roots greatly shortened even though the overall root length may be normal. Taurodontism- Body of the tooth enlarge at the expense of the roots. The pulp chamber is elongated and extends deeply into the region of the roots
Permanent molars most often affected
similar condition is seen in the teeth of cud-chewing animals such as
BULL • Taurodontism may occur in permanent or the primary dentition • Present in the molars and less often in the premolars. • Single or multiple teeth ..or several molars in the same quadrant • unilateral or bilateral
. The teeth themselves have no remarkable or
unusual morphologic clinical characteristic CAUSES OF TAURODONTISM (1) a specialized or retrograde character (2) a primitive pattern (3) a mendelian recessive trait (4) an atavistic feature The condition can be classified according to the extent of the pulp chamber elongation(shaw)
• Mild (hypotaurodontism)-pulp chamber is enlarged
• Moderate (mesotaurodontism) - the tooth roots are divided only at the middle third • Severe (hypertaurodontism) -bifurcation or trifurcation occurs near the root apices
SHIFMAN AND CHANANNEL CLASSIFICATION • The measurements include two variables: • variable 1 is defined as the height of the pulp chamber, between the lowest point of the roof and the highest point of the floor • variable 2 is the distance between the lowest point of the roof of the pulp chamber and the apex of the longest root. • Taurodont index TI = variable 1/variable 2 × 100 • hypotaurodontism (TI value 20–30) • mesotaurodontism (TI value 30–40) • hypertaurodontism (TI value 40–70). May be associated with several syndromic conditions such as
Taurodontism provides a valuable clue in detecting its association with
many syndromes and other systemic conditions. The endodontic therapy of choice in these situations will be conservative. Therefore, root canal treatment becomes a challenge.
For the prosthetic treatment of a taurodont tooth, it has
been recommended that post placement be avoided for CLINICAL tooth reconstruction. OVERVIEW extraction of such teeth may not be a problem unless the roots are not widely divergent.
From a periodontal standpoint, the chances of furcation
involvement are considerably less than those in normal teeth .