References

Gorjanovic-Kramberger M. The crowns and roots of the flag of the Homo primigenius and their genetic importance. Anat Anz. 1907; 31:97-134
Gorjanovic-Kramberger K. About prismatic Molar roots recent and diluvial man. Anat Anz. 1908; 32:401-413
Tsesis I, Shifman A, Kaufman AY. Taurodontism: an endodontic challenge. Report of a case. J Endod. 2003; 29:353-355
Mellars P. Neanderthals and the modern human colonization of Europe. Nature. 2004; 432:(7016)461-465
Barker BCW. Taurodontism: the incidence and possible significance of the trait. Aust Dent J. 1976; 21:272-276
Keith A. Problems relating to the teeth of the earlier forms of prehistoric man. Proc R Soc Med. 1913; 6:(Odontol Sect)103-124
Fornai C The Qesem Cave hominin material (part 2): a morphometric analysis of dm2-QC2 deciduous lower second molar. Quat Int. 2016; 398:175-189
Hershkovitz I, Smith P, Sarig R, Quam R, Rodríguez L, García R Middle pleistocene dental remains from Qesem Cave (Israel). Am J Phys Anthropol. 2011; 144:e575-e592
Wright T. The molecular control of and clinical variations in root formation. Cells Tissues Organs. 2007; 186:86-93
Ten Cate AR. The role of epithelium in the development, structure and function of the tissues of tooth support. Oral Dis. 1996; 2:55-62
Hamner JE, Witkop CJ, Metro PS. Taurodontism. Report of a case. Oral Surg Oral Med Oral Pathol. 1964; 18:409-418
Ten Cate AR. The role of epithelium in the development, structure and function of the tissues of tooth support. Oral Dis. 1996; 2:55-62
Yamashiro T, Zheng L, Shitaku Y, Saito M, Tsubakimoto T, Takada K Wnt10a regulates dentin sialophosphoprotein mRNA expression and possibly links odontoblast differentiation and tooth morphogenesis. Differentiation. 2007; 75:452-462
Yang J, Wang SK, Choi M, Reid BM, Hu Y, Lee YL Taurodontism, variations in tooth number, and misshapened crowns in Wnt10a null mice and human kindreds. Mol Genet Genomic Med. 2015; 3:40-58
Varrela J, Alvesalo L, Mayhall J. Taurodontism in 45, X females. J Dent Res. 1990; 69:494-495
Mangion JJ. Two cases of taurodontism in modern human jaws. Br Dent J. 1962; 113:309-312
Witkop CJ, Keenan KM, Cervenka J Taurodontism: an anomaly of teeth reflecting disruptive developmental homeostasis. Am J Med Genet. 1988; 4:85-97
Greenberg MS, Glick M Burket's Oral Medicine – Diagnosis and Treatment, 10th edn. Hamilton, ON, Canada: BC Decker; 2003
Vaughan MD, Rowland CC, Tong X Dental abnormalities in children preparing for pediatric bone marrow transplantation. Bone Marrow Transplant. 2005; 36:863-866
Reichart P, Quast U. Mandibular infection as a possible aetiological factor in taurodontism. J Dent. 1975; 3:198-202
Bürklein S, Breuer D, Schäfer E. Prevalence of taurodont and pyramidal molars in a German population. J Endod. 2011; 37:158-162
Darwazeh AM. Prevalence of taurodontism in Jordanian dental patients. Dentomaxillofac Radiol. 1998; 27:163-165
Schalk-van der Weide Y, Steen WH, Bosman F. Taurodontism and length of teeth in patients with oligodontia. J Oral Rehabil. 1993; 20:401-412
Ruprecht A, Batniji S, el-Neweihi E. The incidence of taurodontism in dental patients. Oral Surg Oral Med Oral Pathol. 1987; 63:743-747
Shaw JC. Taurodont teeth in South African races. J Anat. 1928; 62:476-498
MacDonald-Jankowski DS, Li TT. Taurodontism in a young adult Chinese population. Dentomaxillofac Radiol. 1993; 22:140-144
Sarr M, Toure B, Kane AW Taurodontism and the pyramidal tooth at the level of the molar. Prevalence in the Senegalese population 15 to 19 years of age. Odontostomatol Trop. 2000; 23:31-34
Goz PW, White SC., 3rd edn. St Louis, Missouri: CV Mosby Year Book Inc; 1994
Rao A, Arathi R. Taurodontism of deciduous and permanent molars: report of two cases. J Indian Soc Pedod Prev Dent. 2006; 24:42-44
Sert S, Bayırlı G. Taurodontism in six molars. A case report. J Endod. 2004; 30:601-602
Jafarzadeh H, Azarpazhooh A, Mayhall JT. Taurodontism: a review of the condition and endodontic treatment challenges. Int Endod J. 2008; 41:375-388
Toure B, Kane AW, Sarr M Prevalence of taurodontism at the level of the molar in the black Senegalese population 15 to 19 years of age. Odontostomatol Trop. 2000; 23:36-39
Multiple dental development anomalies. Dentomaxillofac Radiol. 1991; 20:166-168
Schalk-van der Weide Y, Steen WH, Bosman F. Taurodontism and length of teeth in patients with oligodontia. J Oral Rehabil. 1993; 20:401-412
Keene HJ. A morphologic and biometric study of taurodontism in a contemporary population. Am. 1966; 25:208-209
Llamas R, Jiminez-Planas A. Taurodontism in premolars. Oral Surg Oral Med Oral Pathol. 1993; 75:501-505
Shifman A, Chanannel I. Prevalence of taurodontism found in radiographic dental examination of 1200 young adult Israeli patients. Community Dent Oral Epidemiol. 1978; 6:200-203
Benazzi S, Nguyen HN, Kullmer O, Hublin JJ. Exploring the biomechanics of taurodontism. J Anat. 2015; 226:180-188

