Acta Scientific Otolaryngology (ASOL) (ISSN: 2582-5550)

Case Report Volume 4 Issue 4

Ortho-surgical Approach for Atraumatic Extraction of Eumorphic Bilaterally Impacted Mandibular Fourth Molars Associated with Enlarged Follicle - A Case Report and Literature Review

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

  1. Grimanis GA., et al. “A survey on supernumerary molars”. Quintessence International 12 (1999).
  2. Rajab LD and Hamdan MA. “Supernumerary teeth: review of the literature and a survey of 152 cases”. International Journal of Paediatric Dentistry4 (2002): 244-254.
  3. Koch H., et al. “Indications for surgical removal of supernumerary teeth in the premaxilla”. International Journal of Oral and Maxillofacial Surgery 3 (1986): 273-281.
  4. Manne R., et al. “Impacted canines: Etiology, diagnosis, and orthodontic management”. Journal of Pharmacy and Bioallied Sciences 4 (2012): S234.
  5. Kokich VG. “Surgical and orthodontic management of impacted maxillary canines”. American Journal of Orthodontics and Dentofacial Orthopedics 3 (2004): 278-283.
  6. Lambade P., et al. “Ectopic mandibular third molar leading to osteomyelitis of condyle: a case report with literature review”. Oral and Maxillofacial Surgery2 (2013): 127-130.
  7. Abu-Hussein M., et al. “Treatment of extremely displaced and impacted second premolar in the mandible”. IOSR Journal of Dental and Medical Sciences 14 (2015): 110-117.
  8. Aizenbud D., et al. “A multidisciplinary approach to the treatment of a horizontally impacted mandibular second premolar: 10-year follow-up”. Orthodontics: The Art and Practice of Dentofacial Enhancement 12.1 (2011): 48-59.
  9. Aslan BI and Üçüncü N. “Clinical consideration and management of impacted maxillary canine teeth”. Emerging Trends in Oral Health Sciences and Dentistry (2015): 465-501.
  10. Cruz RM. “Orthodontic traction of impacted canines: Concepts and clinical application”. Dental Press Journal of Orthodontics 24 (2019): 74-87.

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.




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Acceptance rate34%
Acceptance to publication20-30 days
Impact Factor0.871

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