Classification of Tooth Anomalies - Endodontist’s Perspective

Root canal anomalies can be challenging to treat. Classification systems provide a framework which helps the clinician in effective diagnosis and treatment planning, improves treatment precision, analyses the risk assessment and treatment outcome, helps in education and communication with peers and has research implications. With advancements in technology, the understanding of the complex anatomy of the root canal system is improving drastically. This review caters from the old to the most recent classification. The anomalies included are Palatogingival Groove, Dens Invaginatus, Dens Evaginatus, Talon’s Cusp, C-Shaped Canals, Taurodontism, Root Fusions, Radix Entomolaris and Paramolaris, Maxillary molar and Maxillary premolar with extra root. This review highlights various classification systems for tooth anomalies which impact the endodontic treatment strategy. It provides a holistic perspective to the clinician such that management of such anomalies can be done effectively.