TAURODONTISM

The term was coined by Sir Arthur Keith in 1913 to describe a peculiar dental anomaly in which the body of the tooth is enlarged at the expense of the roots. The term TAURODONTISM means bull-like teeth. Tauro= bull dont=tooth

‡ Hammer et al believed that the taurodont is caused by failure of Hertwig s epithelial root sheath to invaginate at the proper horizontal level.

TAURODONTISM is characterised by an elongated body and short roots with longitudinally enlarged pulp chambers. .

Etiology ‡ ‡ ‡ ‡ ‡ A specialised or retrograde character A primitive pattern A Mendelian recession trait An atavistic feature A mutation resulting from odontoblastic deficiency during dentinogenesis of roots .

Shaw classified taurodont teeth into: ‡ Hypotaurodont ‡ Mesotaurodont ‡ Hypertaurodont .

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Trichodentosseous syndrome It is also commonly associated with Amelogenesis Imperfecta . Klinefelter syndrome 2. Rapp Hodgkin syndrome 4. Down s syndrome 3.Syndromes associated with taurodontism are: 1.

Conditions associated with taurodontism are: Certain dermatological conditions likeEpidermolysis bullosa Otodental dysplasia Dyskeratosis congenita .

no sex predilection ‡ Site.Deciduous and permanent dentition affected.Rectangular shape rather than the normal tapering towards root. It may be bilateral or unilateral ‡ Shape of involved teeth. Molars are commonly involved. .middle age ‡ Sex.Clinical features: ‡ Age.

the roots and root canals are exceedingly short . Pulp lacks the usual constriction at the cervix of tooth. ‡ Roots. ‡ Pulp and pulp chamber.Radiographic features: ‡ Involved teeth tend to be rectangular in shape rather than taper towards the roots.pulp chamber is extremely large.

DIAGNOSIS: ‡ Clinical.Extremely large pulp chambers .Rectangular shaped crown ‡ Radiographic.

Differential diagnosis: Developing Mandibular Molar Management: No specific treatment as it does not cause any clinical problems .

.HYPERCEMENTOSIS Hypercementosis is a non-neoplastic condition in which excessive cementum is deposited in continuation with the normal radicular dentin. It is also called as Cementum Hyperplasia or Exostosis of Root.

thyroid goitre. calcinosis.Etiology: ‡ ‡ ‡ ‡ ‡ Loss of antagonist Inflammation of root Trauma repair (tooth repair) Osteitis deformans or Paget s disease of bone Others-Hyperpituitarism. Rheumatic fever . Vitamin A deficiency.

Types of Hypercementosis ‡ Localised ‡ Generalised .

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Clinical features: ‡ Age-adults ‡ Sex.teeth are vital and not sensitive to percussion ‡ Roots-roots appear larger in diameter and present with rounded apices . Deciduous and permanent dentition affected ‡ Symptomless (unless periapical infection is present) ‡ Signs.premolars are often bilaterally affected.no sex predilection ‡ Site.

‡ Fusion of teeth.extensive hypercementosis causes fusion of 2 or more adjacent teeth ‡ Spike formation.it occurs in case of excessive occlusal trauma .

Bulbous appearance of roots. Apex.follows the outline of teeth in normal periodontal space ‡ Bone resorption.irregular accumulation of cementum that is accomodated by related area of resorption ‡ ‡ ‡ ‡ .Roots exhibit rounding of the apex Lamina dura.Radiographic features: Thickening and apparent blunting of roots.

Differential diagnosis: ‡ Multirooted teeth and dilacerated root ‡ Fused root Management: Treatment of the primary cause Extraction of teeth with hypercementosis is contraindicated .

second.third permanent molars. . Unilaterally or bilaterally present.CUSP OF CARABELLI It is an accessory lingual cusp located on the mesiopalatal cusp of maxillary second deciduous molars and first.

CUSP OF CARABELLI .

It is called as Protostylid .Accessory cusp is seen occasionallyon mandibular permanent or deciduous molar.

MULBERRY MOLAR MULBERRY MOLAR or MOON S MOLAR is a characteristic syphilitic lesion of posterior teeth in which the hypoplastic enamel develops with spherical aggregates orglobules on the surface of dentin. .

The mesial and distal surfaces of the crown taper and converge toward the incisal edge. . The edge may be notched. The anterior teeth affected are called Hutchinson s teeth .HUTCHINSON S INCISOR Enamel Hypoplasia due to congenital syphilis. The upper central incisor is screw driver shaped.

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particularly the mandibular bicuspids and the cuspids have two roots.SUPERNUMERARY ROOTS Teeth that are normally single rooted. .

molars. .bicuspids. cuspids ‡ They are seen as slender outgrowths at the centre of furcation area of molars.Clinical features: ‡ Site.

Radiographic features: .

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