Dens invaginatus and talon cusp co-occurring in a mandibular central incisor: a case report.

Talon cusp and dens invaginatus are tooth shape anomalies that rarely affect mandibular teeth. Their co-occurrence in a single tooth is uncommon. The purpose of this report was to present a rare case of both talon cusp and dens invaginatus in a permanent mandibular central incisor. The diagnosis of dens invaginatus was made from routine radiographs taken to investigate a possible pulpal extension within the taloned cusp. Since the invagination did not communicate with the oral cavity, no treatment was indicated. The talon cusp was slightly grinded and smoothened to eliminate tongue irritation.