scholarly journals Maxillary Distomolar Associated with Dentigerous Cyst: An Unusual Entity

Oral ◽  
2022 ◽  
Vol 2 (1) ◽  
pp. 1-6
Author(s):  
Edouard Di Donna ◽  
Loïc Mahé Keller ◽  
Annika Neri ◽  
Alexandre Perez ◽  
Tommaso Lombardi

Supernumerary teeth may be encountered as an incidental finding on a radiograph. When impacted, they may be associated with clinical signs related to different problems such as failure of eruption, teeth displacement, root resorption or cystic lesions. They may occur in primary and permanent dentition, in both the maxilla and mandible and can be single or multiple in patients with syndromes. Mesiodens is the most commonly impacted tooth and appears between the central maxillary incisors in pediatric ages. Supernumerary teeth distal to the third molar are rare, usually impacted and referred to as a distomolar. A 46-year-old male consulted with the main complaint of pain on the left side of the maxilla. A panoramic radiograph revealed a right impacted maxillary fourth molar located posterior to the third molar associated with a pericoronal radiolucency. The supernumerary tooth was removed surgically under local anesthesia and the pericoronal lesion enucleated. Histopathological examination was consistent with the diagnosis of a dentigerous cyst associated with an impacted distomolar. Healing was uneventful, and the patients remained asymptomatic. The occurrence of a maxillary distomolar is rare and even rarer the association with a dentigerous cyst.

2021 ◽  
Vol 5 (2) ◽  
pp. 60
Author(s):  
Phimatra Jaya Putra ◽  
Hutomo Mandala Hartoyo ◽  
Mellisa Sim

Objectives: The purpose of this case report is to analyze the incidental finding of an odontogenic keratocyst on cone beam computed tomography (CBCT) examination for the case of an impacted tooth 48. Case Report: A 48-year-old man came with a consul letter to perform a CBCT examination with complaints of loose teeth on the right posterior mandible starting from the premolars. Coincidentally found on a sagittal view showed a wide radiolucency lesion on the internal part of the jaw and not related to the impacted tooth. The treatment plan is to remove the lesion and perform a biopsy and perform postoperative panoramic radiograph. Conclusion: The characteristics of the odontogenic keratocyst lesion can be visualized clearly on CBCT. The use of CBCT in analyzing the type and size of the lesion is very helpful in planning surgical treatment. Odontogenic keratocysts can be well-diagnosed using a combination of CBCT examination with histopathological examination to determine the most effective management and prevent a recurrence.


2015 ◽  
Vol 27 (1) ◽  
Author(s):  
Fitri Hanifah Fudhla ◽  
Nuskah Sudjana ◽  
Lucky Riawan

Introduction: The third molar are the most frequently impacted tooth. Characteristic of impacted third molar in every person may be different. Third molar are the last erupted tooth in dental arch and grow during the final period of growth, therefore third molar have the most potential for problems. The aim of this research are to know and to give description about third molar impaction based on the jaw location, classification, and complaint. Methods: This research was a retrospective observasional descriptive research. Population of this study are students of Dentistry Faculty of Padjadjaran University from class 2008.The sampling was incidentale. A total of 45 panoramic radiograph and the complaint questionaires based on pathological condition that associated with third molar impacted were observed. Classifications that used in this research were Pell and Gregory for the mandible, and Archer and Kruger for the maxilla. Results: This research shows that 62,8% of third molar are impacted. Based on jaw location, the third molar impaction most frequently occurs in the mandible (66,35%) and region 4 (33,65%). In the mandible, 81,58% are bilateral, 42,03% are mesioangular, 55,07% are IIB Pell and Gregory classification. In the maxilla, 60% are C position Archer and Kruger classification, 65,71% are sinus approximation, and 40% are mesioangular similar with distoangular. The most frequent complaint from pathological condition that associated with third molar impacted is local pain at third molar area (75,6%). Conclusion: Third molar impaction most frequently occur in the mandible with mesioangular and IIB Pell and Gregory classification as the most frequently classification. The most frequent complaint from pathological condition that associated with third molar impacted is local pain at third molar area.


2016 ◽  
Vol 10 (02) ◽  
pp. 277-280 ◽  
Author(s):  
Vikas Dhupar ◽  
Francis Akkara ◽  
Pulkit Khandelwal

ABSTRACTAdenomatoid odontogenic tumor (AOT) is a rare tumor comprising only 3% of all odontogenic tumors. It is a benign, encapsulated, noninvasive, nonaggressive, slowly growing odontogenic lesion associated with an impacted tooth. These lesions may go unnoticed for years. The usual treatment is enucleation and curettage, and the lesion does not recur. Here, we present a rare case of an unusually large aggressive AOT of maxilla associated with impacted third molar. The authors also discuss clinical, radiographic, histopathologic, and therapeutic features of the case. Subtotal maxillectomy with simultaneous reconstruction of the surgical defect with temporalis myofascial flap was planned and carried out.


2017 ◽  
Vol 63 (2) ◽  
pp. 83-86
Author(s):  
Misato TADA ◽  
Shigehiro ONO ◽  
Kouji OHTA ◽  
Hideo SHIGEISHI ◽  
Kazuki SASAKI ◽  
...  

