Yazıcıoğlu Oktay, Ulukapı Haşmet
Department of Restorative Dentistry, Faculty of Dentistry, Istanbul University, Istanbul, Turkey.
J Esthet Restor Dent. 2014 Nov-Dec;26(6):374-81. doi: 10.1111/jerd.12101. Epub 2014 Apr 23.
A talon cusp is a morphologically well-delineated accessory cusp. This case report discusses the unusual appearance of a talon cusp on the facial surface of the maxillary right permanent central incisor, which was conservatively treated and followed up for a period of 1 year.
A 21-year-old female was referred for the treatment of a maxillary right central incisor that caused an esthetic problem. Intraoral examination and radiographic and computerized tomographic investigation indicated that there was no connection between the pulp chamber, a "V"-shaped radiopaque structure, and three radiolucent globe areas. The accessory cusp was treated by selective cuspal grinding, followed by resin-based composite placement. The restoration was clinically evaluated 1 week after placement, as a baseline, and after 1 year. The restoration did not exhibit postoperative sensitivity at the 1-year evaluation. No difference was observed in the color match, marginal discoloration, marginal adaptation, or anatomic form compared with the baseline evaluation.
The management and treatment outcome of a talon cusp depends on its size, presenting complications and patient cooperation. The present case report outlines the conservative management of a talon cusp.
This paper outlines a viable esthetic treatment option and a review of the relevant literature with regards to managing a facial talon cusp.
牙瘤尖是一种形态学上界限清晰的额外牙尖。本病例报告讨论了上颌右侧恒中切牙唇面出现的异常牙瘤尖，对其进行了保守治疗并随访1年。
一名21岁女性因上颌右侧中切牙导致美观问题前来就诊。口腔检查、影像学及计算机断层扫描检查表明，髓腔、“V”形不透光结构与三个透光球形区域之间没有连通。通过选择性磨除牙尖，随后进行树脂基复合材料修复来治疗额外牙尖。修复体在放置后1周作为基线进行临床评估，并在1年后再次评估。在1年的评估中，修复体未表现出术后敏感性。与基线评估相比，在颜色匹配、边缘变色、边缘适应性或解剖形态方面未观察到差异。
牙瘤尖的处理和治疗结果取决于其大小、出现的并发症及患者的配合情况。本病例报告概述了牙瘤尖的保守处理方法。
本文概述了一种可行的美学治疗方案，并对有关处理面部牙瘤尖的相关文献进行了综述。
