A 4-year-old male child escorted by his mother, elder brother and sister had come to the clinic with the chief complaint of painful decayed teeth in right and left lower jaw since two weeks. Pain was intermittent, mild and non-radiating in nature.His medical history was non-contributory.General and intra-oral soft tissue examination revealed normal appearance. Intraoral hard tissue examination revealed the presence of following teeth. On clinical examination there was deep carious lesion in relation to 74 and 84 and grossly destroyed 64 and 85. Intraoral periapical radiograph of 74 and 84 revealed radiolucency involving pulp and enlarged pulp chamber with short roots suggestive of taurodontism [Table/ Fig-1,2]. The teeth were subjected for clinical tests and diagnosis of chronic irreversible pulpitis was made in relation to 64, 74, 84, and 85. The teeth 74 and 84 were treated by multivisit pulpectomy procedure. Obturation was done with vitapex followed by semi permanent restoration with stainless steel crowns [ Fig-7] of sister exhibited taurodontic characteristic. Suspecting this the mother was also subjected to radiographic procedure who to our great surprise exhibited taurodontic appearance of a previously endodontically treated 36 [Table /Fig-8].
Dentistry SectionNon Syndromic Familial Bilateral Decidious Taurodontism -A First Case Report
ABSTRACTTaurodontism is anatomical and morphological alteration in the shape of the tooth. In taurodontism the crowns appear larger and the roots shorter compared to the normal anatomy of the respective tooth. The incidence of taurodontism in deciduous is very low and is also not very common in permanent dentition. The endodontic treatment protocol of taurodontic tooth is challenging. Taurodontic tooth requires a very cautious approach in identifying the root canal orientation and presence of any extra or lateral canals.