Permanent mandibular incisor with multiple anomalies – Report of a rare clinical case

BackgroundMorphological alterations in tooth structure involving either crown or root are common in the literature. But co-occurrence of multiple anomalies in a permanent mandibular central incisor is extremely rare.Case reportThis paper reports an unusual combination of multiple dental anomalies–talon cusp, dens invaginatus and macrodontia affecting both the crown and root of a permanent mandibular left central incisor of a 12-year old Indian boy. Case management has been described and the implications are discussed.ConclusionDiagnosis and treatment of teeth affected by multiple anomalies is a challenging proposition, requiring careful clinical and radiographic interpretation.