Talon Tuberculosis and Conservative Approaches: Two Case Reports

Talon tubercle, which can occur in both permanent and deciduous teeth, is a rare dental anomaly with a tuberclelike structure found in the enamel-cementum junctions or cingulums of maxillary and mandibular anterior teeth. Although the etiology is not clearly known, hereditary and environmental factors are thought to be effective. Early diagnosis of talon tubercle is as important as its treatment. It was predicted that in cases that cause problems in occlusion and irritate the tongue, the abrasive procedure will be performed by controlled selective molding. In this case report, talon tubercles were detected in the right and left upper lateral teeth of 27 and 20 years old female patients. As a result of radiological and intraoral examination, a "V" shaped radiographic appearance was detected in the patient, which was not related to the pulp. Caries tissue was carefully removed and direct restorations were made with composite filling material to prevent food retention. The talon tubercle, which was present in both patients, was not intervened as it did not disturb the tongue during speech and did not affect the occlusion during chewing. In these case reports, the treatment approach to the bilateral talon tubercle of the palatal surface of the maxillary lateral incisors is presented. In this case report, we present the conservative treatment approach of the talon tubercle observed in the cingulum region of the palatal surface of the permanent maxillary central tooth.

Keywords:

Talon tuberculosis, dental anomaly maxillary lateral tooth, conservative treatment.,

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1. Küçükçeşmen C, Küçükçeşmen Ç. "Konik Diş Anomalisi" bulunan üç farklı olgunun, kompozit veneer restorasyonlarla estetik ve fonksiyel tedavisi. Ankara Üniv. Diş Hek. Fak. Derg. 2005; 32 (3): 215-21.
2. Uslu Ö, Akcam O, Evirgen Ş, Cebeci İ. Prevalence of dental anomalies in various malocclusions. American Journal of Orthodontics and Dentofacial Orthopedics. 2009; 135 (3): 328-35.
3. Shashikiran ND, Babaji P, Reddy VVS. Double facial and a lingual trace talon cusps: A case report. J Indian Soc Pedod Prev Dent. 2005; 23:89-91.
4. Rayen R, Muthu MS, Sivakumar N. Aberrant talon cusps: report of two cases. J Indian Soc Pedod Prev Dent. 2006; 2: 7-10.
5. Şahiner C, Kızılırmak A, Özalp N. Talon tüberkülü dört olgu raporu. A.Ü. Diş Hek Fak. Derg. 2009; 36:115-120.
6. Arfat B, Çolak H, Çelebi AA, Uzgur R, Turkal M, Hamidi MM. The frequency and characteristics of talon cusps in a Turkish population. Eur J Genet Dent. 2012; 1:39-43.
7. Cantekin K, Arslan H, Çakıcı F, Ayrancı LB. Üst daimi kesici dişte talon tüberkülü: olgu sunumu. Atatürk Üniv Dis Hek Fak Derg. 2011; 4: 95-98.
8. Kayıpmaz S, Gündüz K, Çelenk P. Talon tüberkülü ile birlikte izlenen bilateral dens invajinatus: olgu sunumu. Atatürk Üniv Dis Hek Fak Derg. 2005; 2: 88-92.
9. Maden EA, Altun C. Maksiller Daimi Kesici Dişte Fasiyal Talon Tüberkülü: Olgu Sunumu. Atatürk Üniv Dis Hek Fak Derg. 2013;23(2): 231-4.
10. Tulunoglu O, Cankala DU, Ozdemir RC. Talon's cusp: report of four unusual cases. Journal of Indian Society of Pedodontics and Preventive Dentistry. 2007; 25(1) :52-5.
11. Yazicioğlu DO, Babakışıyev Dİ, Gömeç Y. Üst daimi keserlerin vestübül yüzeyindeki talon tüberkülüne konservatif yaklaşim: olgu sunumu. Atatürk Üniv. Dis Hek. Fak. Derg. 2016; 15 :55-60
12. Rao PK, Mascarenhas R, Shetty SR. Facial talon in mandibular incisor: An unusual occurrence. Dent Res J. 2011; 8:229-31.
13. Oredugba FA. Mandibular facial talon cusp: case report. BMC Oral Health. 2005; 5:1-5.
14. Hattab FN, Yassin OM, Al-Nimri KS. Talon cusp in the permanent dentition associated with other dental anomalies: Review of literature and reports of seven cases. J Dent Child. 1996; 63:368–76.
15. Mavrodisz K, Rózsa N, Budai M, Soós A, Pap I, Tarján I. Prevalence of accessory tooth cusps in a contemporary and ancestral Hungarian population. Eur J Ortho. 2007;29:166–9.
16. Tomazinho FS, Baratto-Filho F, Leonardi DP, Haragushiku GA, de Campos EA. Occurrence of talon cusp on a geminated maxillary central incisor: a case report. J Oral Sci. 2009; 51:297-300.
17. Kilinç G, Bolgül BS. Çene santral dişlerde çift tarafli talon tüberkülü: olgu sunumu. Atatürk üniversitesi diş hekimliği fakültesi dergisi. 2015; 25(1), 81-84.
18. Nadkarni UM, Munshi A, Damle SG. Unusual presentation of talon cusp: two case reports. Int J Paediat Dent. 2002; 12:332–5.
19. Gündüz K, Çelenk P. Survey of talon cusps in the permanent dentition of a Turkish population. J Contemp Dent Pract. 2008; 9:1- 9.
20. Levitan ME, Himel VT. Dens evaginatus: literature review, pathophysiology, and comprehensive treatment regimen. J Endod. 2006; 32(1):1-9.
21. Hattab FN, Hazza'a AM. An unusual case of talon cusp on geminated tooth. J Can Dent Assoc. 2001; 67(5):263-6.
22. Şıracı E, Tekçiçek M, Turgut, MD. Talon Tüberkülü ve dens invajinatus: ailesel geçişli bir olgu sunumu. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi. 2005;1: 81-87.
23. Demir T, Uzamış M, Ölmez S. Alt daimi kesici dişlerde talon tüberkülü: iki nadir olgu sunumu. Cumhuriyet Üniv Dis Hek Fak Derg. 2006; 2: 111.
24. İlgen, C.G, Yı ğı t D.H. Tı p I Dens İnvagı natus Ve Talon Tüberkülünün Bı rlı kte Gözlendı ğI Maksı ller Lateral Kesı c Dı şte Endodontı k Tedavı : Bı r Olgu Nedenı yle. Balıkes r Sağlık B l mleri Dergisi. 2015; 4(3):162-165.
25. Araz M, Güven Y, Bozdoğan E, Aktaş A, Aktören O. Sürekli Kesici ve Küçük Azı Dişlerinde Görülen Dental Anomaliler. Journal of Istanbul University Faculty of Dentistry. 2013; 45(3): 23-8.
26. Durack C, Patel S. Cone beam computed tomography in endodontics. Braz Dent J. 2012; 23(3):179-191.
27. Segura-Egea JJ, Jiménez-Rubio A, Velasco-Ortega E, Ríos-Santos JV. Talon cusp causing occlusal trauma and acute apical periodontitis: report of a case. Dent Traumatology. 2003; 19(1) : 55- 9.
28. Yapar İşcan M, İlday Özakar N, Çağlayan F, Sever N. "Üst Daimi Kesici Dişlerde Talon Tüberkülü: Olgu Sunumu." Atatürk Üniv Dis Hek Fak Derg. 23. 2013; 7:16-19.