Abstract
Talon cusp is a rare dental anomaly involving the projection of a cusp from an anterior tooth, whereas fusion is another dental anomaly involving the joining of two teeth. This case displays a unique combination of both dental anomalies. An 8-year-old healthy Malay girl came to the pediatric dental clinic for her regular dental check-up. The intra-oral examination revealed the
fused appearance of teeth 31, 32, and 41, 42 anterior mandibular teeth and the presence of talon cusps on the lingual surface of the fused teeth 41 and 42. A fissure sealant was placed in the fused area as a preventive measure. Thorough clinical and radiographic examination, early diagnosis, and proper treatment are important to prevent any future dental complications that may be associated with these rare anomalies.