European Journal of Dentistry

Gemination is an uncommon anomaly caused by the incomplete attempt of a single tooth bud to form two teeth.1 Geminated teeth are found more frequently in primary dentition than permanent dentition.2-4 The prevalence in the latter ranges from 0.07 % to 2.1%.5-7 Maxillary central incisors were found to be the most commonly affected by gemination.6,7 Gemination causes aesthetic prob-lems, bad positioning, and impaction of adjacent teeth because of the greater volume of the gemi-nated tooth crown.8 Talon cusps are also uncommon dental anoma-lies manifesting as an accessory cusp-like struc-ture projecting from the cingulum area or the cemento-enamel junction of a maxillary or man