Talon cusps are additional cusps that extend at least half the distance from the cementoenamel junction to the incisal edge, most commonly seen on permanent maxillary lateral incisors. They have no sex predilection and may occur unilaterally or bilaterally. Radiographically, talon cusps are seen overlying the central portion of the crown and include enamel and dentin, with few cases showing pulpal extension. Treatment involves removing talon cusps on maxillary anterior teeth that interfere with occlusion, while those on mandibular teeth often require no therapy. The prognosis is generally good.