ABSTRACT
The aim to publish this case report is to emphasize the clinical challenges involved in endodontic treatment of rare dental anomaly like Taurodontism. Endodontic management of a taurodont tooth has been described as complex and challenging. Present case is an attempt to emphasize the challenges an Endodontist encounters while treating Taurodontism affecting the molars of permanent dentition. An enlarged pulp chamber, apical displacement of the pulpal floor, and no constriction at the level of the cementoenamel junction are the characteristic features. Negotiation of the orifices was extremely complicated owing to complex proximity and location of orifices. Low canal orifices and the potential for additional root canal system created difficulty in instrumentation and filling. Treatment required careful exploration of the grooves between all orifices under operating microscope. Canal cleaning and shaping was performed using Protaper rotary instruments and 2.5% sodium hypochlorite ultrasonic irrigation and obturated using a modified filling technique
ABSTRACT
Preservation of a patient's natural dentition remains an important outcome in securing oral health. Dentists and patients are facing a perplexity between saving a compromised tooth through endodontic treatment, retreatment or extraction. Though success rates of endodontic initial treatment have been improving over the years, persistence of periapical disease is far from being a rare condition. The most common therapeutical options for the re-treatment of teeth with periapical pathosis are non-surgical orthograde treatment and surgical treatment. Selection between alternative treatments should be based on assessment of respective benefits mainly healing. This paper reports two cases treated surgically due to failure of ortho-grade treatment and healed completely when followed-up over a period of 1 year. The method of evaluation of the healing was through radiographic method and clinical method