Endodontic treatment of a hypertaurodontic mandibular left second molar in a patient with many taurodonts combined with multiple pulp stones

Aust Endod J. 2019 Dec;45(3):414-419. doi: 10.1111/aej.12291. Epub 2018 Aug 16.

Abstract

Taurodontism is a rare embryologic anomaly of teeth, defined by an apical displacement of the furcation of roots and enlarged pulp chambers. Taurodontism has been classified as hypo-, meso- or hypertaurodontism according to the severity of the anomaly. The aim of this case report was to illustrate a clinical case with multiple bilateral taurodonts and to describe the endodontic management of the hypertaurodontic mandibular left second molar with a C-shaped canal and extensive dental pulp calcifications. A healthy 20-year-old male patient was referred for the endodontic treatment of his lower left second molar. Cone beam computed tomography revealed a C-shaped root canal configuration and several dental pulp calcifications in this tooth. The endodontic treatment was performed in two appointments under an operating dental microscope. A panoramic radiograph, made during the 18 months follow-up appointment, revealed nine other taurodontic molars, most of them associated with dental pulp calcifications.

Keywords: C-shaped canal; endodontic treatment; permanent molars; pulp stones; taurodontism.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Cone-Beam Computed Tomography
  • Dental Pulp Calcification*
  • Dental Pulp Cavity
  • Humans
  • Male
  • Molar
  • Root Canal Therapy
  • Tooth Root
  • Young Adult