Torus Cingularis/Facialis: A Clue to Talon Cusp

Developmental abnormalities of the teeth may be caused by genetic influences, environmental factors, or idiopathic reasons. The causal effect axis has not been established in many of these disorders [1]. Various developmental alterations related to tooth shape, such as fusion, concrescence, gemi...

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Main Authors: Sabarinath Balaraman, Ramya Sekar
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2023-09-01
Series:Journal of Clinical and Diagnostic Research
Subjects:
Online Access:https://www.jcdr.net/articles/PDF/18390/64640_CE[Ra1]_F(IS)_QC(KK_SL)_PF1(RI_KM)_PFA(RI_KM)_PN(KM).pdf
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author Sabarinath Balaraman
Ramya Sekar
author_facet Sabarinath Balaraman
Ramya Sekar
author_sort Sabarinath Balaraman
collection DOAJ
description Developmental abnormalities of the teeth may be caused by genetic influences, environmental factors, or idiopathic reasons. The causal effect axis has not been established in many of these disorders [1]. Various developmental alterations related to tooth shape, such as fusion, concrescence, gemination, and accessory cusps, have been described. Talon cusp is one such developmental alteration of the teeth that was identified in 1892 by Mitchell WH as an extra horn-like cusp or an exaggerated cusp at the region of the cingulum, with no established causal-effect axis [2]. Mellor JK and Ripa LW named it talon cusp, as it resembles an eagle’s beak [3]. This developmental anomaly is the result of both environmental and genetic factors that affect early odontogenesis. Talon cusp is often observed in relation to Rubinstein-Taybi syndrome [Table/Fig-1] [4]. Based on morphology, the talon cusp is divided into three types: Talon, Semi talon, and Trace talon [5]. Previously, this structural abnormality mostly resembled the shape of an eagle’s talon. However, recent literature has reported various shapes, such as a heart or triangle, on the facial or palatal surface [3,6]. In the present literature, the authors proposed the term “Torus Facialis” or “Torus Cingularis” as an alternative name for talon cusp, which allows clinicians and academicians to adopt a terminology that explains the pathology as a whole. “Torus” is a Latin word meaning protuberance, swelling, or elevation. “Facialis” or “Cingularis” indicates the location where the enamel protuberance is evident on the tooth surface. “Torus Facialis” or “Torus Cingularis” is a scientific terminology that indicates the nature of the pathology, such as a hard tissue protuberance, and the anatomical location of the pathology on the tooth. Therefore, the use of the term “Torus Facialis” or “Torus Cingularis” would be more appropriate compared to talon cusp.
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spelling doaj.art-e07447bcae5545fc885286cdbd11dfa02023-09-28T09:36:28ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2023-09-011709010110.7860/JCDR/2023/64640.18390Torus Cingularis/Facialis: A Clue to Talon CuspSabarinath Balaraman0Ramya Sekar1Associate Professor, Department of Oral and Maxillofacial Pathology and Oral Microbiology, Meenakshi Ammal Dental College and Hospital, Alapakkam main Road, Maduravoyal, Chennai, Tamil Nadu, India.Assistant Professor, Department of Oral and Maxillofacial Pathology and Oral Microbiology, Meenakshi Ammal Dental College and Hospital, Alapakkam main Road, Maduravoyal, Chennai, Tamil Nadu, India.Developmental abnormalities of the teeth may be caused by genetic influences, environmental factors, or idiopathic reasons. The causal effect axis has not been established in many of these disorders [1]. Various developmental alterations related to tooth shape, such as fusion, concrescence, gemination, and accessory cusps, have been described. Talon cusp is one such developmental alteration of the teeth that was identified in 1892 by Mitchell WH as an extra horn-like cusp or an exaggerated cusp at the region of the cingulum, with no established causal-effect axis [2]. Mellor JK and Ripa LW named it talon cusp, as it resembles an eagle’s beak [3]. This developmental anomaly is the result of both environmental and genetic factors that affect early odontogenesis. Talon cusp is often observed in relation to Rubinstein-Taybi syndrome [Table/Fig-1] [4]. Based on morphology, the talon cusp is divided into three types: Talon, Semi talon, and Trace talon [5]. Previously, this structural abnormality mostly resembled the shape of an eagle’s talon. However, recent literature has reported various shapes, such as a heart or triangle, on the facial or palatal surface [3,6]. In the present literature, the authors proposed the term “Torus Facialis” or “Torus Cingularis” as an alternative name for talon cusp, which allows clinicians and academicians to adopt a terminology that explains the pathology as a whole. “Torus” is a Latin word meaning protuberance, swelling, or elevation. “Facialis” or “Cingularis” indicates the location where the enamel protuberance is evident on the tooth surface. “Torus Facialis” or “Torus Cingularis” is a scientific terminology that indicates the nature of the pathology, such as a hard tissue protuberance, and the anatomical location of the pathology on the tooth. Therefore, the use of the term “Torus Facialis” or “Torus Cingularis” would be more appropriate compared to talon cusp.https://www.jcdr.net/articles/PDF/18390/64640_CE[Ra1]_F(IS)_QC(KK_SL)_PF1(RI_KM)_PFA(RI_KM)_PN(KM).pdfcingulumdevelopmentalmorphologytoothsurface alteration
spellingShingle Sabarinath Balaraman
Ramya Sekar
Torus Cingularis/Facialis: A Clue to Talon Cusp
Journal of Clinical and Diagnostic Research
cingulum
developmental
morphology
tooth
surface alteration
title Torus Cingularis/Facialis: A Clue to Talon Cusp
title_full Torus Cingularis/Facialis: A Clue to Talon Cusp
title_fullStr Torus Cingularis/Facialis: A Clue to Talon Cusp
title_full_unstemmed Torus Cingularis/Facialis: A Clue to Talon Cusp
title_short Torus Cingularis/Facialis: A Clue to Talon Cusp
title_sort torus cingularis facialis a clue to talon cusp
topic cingulum
developmental
morphology
tooth
surface alteration
url https://www.jcdr.net/articles/PDF/18390/64640_CE[Ra1]_F(IS)_QC(KK_SL)_PF1(RI_KM)_PFA(RI_KM)_PN(KM).pdf
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