Taurodontism part 1: history, aetiology and molecular signalling, epidemiology and classification

From Volume 46, Issue 2, February 2019 | Pages 158-165

Authors

Muhammad Hasan

Assistant Professor and Head, Department of Operative Dentistry, Sir Syed College of Medical Sciences (Dental Section), Karachi, Pakistan

Articles by Muhammad Hasan

Abstract

Abstract: Taurodontism is a developmental morphological anomaly that affects the internal anatomy of the multi-rooted teeth; hence, it is difficult to distinguish from a normal tooth structure based only on external appearance. In this defect, the teeth have elongated and cylindrical pulp cavities, a deep furcation and short roots. This article aims to address an important problem related to the cause of taurodontism. Although it is a well-held belief that taurodontism is caused by delayed or failed invagination of Hertwig's Epithelial Root Sheath (HERS), the molecular mechanism that signals this delay or failure had not been well understood until recently. This article discusses the history, aetiology, prevalence and classification of this morphological disorder, whereas part 2 of this 2-part series will discuss the biomechanics of taurodontic teeth, differential diagnosis and congenital disorders that mimic taurodontism, relevant syndromes, clinical implications and management.

CPD/Clinical Relevance: In order to treat cases presenting taurodontism, it is essential to understand this anomaly along with its history, aetiology and associated epidemiology. This will provide clinicians with a deeper understanding when they encounter a relatively unnoticeable anomaly.

Article

Initially, taurodonts were referred to as prismatic or cylindrical teeth before the term ‘taurodont’ was coined.1 In 1908, Gorjanovic-Kramberger was the first to describe Taurodontism.2 Later, in 1913, Sir Arthur Keith invented the term ‘Taurodontism’ for this morphological anomaly. The term taurodont is derived from a combination of Latin ‘tauros’ meaning bull and Greek ‘odonto’ meaning tooth, collectively known as a bull tooth.3 This condition is characterized by teeth lacking cervical constriction at the amelocementary junction with vertically enlarged pulp chambers, apical displacement of furcation and short roots (Figure 1).3

Taurodontism dates back to as early as the Neanderthals race (the Ice Age). This condition has been commonly observed in the fossil remains belonging to the Neanderthal hominids discovered in 1899 in Croatia (Figure 2). Neanderthals, a now extinct group of fossil hominins, were widespread across Europe from 200,000 until around 35,000 years ago.4 They were all known to have taurodont molar teeth − probably as a pleiotropic trait in common with many other dental and non-dental traits that were unique to them. There is a 70,000-year-old anthropological specimen belonging to the Krapina Neanderthals that shows taurodontism, making this anomaly a characteristic of a primitive pattern.5, 6

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