A trio of talon's cusp on a fused maxillary central incisor: A unique presentation

Introduction: Odontogenic malformations of teeth can be frequently encountered affecting both the primary and permanent dentition. The co-occurrence of talon cusp in a fused tooth, however, is an uncommon developmental dental aberration that necessitates a variety of prophylactic procedures to minimize potential consequences. Often, the presence of talon's cusp can result in pulpal necrosis due to its deep extension, which increases functional complexity. Methods: The present case describes the fusion of a supplemental tooth to a maxillary permanent tooth in conjunction with multiple talon's cusps on labial and palatal aspects which is an extremely rare entity and first of its kind. Results: Endodontic management followed by esthetic reconstruction of the affected tooth is considered as the standard treatment in cases of pulpal involvement of any odontogenically malformed tooth. Our case also demonstrates the establishment of an accurate diagnosis using a three-dimensional imaging modality by overcoming the challenges of periapical radiographs. Conclusion: In addition to diagnosis, practitioners should also have an in-depth understanding of the origin, prevalence, clinical and radiographic characteristics of odontogenic malformations, which AIDS in an effective treatment strategy.