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Taurodont teeth show wide variations in the size and shape of pulp chambers, varying degrees of obliteration and canal complexity, low canal orifices, and the potential for additional root canal systems. In performing root canal treatment on these teeth, one should understand the complexity of the root canal system. Careful exploration of the grooves between all orifices, with magnification to reveal additional orifices and canals ultrasonic irrigation; and a modified filling technique are recommended. Intentional replantation is another endodontic challenge related to a taurodont tooth. As the taurodont tooth is dilated in the apical third, extraction will be complicated. A taurodont tooth offers favorable prognosis from periodontal stand point because these teeth have to demonstrate significant periodontal destruction before the involvement of furcation. In case of prosthetic treatment of a taurodont tooth, it has been suggested to avoid the placement of post for tooth reconstruction. This tooth may not offer much stability and strength when used as an abutment as smaller surface area is inside the alveolus