Abstract
Purpose
The purpose of this study was to figure out the characteristics and occurrence of talon cusps in a sample of Turkish population.
Methods
In this retrospective study, talon cusps in permanent dentition were evaluated on radiographs and intraoral photographs which were obtained from patients who were referred to Oral and Maxillofacial Radiology Department, Faculty of Dentistry, Adnan Menderes University, Aydın, Turkey between January 2013 and January 2014.
Results
Talon cusps were observed in 365 of 4116 patients, with a frequency of 8.86 %. There were 208 (57 %) females and 157 (43 %) males with this variation. Maxillary canines were the most affected anterior teeth (40.83 %), followed by lateral incisors (39.60 %) and central incisors (19.55 %). Of the patients, 81 (22.19 %) had type I talon cusp with two periapical pathologies, 114 (31.23 %) had type II talon cusp with four periapical pathologies and 226 (61.91 %) had type III talon cusp with also four periapical pathologies.
Conclusions
The occurrence of talon cusps was higher than other studies reported in the literature, with an exception of the study in Alaskan Eskimos. The most commonly detected type of talon cusp was type III (61.91 %), and dens invaginatus was the most frequent variation observed with talon cusps.
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References
Chawla HS, Tewari A, Gopalakrishnan NS (1983) Talon cusp—a prevalence study. J Indian Soc Pedod Prev Dent 1:28–34
Cho SY, Ki Y, Chu V, Chan J (2006) Concomitant developmental dental anomalies in Chinese children with dens evaginatus. Int J Paediatr Dent 16:247–251
Curzon ME, Curzon JA, Poyton HG (1970) Evaginated odontomes in the Keewatin Eskimo. Br Dent J 129:324–328
Dankner E, Harari D, Rotstein I (1996) Dens evaginatus of anterior teeth. Literature review and radiographic survey of 15,000 teeth. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 81:472–475
Davis PJ, Brook AH (1986) The presentation of talon cusp: diagnosis, clinical features, associations and possible aetiology. Br Dent J 160:84–88
Gardner DG, Girgis SS (1979) Talon cusps: a dental anomaly in the Rubinstein-Taybi syndrome. Oral Surg Oral Med Oral Pathol 47:519–521
Goldstein E, Medina JL (1974) Mohr syndrome or oral-facial-digital II: report of two cases. J Am Dent Assoc 89:377–382
Gungor HC, Altay N, Kaymaz FF (2000) Pulpal tissue in bilateral talon cusps of primary central incisors: report of a case. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 89:231–235
Gündüz K, Celenk P (2008) Survey of talon cusps in the permanent dentition of a Turkish population. J Contemp Dent Pract 9:84–91
Hamasha AA, Safadi RA (2010) Prevalence of talon cusps in Jordanian permanent teeth: a radiographic study. BMC Oral Health 10:6
Hattab FN, Yassin OM, al-Nimri KS (1996) Talon cusp in permanent dentition associated with other dental anomalies: review of literature and reports of seven cases. ASDC J Dent Child 63:368–376
Hattab FN, Yassin OM, Sasa IS (1998) Oral manifestations of Ellis-van Creveld syndrome: report of two siblings with unusual dental anomalies. J Clin Pediat Dent 22:159–165
Hedge S, Kumar BRA (1999) Mandibular talon cusp: report of two rare cases. Int J Paediatr Dent 9:303–306
Levitan ME, Himel VT (2006) Dens evaginatus: literature review, pathophysiology, and comprehensive treatment regimen. J Endod 32:1–9
Lomcali G, Hazar S, Altinbulak H (1994) Talon cusp: report of five cases. Quintessence Int 25:431–433
Mader CL (1982) Mandibular talon cusp. J Am Dent Assoc 105:651–653
Mallineni SK, Panampally GK, Chen Y, Tian T (2014) Mandibular talon cusps: a Systematic review and data analysis. J Clin Exp Dent 6:e408–e413
Mavrodisz K, Rózsa N, Budai M, Soós A, Pap I, Tarján I (2007) Prevalence of accessory tooth cusps in a contemporary and ancestral Hungarian population. Eur J Orthod 29:166–169
McNamara T, Haeussler AM, Keane J (1997) Facial talon cusps. Int J Paediatr Dent 7:259–262
Mellor JK, Ripa LW (1970) Talon cusp: a clinically significant anomaly. Oral Surg Oral Med Oral Pathol 29:225–228
Merrill RG (1964) Occlusal anomalous tubercles on premolars of Alaskan Eskimos and Indians. Oral Surg Oral Med Oral Pathol 17:484–496
Mitchell WH (1892) Case report. Dent Cosmos 34:1036
Nuvvula S, Gaddam KR, Jayachandra B, Mallineni SK (2014) A rare report of mandibular facial talon cusp and its management. J Conserv Dent 17:499–502
Oehlers FA, Lee KW, Lee EC (1967) Dens evaginatus (evaginated odontome). Its structure and responses to external stimuli. Dent Pract Dent Rec 17:239–244
Oredugba FA (2005) Mandibular facial talon cusp: case report. BMC Oral Health 5:9
Orstavik D, Kerekes K, Eriksen HM (1986) The periapical index: a scoring system for radiographic assessment of apical periodontitis. Endod Dent Traumatol 2:20–34
Prabhu RV, Rao PK, Veena K, Shetty P, Chatra L, Shenai P (2012) Prevalence of Talon cusp in Indian population. J Clin Exp Dent 4:e23–e27
Rao PK, Mascarenhas R, Shetty SR (2011) Facial talon in mandibular incisor: an unusual occurrence. Dent Res J (Isfahan) 8:229–231
Richardson DS, Knudson KG (1985) Talon cusp: a preventive approach to treatment. J Am Dent Assoc 110:60–62
Rusmah Meon (1991) Talon cusp in Malaysia. Aust Dent J 36:11–14
Sedano HO, Carreon Freyre I, Garza de la Garza ML, Gomar Franco CM, Grimaldo Hernandez C, Hernandez Montoya ME, Hipp C, Keenan KM, Martinez Bravo J, Medina López JA (1989) Clinical orodental abnormalities in Mexican children. Oral Surg Oral Med Oral Pathol 68:300–311
Simões RJ, Cardoso HF, Caldas IM (2014) Prevalence of talon cusps in a Portuguese population: forensic identification significance of a rare trait. Dent Res J (Isfahan) 11:45–48
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Özkan, G., Toptaş, A. & Güneri, P. The characteristics and occurrence of the talon cusps in Turkish population: a retrospective sample study. Surg Radiol Anat 38, 1105–1110 (2016). https://doi.org/10.1007/s00276-016-1653-6
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DOI: https://doi.org/10.1007/s00276-016-1653-6