Acta Scientific Dental Sciences (ASDS)(ISSN: 2581-4893)

Case Report Volume 6 Issue 11

Impacted Mandibular Distomolars, Clinically Hidden but Radiographically Evident Entity: A Rare Case Report with Literature Review

Arjun Mahajan*1, Chandresh Jaiswara2, Neeraj Kumar Dhiman2, Ravina Rajpoot1

1Junior Resident, Department of Oral and Maxillofacial Surgery, Faculty of Dental Sciences, Institute of Medical Sciences, Banaras Hindu University, Varanasi, India
2Professor, Unit of Oral and maxillofacial surgery, Faculty of Dental Sciences, Institute of Medical Sciences, Banaras Hindu University, Varanasi, India

*Corresponding Author: Arjun Mahajan, Junior Resident, Department of Oral and Maxillofacial Surgery, Faculty of Dental Sciences, Institute of Medical Sciences, Banaras Hindu University, Varanasi, India.

Received: October 12, 2022; Published: November 07, 2022

Abstract

Aim: To increase awareness among clinicians about the enigmatic entity to be considered during diagnosis of unknown source of pain and its intervention.

Materials and Methods: Local anesthesia, syringe, diagnostic instruments (mouth mirror, probe), no.15 bard parker blade and no.3 handle, molts no.9 periosteal elevator, Austin retractor, micromotor handpiece attachment with straight fissure bur, Warwick James elevator, 10% betadine, 0.9% normal saline, 3-0 silk, needle holder and suture cutting scissors, sterile gauzes.

Results: The conclusion of total of 12 articles which had mentioned the occurrence of mandibular distomolars, stated that the incidence of supernumerary tooth is 0.1-3.8% and still lower, 0.021% chance of occurrence of mandibular distomolar in population.

Conclusion: The impacted distomolars are a completely separate entity which is accidental radiographic finding if asymptomatic. In symptomatic cases where source of pain is enigma Orthopantomography is indicated to rule out the presence of such entity. Thorough anatomical knowledge plays huge role in the diagnosis and treatment relies on the risk benefit ratio and patient consent.

Keywords:Distomolar; Impacted; Supernumerary

References

  1. Ata-Ali F., et al. “Prevalence, etiology, diagnosis, treatment and complications of supernumerary teeth”. Journal of Clinical and Experimental Dentistry 6 (2014): 414-418.
  2. Kokten G., et al. “Supernumerary fourth and fifth molars: a report of two cases”. The Journal of Contemporary Dental Practice 4 (2003): 67-76.
  3. Arslan A., et al. “The frequency of distomolar teeth in a population of urban Turkish adults: a retrospective study”. Oral Radiology 25 (2009): 118.
  4. Ali FM., et al. “A Rare Case Series: Impacted Distomolars”. Open access Macedonian journal of Medical Sciences 23 (2019): 4078-4081.
  5. Mosquerira VM., et al. “Presence of the fourth molar. Literature review Presencia del cuarto molar”. Revisión de la literature (2018).
  6. Khandelwal P and Hajira N. “Supernumerary teeth-Fourth Molars: Bilateral maxillary distomolars An extremely rare case report”. Journal of Applied Dental and Medical Science1 (2016).
  7. Singh S and Sonkurla S. “Supernumerary tooth notation system: a universally compatible add-on the two-digit system”. Indian Journal of Dental Research3 (2013): 395-396.

Citation

Citation: Arjun Mahajan. “Impacted Mandibular Distomolars, Clinically Hidden but Radiographically Evident Entity: A Rare Case Report with Literature Review". Acta Scientific Dental Sciences 6.12 (2022): 18-21.

Copyright

Copyright: © 2022 Arjun Mahajan. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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