Taurodontism
is a morphological anomaly of teeth characterized with large pulp
chambers and apically displaced pulpal floor.
The aim of this case report was to make a comparative evaluation
by panoramic radiographies and 3D
examinations to locate pulp chamber and root canal morphology of a primary mandibular first molar and the
adaptation of root canal filling material of a permanent mandibular first
molar, both diagnosed with taurodontism. In Case-1, a mandibular primary
first molar was extracted due to physiological root resorption seen in the
panoramic radiograph. The micro-CT (Bruker, SkyScan 1174, Belgium) examined the
distance of the tooth a (distance between the lowest and the top point of the
pulp chamber) and b (distance between the lowest point of the pulp chamber and
the apical). The tooth was classified as mesotaurodont by the value of 52.91
obtained with the formula a/b x 100. In Case-2, the tooth was extracted because
of the large periapical radiolucency observed in the radiography taken from the
tooth which was admitted for pain and percussion tenderness. The calculation
for subgroup could not be performed due to loss of the “a” value because of the
cavity preparation. Although the root canal filling on the radiograph was found
to be sufficient and long enough, an empty extra canal and insufficient wall
adaptation of root canal filling were detected by micro-CT. Despite the fact
that taurodontism can be diagnosed by 2D measurements, it is obvious that a 3-dimensional
examination is necessary to obtain decisive data about the root canal cavity
morphology especially for endodontic treatment and also to define prevalence
and subgroups of anomalies. Although micro-CT is seen as a method that provides
more detailed images, it is thought that it should be developed and supported
with clinical studies in order to be valid and easy to use in clinical practice.
Primary Language | English |
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Subjects | Health Care Administration |
Journal Section | Case Reports |
Authors | |
Publication Date | December 29, 2019 |
Submission Date | November 13, 2019 |
Published in Issue | Year 2019Volume: 22 Issue: 4 |
Cumhuriyet Dental Journal (Cumhuriyet Dent J, CDJ) is the official publication of Cumhuriyet University Faculty of Dentistry. CDJ is an international journal dedicated to the latest advancement of dentistry. The aim of this journal is to provide a platform for scientists and academicians all over the world to promote, share, and discuss various new issues and developments in different areas of dentistry. First issue of the Journal of Cumhuriyet University Faculty of Dentistry was published in 1998. In 2010, journal's name was changed as Cumhuriyet Dental Journal. Journal’s publication language is English.
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