A Rare Bilateral Presentation of Multiple Dens Invaginatus, Shovel-Shaped Incisor and Talon Cusp With Mesiodens

Kathmandu Univ Med J (KUMJ). 2014 Oct-Dec;12(48):292-5. doi: 10.3126/kumj.v12i4.13737.


The aim of this paper is to describe a unique and unusual case of concomitant appearance of morphological dental anomalies in the maxillary anterior region, along with its management in a patient with no systemic abnormality. This case report describes the clinical and radiographic features of talon cusp, dens invaginatus, shovel-shaped incisors and a supernumerary tooth occurring in a single patient, which is a rare presentation. All 4 permanent maxillary incisors had dens invaginatus, the permanent maxillary canines showed the presence of talon cusps, the permanent maxillary central incisors were shovel-shaped and an erupted mesiodens was also observed. Treatment included restorative, surgical and orthodontic approaches.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Dens in Dente / pathology*
  • Humans
  • Incisor / abnormalities*
  • Male
  • Tooth Crown / abnormalities*
  • Tooth, Supernumerary / pathology*