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Mandibular talon cusps: A Systematic review and data analysis.
Sreekanth-Kumar Mallineni1, George-Kurian Panampally1, Yong Chen2
1Pedodontics and Preventive Dentistry, SDDCH, Parbhoni, Maharashtra, India.
Journal of Clinical and Experimental Dentistry
|January 17, 2015
Summary
Mandibular talon cusps most frequently affect central incisors in permanent dentition and lateral incisors in primary dentition, with lingual types being more common. Double tooth is a frequent associated anomaly.
Area of Science:
- Dentistry
- Oral and Maxillofacial Surgery
- Dental Anatomy
Background:
- Talon cusps are an uncommon developmental anomaly of teeth.
- Understanding their distribution and characteristics is crucial for diagnosis and management.
Purpose of the Study:
- To evaluate the distribution of mandibular talon cusps through a comprehensive literature review.
- To propose a new classification system for mandibular talon cusps.
Main Methods:
- A systematic literature search was conducted for articles published between 1960 and 2013.
- Databases searched included PubMed/MEDLINE and Google Scholar using relevant keywords.
- Data analysis included distribution, characteristics, associated anomalies, and statistical analysis (Chi-square test).
Main Results:
- 35 articles reported 43 cases of mandibular talon cusps, predominantly in males and permanent dentition.
- Lingual talon cusps were more common than facial types in permanent dentition.
- Double tooth was the most commonly associated dental anomaly (45%), with most cases reported from Asia.
Conclusions:
- Central incisors are most affected in permanent dentition, lateral incisors in primary dentition.
- Lingual talon cusps are more prevalent in the mandible.
- A classification of facial, lingual, and combined facial/lingual talon cusps is proposed.
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