Conservative Management of Facial Talon Cusp in a Permanent Maxillary Central Incisor: A Case Report

Facial talon cusp is a rare developmental dental anomaly with unknown etiology. This case report is about an 11-year-old boy who presented with discomfort associated with tooth #11. After clinical and radiographical examination, the diagnosis of facial talon cusp (stage 1) was established. Treatment options and steps were discussed in detail. To the best of our knowledge, this is the first reported case of facial talon cusp in Saudi Arabia. The management of facial talon cusp is highly dependent on the individual patients. There are cases that only require fissure sealants; on the other hand, some cases need more aggressive treatment such as removal of the cusp, root canal treatment, or extraction. Dentists should be aware of the different treatment modalities in order to deliver the correct treatment for the patients. Clinical and radiographic examinations are important to rule out other dental anomalies. A standardized classification should be followed in classifying facial talon cusp in order to link each stage with its treatment.