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Taurodontism a challenge in endodontics: A case report


T. Vigneshwar Sambandam , Sindhu Ramesh

Abstract

Taurodontism has been a clinical entity for many long years. In case the tooth and pulp chamber is enlarged, the dental anomaly (taurodontism) is found in the molar tooth of humans. As a result, the length of the root is decreased, leading the floor of the pulp and the furcation of the tooth moving apically down the root. The mentioned condition occurs because of the failure or late invagination of Hertwig’s epithelial root sheath, which helps in the formation of root and shaping causing an apical shift of the root furcation. The most commonly affected teeth are the permanent molars, and this developmental disturbance can also be seen in deciduous dentition. It happens either unilaterally or bilaterally, along with any teeth or quadrants' combination. It usually appears as a single anomaly, it may also appear alog with several syndromes as well as with developmental abnormalities. Through, there have been challenges in endodontic therapy, taurodontism has only been paid little attention from clinicians. With regard to performing root canal treatment on such teeth, the complexity of the root canal system, canal obliteration and configuration, and the potential for additional root canal systems should be appreciated. The most useful techniques are as follow: careful exploration of the grooves between all orifices particularly with magnification, use of ultrasonic irrigation, and a modified filling technique. More to the point, a case is presented in the present study in which root canal therapy is performed on left mandibular first molar with taurodontism.



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