Talon cusp is a rare dental anomaly that manifest’s as an accessory cusp like structure most commonly seen on the crown of the anterior teeth. This report describes the conservative management of a tooth with a Talon cusp with pulp extension. A 5-year-old female reported to our department with the chief complain of decayed teeth. On examination Talon cusp was noticed on the palatal aspect of 51. Caries excavation followed by restoration and fluoride varnish was applied. Cusp reduction was done to avoid occlusal interference. Depending on the type of Talon cusp a proper diagnosis and treatment plan needs to be formulated. Treating a tooth with talon does not always require endodontic management and can be treated conservatively. Clinical significance: Early diagnosis of this anomaly and management of the same by the clinician will help prevent further complications.
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