Vineeth Kumar K¹*, Roshan Sagarkar², K Ranganath¹, Kavitha Prasad¹, Prajwal K Bharadwaj¹, Naksha S¹ and Shwetha V³

¹Department of Oral and Maxillofacial Surgery, Faculty of Dental Sciences, Ramaiah University of Applied Sciences, India
²Department of Orthodontics and Dentofacial Orthopedics, Faculty of Dental Sciences, Ramaiah University of Applied Sciences, India
³Department of Oral Medicine and Radiology, Faculty of Dental Sciences, Ramaiah University of Applied Sciences, India

*Corresponding Author: Vineeth Kumar K, Department of Oral and Maxillofacial Surgery, Faculty of Dental Sciences, Ramaiah University of Applied Sciences, India.

Received: January 25, 2022; Published: March 16, 2022

Abstract

A Supernumerary tooth is one that is additional to the normal series and can be found in almost any region of the dental arch with anterior maxilla (mesiodens) and the maxillary third molar region (distomolar or paramolar) being the most frequent sites. Fourth molars or distomolars are situated distal to the third molars that are rarely erupted but usually detected on routine radiographic examination as an impacted tooth.

The etiology of this anomaly has multiple theories but none of them are completely accepted. It is usually associated with genetic syndromes like labio-palatal cleft, cleidocranial dysostosis and Gardner syndrome, with lowest prevalence in healthy individuals.

Occurrence of bilateral distomolar is seen only in 0.07% of population making it a rare condition. Supernumerary teeth are usually asymptomatic, but can sometimes lead to formation of cysts and tumors as well as crowding or delayed eruption of permanent teeth. More often such teeth are kept under periodic observation and are highly challenging to the operating surgeons in making decision whether to retain or remove during its early phase of presentation unless the above-mentioned conditions are noticed. 

The present paper reports a case of eumorphic bilateral impacted mandibular fourth molars associated with cystic changes in a non-syndromic young female patient which was managed by staged atraumatic removal of bilateral third and fourth molars using orthodontic traction system minimizing the damage to the adjacent vital structures.

Keywords: Ectopic Tooth; Paramolars; Distomolars; Orthodontic Traction; Supernumerary Tooth

References

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Citation

Citation: Vineeth Kumar K., et al. “Ortho-surgical Approach for Atraumatic Extraction of Eumorphic Bilaterally Impacted Mandibular Fourth Molars Associated with Enlarged Follicle - A Case Report and Literature Review".Acta Scientific Otolaryngology 4.4 (2022): 28-33.

Copyright

Copyright: © 2022 Vineeth Kumar K., et al. 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.