# Multiple Talon Cusps and Dens Evaginatus in the Maxillary Dentition With Coexisting Single-Tooth Hypodontia: A Case Report

## TL;DR

A young adult with rare dental anomalies, including multiple talon cusps and dens evaginatus, is reported with a focus on management and monitoring.

## Contribution

This case report adds to the limited literature on coexisting dental anomalies and their clinical implications.

## Key findings

- The patient exhibited multiple talon cusps on maxillary anterior teeth and dens evaginatus on maxillary second premolars.
- Hypodontia of the mandibular second premolar was also present with no immediate complications.
- The case emphasizes the need for individualized management and regular monitoring of such anomalies.

## Abstract

This article presents a rare case of a young adult with multiple talon cusps on maxillary anterior teeth, dens evaginatus on maxillary second premolars, and hypodontia of the mandibular second premolar. These anomalies can cause occlusal interference, caries, fractures leading to pulp exposure, and esthetic concerns. Management options include gradual cusp reduction, composite resin coverage, pulpotomy, apexification, root canal therapy, or no treatment when asymptomatic.

A 20-year-old male patient presented with pain in the left mandibular wisdom tooth. Examination revealed talon cusps on all six maxillary anterior teeth and dens evaginatus on both maxillary second premolars. The mandibular second premolar was congenitally absent, with retention of the primary molar. As there were no complications related to the anomalies, regular monitoring was advised. This case highlights the importance of thorough examination, early detection, and individualized management of dental anomalies to prevent complications.