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Nuha Abdel-Rahman Elmubarak

National Ribat University, Sudan

Title: Unfamiliar presentation of Talon Cusp in five siblings

Biography

Biography: Nuha Abdel-Rahman Elmubarak

Abstract

The Talon cusp, or Dens Evaginatus of anterior teeth, is a relatively rare dental developmental anomaly characterized by the presence of an accessory cusp like structure projecting from the cingulum area or cementoenamel junction. Mellor & Ripa named the accessory cusp talon cusp because of its resemblance in shape to an eagle's talon. A 25-year-old male presented to the University Students’ Clinic with Talon cusp in all upper anterior teeth. In addition to rare incidence of Talon cusp, this case has a unique presentation. The shape of the anomaly, the family history and patient race make this case relatively different from previous cases of Talon cusp reported in literature. Both central incisors presented with large heart shaped tubercles which is unfamiliar appearance. However, lateral incisors and canines have the common shape of Talon cusp. Family history reveals four of his siblings has the same anomaly. This case is regarded as a first case of Talon cusp reported in literature in which five siblings have this anomaly. Regarding racial incidence of this anomaly, Literature reported occurrence of this anomaly in certain population like Asians, Eskimo and American Indian populations. This report is one of few reports refer to incidence of this anomaly in an Arab and African population. Siblings have been contacted and invited for dental examination. They
have poor oral hygiene, gingivitis and multiple carious teeth. Free dental treatment has been offered in the university clinic. However, they live in remote rural areas making it difficult to follow up with treatment.