Talon cusp (TC) and dens in dente (DiD) are both developmental anomalies of
the teeth, but they differ in their formation and appearance. A talon cusp
arises from the palatal or lingual aspect of an incisor tooth, typically in the
maxillary central or lateral incisors. It is composed of enamel and dentin, and
its shape can vary from a mild bulge to a fully formed cusp that extends to the
incisal edge of the tooth. It can be mistaken for a supernumerary tooth on
radiographs due to its pointed projection and density.
In contrast, dens in dente is a condition where a tooth has an invagination in
its crown that contains a smaller tooth-like structure, known as the "dental
lamina," which is enclosed within it. This invagination is usually filled with
pulp tissue and dentin, and the internal structure resembles a tooth within a
tooth. The smaller structure within the affected tooth can mimic a supernumerary
tooth on radiographs, but it is not a separate tooth.