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Year : 2014? |? Volume : 3? |? Issue : 2? |? Page : 79-84 |
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A clinical and radiographic retrospective analysis of talon cusps in ethnic Indian children
NB Nagaveni1, KV Umashankara2
1?Department of Pedodontics and Preventive Dentistry, College of Dental Sciences, Davangere, Karnataka, India
2?Department of Oral and Maxillofacial Surgery, Bapuji Dental College and Hospital, Davangere, Karnataka, India
Correspondence Address:
N B Nagaveni
Department of Pedodontics and Preventive Dentistry, College of Dental Sciences, Davangere - 577 004, Karnataka
India
DOI: 10.4103/2278-9588.138214
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Objective: To report a detailed clinical and radiographic retrospective analysis of 21 talon cusps in Indian children. Materials and Methods: A retrospective analysis of 21 talon cusps was conducted in children examined in the period from 2003 to 2008. Patients found with talon cusps underwent complete clinical and radiographic examination and 21 talons were evaluated for gender distribution, affected dentition and teeth, symmetry, type of talon, radiographic findings of pulp extension and associated complications as well as the treatment required. Results: The study found 13 male patients (68.42%) and six female patients (31.57%) with talon cusps. Talon cusps were diagnosed in both primary (1 talon - 4.76%) and permanent dentition (20 talons - 95.23%). Of the 21 talons, 18 (85.71%) were found in the maxillary arch and three (14.28%) in the mandibular arch. In the maxilla, two talons (11.11%) were found in the permanent right central incisor, another two (11.11%) in the permanent left central incisor, seven (38.88%) in the permanent right lateral incisor and five (33.33%) in the permanent left lateral incisor. One talon (5.55%) was diagnosed in the mesiodens. In the mandible, two talons (66.66%) were found in the permanent left central incisor and one talon (33.33%) in the permanent right central incisor. Ten talons were type 1 talons (47.6%), seven were type 2 (33.33%) and four (19.04%) were type 3 talons. Thirteen of the talons (61.90%) had pulp extension into the cusp. In five talons (23.80%), occlusal interference was observed which required gradual grinding, 12 (57.14%) had very deep developmental grooves and required sealant application. One talon (4.76%) required extraction, as it was associated with the mesiodens. Conclusion: Talon cusps may present either as an isolated entity or associated with other anomalies. Studies involving a large number of subjects are required to find more unusual variants of the talon cusp. |
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