Endodontic Management of Mandibular Lateral Incisor with Talon Cusp: A Case Report
Published: 2020-08-10
Page: 129-135
Issue: 2020 - Volume 3 [Issue 1]
N. D. L. Luqman
Faculty of Dentistry, Universiti Teknologi MARA, Sg Buloh Campus, Malaysia.
A. M. Azmimurad
Faculty of Dentistry, Universiti Teknologi MARA, Sg Buloh Campus, Malaysia.
S. Zaharudin
Faculty of Dentistry, Universiti Teknologi MARA, Sg Buloh Campus, Malaysia.
S. H. Hamzah
Centre of Paediatric Dentistry and Orthodontics Studies, Faculty of Dentistry, Universiti Teknologi MARA, Sg Buloh Campus, Malaysia.
N. A. Ramlan
Centre of Comprehensive Care Studies, Faculty of Dentistry, Universiti Teknologi MARA, Sg Buloh Campus, Malaysia.
A. S. Hussein *
Centre of Paediatric Dentistry and Orthodontics Studies, Faculty of Dentistry, Universiti Teknologi MARA, Sg Buloh Campus, Malaysia.
*Author to whom correspondence should be addressed.
Abstract
Introduction: Talon cusp is an uncommon developmental anomaly which is characterized by the presence of an extra cusp-like structure projecting from the cingulum area of maxillary or mandibular incisors. It consists of enamel, dentine with or without pulp tissue. Its aetiology is still unknown; however, its formation is attributed by the hyperactivity of the enamel organs during the morpho-differentiation stage.
Case Report: A healthy 15-year-old Malay female came to the paediatric dental clinic with the chief complaint of teeth sensitivity. An intra-oral examination revealed presence of a prominent cusp on the lingual surface as well as a deep fissure on the labial surface of mandibular right lateral incisor with a slight degree of mobility due to periapical abscess. An intraoral periapical radiograph revealed a radiopaque projection. The treatment was a root canal.
Conclusions: This case highlights the endodontic treatment of periapical lesions on the mandibular lateral incisor with talon cusp in an adolescent patient. Diagnosis and management of a rare anomaly are essential in the dental practice.
Keywords: Mandibular lateral incisor, talon cusp, root canal treatment.