Bilateral Talon Cusp-An unusual presentation and its management

The talon cusp is a relatively rare developmental anomaly characterized by the presence of an accessory cusp like structure projecting from the cingulum area or cementoenamel junction of the maxillary or mandibular anterior teeth in both the primary and permanent dentition. The prevalence of talon cusp varies considerably among Populations. These are usually seen in maxillary incisors unilaterally. An uncommon presentation of bilateral maxillary palatal talon cusp and its management is reported. The talon cusp can occur as an isolated finding or in association with other dental anomalies and has been reported in patients with Rubinstein-Taybi syndrome, Mohr syndrome, Sturge-Weber syndrome, incontinentia pigmenti achromians and Ellis-van Creveld syndrome. The purpose of this article is to present a case of bilateral talon cusp on geminated maxillary incisors which caused clinical problems and to describe treatment modalities.