Mineral trioxide aggregate pulpotomy: An ideal treatment option for management of talon cusp

• Main Authors: Vijay Kumar, Amrita Chawla, Ajay Logani, Naseem Shah
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2012-01-01
• Series: Contemporary Clinical Dentistry
• Subjects: Mineral trioxide aggregate; pulpotomy; talon cusp
• Online Access: http://www.contempclindent.org/article.asp?issn=0976-237X;year=2012;volume=3;issue=4;spage=491;epage=493;aulast=Kumar

To use mineral trioxide aggregate (MTA) in prophylactic management of talon cusp. Talon cusp is an endodontic oddity that possesses a treatment challenge to the clinician, especially when it causes esthetic and functional problems. Management ranges from periodic gradual reduction to radical removal followed by vital pulp/endodontic therapy. MTA has replaced calcium hydroxide as pulp capping material because of its superior properties. A 12-year-old boy reported with a complaint of irregular teeth. Clinical and radiographic examination revealed talon cusp on maxillary left central incisor. Radical removal of talon cusp and MTA pulpotomy was performed. The 4-year follow-up showed the positive pulp vitality test without any radiographic changes, emphasizing the use of MTA pulpotomy in successful management of talon cusp.