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"Taurodontism" an endodontic challenge: a case report
Ramesh Bharti1, Anil Chandra, Aseem P Tikku
1Department of Conservative Dentistry and Endodontics, CSM Medical University, Lucknow, India. r_bharti14@yahoo.com
Journal of Oral Science
|September 25, 2009
Summary
Taurodontism, a tooth anomaly, presents challenges in endodontic treatment due to enlarged pulp chambers and displaced roots. This case study details successful endodontic therapy on a maxillary first molar with taurodontism.
Area of Science:
- Dentistry
- Endodontics
- Dental Morphology
Background:
- Taurodontism is a developmental anomaly characterized by an enlarged pulp chamber, apical displacement of the pulpal floor, and lack of cementoenamel junction constriction.
- This condition primarily affects permanent molars, altering tooth anatomy and complicating dental procedures.
Observation:
- The case involved a maxillary right first molar exhibiting taurodontism.
- Additional taurodontic teeth were noted in the same patient: the maxillary right second molar and the maxillary left first and second molars.
Findings:
- Endodontic treatment of taurodont teeth is complex due to the unique root morphology, including proximity and apical displacement.
- Successful endodontic management of the affected maxillary right first molar was achieved, despite these challenges.
Implications:
- This case highlights the importance of recognizing taurodontism's radiographic features.
- Effective endodontic strategies are crucial for managing taurodontic teeth, potentially improving long-term prognosis.
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