Talon cusp is a rare dental anomaly in which a cusp-like structure projects from the cingulum area or cementoenamel junction of the maxillary or mandibular anterior teeth. This unusual cusp resembles the talon of an eagle. It can be found in both the primary and permanent dentitions. A comprehensive literature study reveals that only 37 examples of talon cusps in the primary dentition have been described, with only 3 cases reporting this anomaly on the primary maxillary lateral incisor. We present a male patient with cleft lip and palate having primary lateral incisor talon cusp. The clinical implications of this anomaly, as well as the dispute over its etiology, are reviewed.