2018 ◽  
Vol 23 (1) ◽  
Author(s):  
Marcelo Bonifácio da Silva Sampieri ◽  
Danilo Da Silva Correa ◽  
Francisca Lívia Parente Viana ◽  
Thaís Sumie Nozu Imada ◽  
Josfran Da Silva Ferreira Filho ◽  
...  

Objective: it is important to evaluate the position andestablish the third molar relationship with the mandibularcanal to minimize the risk of nerve injury and assistin planning the extraction of this tooth. The panoramicradiograph is the standard diagnostic tool for this purpose.However, if it indicates a close relationship betweenthe third molar and the mandibular canal, furtherinvestigation using cone beam computed tomography(CBCT) may be recommended to check the three-dimensionalrelationship between the tooth and the mandibularcanal. Thus, this study aimed to correlate the clinicalfindings (observed in third molar surgeries) to imagingfindings (observed in panoramic radiographs andCBCT). Subjects and method: after the extraction of 20mandibular third molars, the panoramic radiograph andthe cone beam computed tomography were analyzed.Then, the surgical findings were correlated to the imagefindings. Results: It was observed that the radiographicfinding type 2 (darkening of roots) observed in the panoramicradiograph presented a greater relation to theabsence of cortical bone between the mandibular canaland the third molar (CBCT finding), with statistical significance(p


2014 ◽  
Vol 5 (3) ◽  
pp. 196-197

ABSTRACT A 20-year-old female reported with chief complaint of pain in the left mandibular third molar region. Intraoral examination revealed inflamed area was notice near the retromolar area. Radiological examination showed impacted left third molar with pericoronal radiolucency of about 2.5 mm. Surgically, a very small cystic cavity was noticed surrounding the crown of the impacted third molar. Histopathological examination revealed a small cystic space lined by epithelium of two to three cell layers thick. The final diagnosis of dentigerous cyst was made. Thus, odontogenic lesion may be found in radiographically normal follicular space. How to cite this article Sarode GS, Sarode SC, Patil S. Expect the Exceptional. World J Dent 2014;5(3):196-197.


2020 ◽  
Author(s):  
volkan Ciftci

Abstract Background: First permanent molars (FPMs) with poor prognosis are generally extracted during the early formation of bifurcation of second permanent molars (SPMs) in order to achieve spontaneous space closure. The literature is limited about the factors associated with spontaneous space closure for mandibular arch. The aim of this study was to determine the prognostic radiographic factors, such as developmental stage of SPM, angulation of SPM and presence/absence of the third molar associated with the spontaneous space closure after the FPM extraction. Methods: A total of 177 mandibular SPMs were included in this study. The prognostic factors determining successful space closure such as SPM developmental stage, SPM angulation using a measurement scale, and presence /absence of the third molar on the panoramic radiograph were evaluated. Results: The mean age of the patients at the time of extraction of SPM was 9.4 years and post-extraction radiographic assessment at the time of the study was 12.7 years. Out of the total 177 mandibular SPMs, 36 SPMs (20.3%) were at Demirjian stage D, 63 (35.6%) at stage E, 60 (34%) at stage F, 18 (10.1%) at stage G. 16 SPMs (9%) have distal angulation, 21 SPMs (11.8%) have mesial angulation and 140 SPMs(79.1%) have upright angulation. At the time of radiographic assessment, 80.2% of the mandibular quadrants showed evidence of third molar formation. Out of 177 mandibular SPMs, only 105 (59.3%) exhibited successful space closure in the mandibular arch. Conclusions: There is no statistically significance between the chronological age and the developmental stage of the mandibular SPM with the successful spontaneous space closure at the time of the dental extraction of FPMs. The presence of the mandibular third molar may be considered for the spontaneous space closure in mandibular arch. Keywords : Extraction of Permanent Molar, Measurement Scale, Spontaneous space closure


2021 ◽  
Vol 10 (02) ◽  
pp. 116-119
Author(s):  
Chandrashekhar Pandey ◽  
Bishwa Prakash Bhattarai ◽  
Manop Khanijou ◽  
Pimolmas Na Songkla ◽  
Natthamet Wongsirichat ◽  
...  

AbstractThere have been infrequent case reports of bilateral root resorption in the lower second molar secondary from impacted third molar removal with bone regeneration without pain. Root resorption is commonly observed during third molar surgical impaction that affects mandibular second molars. The bone regeneration into the adjacent affected tooth is evident simply after the surgical extraction of the impacted tooth. However, there have been a few previous reports on the prognosis of the remaining resorbed tooth. Most dentists often choose to extract them when damaged if root resorption is observed. This report case involved bilateral root resorption of the lower second molar due to lower adjacent impacted third molar teeth and bone regeneration without pain sensation. After surgical extraction of bilateral lower impacted third molar teeth, the remaining teeth retained vital pulp and survived as functional teeth.


2018 ◽  
Vol 9 (3) ◽  
pp. 100-102
Author(s):  
Brian Berezowski ◽  
Vincent Phillips ◽  
Gary Cousin

An introduction to an unknown entity.


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