cusp—clinical significance and management: case reports. Quintessence Int. Feb;26(2):115-20. 1995.

6. Al-Omari MA, Hattab FN, Darwazeh AM, Dummer PM. Clinical problems associated with unusual cases of talon cusp. Int Endod J. May;32(3):183-90. 1999.

7. Segura-Egea JJ, Jiménez-Rubio A, Velasco-Ortega E, Ríos-Santos JV.Talon cusp causing occlusal trauma and acute apical periodontitis: report of a case. Dent Traumatol. Feb;19(1):55-9. 2003.

8. Bansal AV, Choudhary P, Kulkamrni VK, Bansal A, Shashikiran ND. Talon cusps: conservative management. J Clin Pediatr Dent. Summer;35(4):345-8. 2011.

9. Cho SY, Ki Y, Chu V, Lee CK. An audit of concomitant dental anomalies with maxillary talon cusps in a group of children from Hong Kong. Prim Dent Care. Oct;15(4):153-6. 2008.

10. Keane J, O’Sullivan R, Field D, Crowley N, Windle M, Namara CM. Talon cusps: a review. J Ir Dent Assoc. 43(3):86-8. 1997.

11. Pledger DM, Roberts GJ. Talon cusp: report of a case. Br Dent J. Sep 9;167(5):171-3. 1989.

12. Kumar V, Chawla A, Logani A, Shah N. Mineral trioxide aggregate pulpotomy: An ideal treatment option for management of talon cusp. Contemp Clin Dent. Oct;3(4):491-3. 2012.

13. Smith AJ, Murray PE, Lumley PJ. Preserving the vital pulp in operative dentistry: I. A biological approach. Dent Update. Mar;29(2):64-9. 2002.

14. Stanley HR, White CL, McCray L. The rate of tertiary (reparative) dentin formation in the human tooth. Oral Surg Oral Med Oral Pathol. Feb;21(2):180-9. 1966.

15. Sharma P, Arora A, Valiathan A, Urala A, Acharya SR. Gradual grinding of a talon cusp during orthodontic treatment. J Clin Orthod. Feb;46(2):111-4. 2012.

16. Pitts DL, Hall SH. Talon-cusp management: orthodontic-endodontic considerations. ASDC J Dent Child. Sep-Oct;50(5):364-8. 1983.

Abstracted / indexed in

Science Citation Index Expanded (SciSearch) Created as SCI in 1964, Science Citation Index Expanded now indexes over 9,500 of the world’s most impactful journals across 178 scientific disciplines. More than 53 million records and 1.18 billion cited references date back from 1900 to present.

PubMed (MEDLINE) PubMed comprises more than 35 million citations for biomedical literature from MEDLINE, life science journals, and online books. Citations may include links to full text content from PubMed Central and publisher web sites.

Biological Abstracts Easily discover critical journal coverage of the life sciences with Biological Abstracts, produced by the Web of Science Group, with topics ranging from botany to microbiology to pharmacology. Including BIOSIS indexing and MeSH terms, specialized indexing in Biological Abstracts helps you to discover more accurate, context-sensitive results.

Google Scholar Google Scholar is a freely accessible web search engine that indexes the full text or metadata of scholarly literature across an array of publishing formats and disciplines.

JournalSeek Genamics JournalSeek is the largest completely categorized database of freely available journal information available on the internet. The database presently contains 39226 titles. Journal information includes the description (aims and scope), journal abbreviation, journal homepage link, subject category and ISSN.

Current Contents - Clinical Medicine Current Contents - Clinical Medicine provides easy access to complete tables of contents, abstracts, bibliographic information and all other significant items in recently published issues from over 1,000 leading journals in clinical medicine.

BIOSIS Previews BIOSIS Previews is an English-language, bibliographic database service, with abstracts and citation indexing. It is part of Clarivate Analytics Web of Science suite. BIOSIS Previews indexes data from 1926 to the present.

Journal Citation Reports/Science Edition Journal Citation Reports/Science Edition aims to evaluate a journal’s value from multiple perspectives including the journal impact factor, descriptive data about a journal’s open access content as well as contributing authors, and provide readers a transparent and publisher-neutral data & statistics information about the journal.

Scopus: CiteScore 2.0 (2022) Scopus is Elsevier's abstract and citation database launched in 2004. Scopus covers nearly 36,377 titles (22,794 active titles and 13,583 Inactive titles) from approximately 11,678 publishers, of which 34,346 are peer-reviewed journals in top-level subject fields: life sciences, social sciences, physical sciences and health sciences.

Submission Turnaround Time

Conferences

Top