A patient with multiple anomalies of the maxillary teeth, including shovel-shaped incisors, talon cusp, bilateral dens invaginatus and bilateral peg-shaped supernumerary incisors is reported. The patient also exhibited Carabelli's cusp on both maxillary first molars. No developmental syndrome was identified. This very unusual combination of anomalies has not been reported previously.

Developmental dental anomalies refer to deviation from the normal size, shape, number or structure of external and internal anatomy of a tooth. Their presence have functional and clinical significance. With no definite reason some dental anomalies may occur commonly in some specific teeth like microdontia in maxillary lateral incisors, dens invaginatus in maxillary lateral incisors, dens evagin...

The dilated odontome is the most severe form of the dens invaginatus (dens in dente), which is extremely rare in the mandible, especially in the molar region. A case is reported in a 28-year-old female with an unusual ringlike radiopaque appearance of the mandibular third right molar on panoramic x-ray. CT scan findings were suggestive that the intraosseous circular radiopaque formation was a d...

Anomalous and supernumerary teeth, when present in the oral cavity may affect the facial harmony and esthetics. Managing patients with anomalous and supernumerary teeth poses a challenge for dentists especially, when smile esthetics is affected. We report management of a case of mesiodens associated with dens invaginatus, a rare presentation wherein the patient required immediate esthetic resto...