Endodontic Management Of Bull-Like Teeth: A Review And Case Series

Taurodontism is a change in shape of the tooth as a result of failure of hertwig’s epithelial sheath
diaphragm to invaginate at the proper horizontal level. The characteristic features of taurodontism are
an enlarged pulp chamber, displacement of the pulpal floor apically and absence of constriction at the
level of the cemento-enamel junction. The most commonly affected are the permanent molar teeth,
but it can occur in deciduous dentition as well. It may exist unilaterally or bilaterally and may affect
any teeth or quadrants in combination. Taurodontic teeth exhibit complex root canal system, canal
obliteration and the potential for additional root canal system. The root canal therapy on such teeth
necessitates careful exploration of the dentinal map particularly with the help of magnifying devices,
use of ultrasonic irrigation; and a modified technique for filling of the root canal space. This case
series describes endodontic management of mandibular molars with taurodontism.