Imaging Science in Dentistry

Korean Academy of Oral and Maxillofacial Radiology (대한영상치의학회)
권호 표지
DOI QR코드

DOI QR Code

Bilateral supernumerary maxillary fourth and fifth molars: A clinical case report and literature review

  • Adib Al-Haj, Husain (Clinic of Cranio-Maxillofacial and Oral Surgery, Center of Dental Medicine, University of Zurich) ;
  • Daphne, Schonegg (Department of Cranio-Maxillofacial and Oral Surgery, University Hospital of Zurich, University of Zurich) ;
  • Fabienne Andrina, Bosshard (Clinic of Cranio-Maxillofacial and Oral Surgery, Center of Dental Medicine, University of Zurich) ;
  • Silvio, Valdec (Clinic of Cranio-Maxillofacial and Oral Surgery, Center of Dental Medicine, University of Zurich)
  • Received : 2022.07.12
  • Accepted : 2022.09.30
  • Published : 2022.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

Supernumerary teeth that are present in the molar region may be evident based on crowding and impaction, but most cases are asymptomatic and discovered as incidental findings during routine radiological examinations. This article reports the case of a 29-year-old woman who presented with a severe feeling of pressure in the region of the maxillary third molars that had been increasing in intensity for weeks. A clinical examination revealed crowding of the maxillary anterior teeth despite the completion of orthodontic treatment and an erupted third molar with localized gingivitis in the second quadrant. A radiographic examination revealed bilateral supernumerary maxillary fourth and fifth molars, so cone-beam computed tomography was performed to locate the supernumerary teeth precisely for a preoperative diagnosis and comprehensive treatment planning. This report presents the radiological and surgical case management of a rare case of bilateral supernumerary molars and reviews the literature regarding epidemiology and treatment options.

Keywords

References

  1. Garvey MT, Barry HJ, Blake M. Supernumerary teeth - an overview of classification, diagnosis and management. J Can Dent Assoc 1999; 65: 612-6.
  2. Ata-Ali F, Ata-Ali J, Penarrocha-Oltra D, Penarrocha-Diago M. Prevalence, etiology, diagnosis, treatment and complications of supernumerary teeth. J Clin Exp Dent 2014; 6: e414-8.
  3. Kokten G, Balcioglu H, Buyukertan M. Supernumerary fourth and fifth molars: a report of two cases. J Contemp Dent Pract 2003; 4: 67-76. https://doi.org/10.5005/jp-journals-10031-1072
  4. Grimanis GA, Kyriakides AT, Spyropoulos ND. A survey on supernumerary molars. Quintessence Int 1991; 22: 989-95.
  5. Primosch RE. Anterior supernumerary teeth - assessment and surgical intervention in children. Pediatr Dent 1981; 3: 204-15.
  6. Dula K, Bornstein MM, Buser D, Dagassan-Berndt D, Ettlin DA, Filippi A, et al. SADMFR guidelines for the use of conebeam computed tomography/ digital volume tomography. Swiss Dent J 2014; 124: 1169-83.
  7. Susarla SM, Dodson TB. Preoperative computed tomography imaging in the management of impacted mandibular third molars. J Oral Maxillofac Surg 2007; 65: 83-8. https://doi.org/10.1016/j.joms.2005.10.052
  8. Ohman A, Kivijarvi K, Blomback U, Flygare L. Pre-operative radiographic evaluation of lower third molars with computed tomography. Dentomaxillofac Radiol 2006; 35: 30-5. https://doi.org/10.1259/dmfr/58068337
  9. Raupp S, Kramer PF, de Oliveira HW, da Rosa FM, Faraco IM Jr. Application of computed tomography for supernumerary teeth location in pediatric dentistry. J Clin Pediatr Dent 2008; 32: 273-6. https://doi.org/10.17796/jcpd.32.4.38171q75r72vm57t
  10. Menardia-Pejuan V, Berini-Aytes L, Gay-Escoda C. Supernumerary molars. A review of 53 cases. Bull Group Int Rech Sci Stomatol Odontol 2000; 42: 101-5.
  11. Yusof WZ. Non-syndrome multiple supernumerary teeth: literature review. J Can Dent Assoc 1990; 56: 147-9.
  12. Bamgbose BO, Okada S, Hisatomi M, Yanagi Y, Takeshita Y, Abdu ZS, et al. Fourth molar: a retrospective study and literature review of a rare clinical entity. Imaging Sci Dent 2019; 49: 27-34. https://doi.org/10.5624/isd.2019.49.1.27
  13. Mitsea A, Vardas E, Papachatzopoulou A, Kalfountzos G, Leventis M, Tsiklakis K. The frequency of non-syndromic distomolar teeth in a Greek population sample? J Clin Exp Dent 2015; 7: e589-94.
  14. Cassetta M, Altieri F, Giansanti M, Di-Giorgio R, Calasso S. Morphological and topographical characteristics of posterior supernumerary molar teeth: an epidemiological study on 25,186 subjects. Med Oral Patol Oral Cir Bucal 2014; 19: e545-9.
  15. Park SY, Jang HJ, Hwang DS, Kim YD, Shin SH, Kim UK, et al. Complications associated with specific characteristics of supernumerary teeth. Oral Surg Oral Med Oral Pathol Oral Radiol 2020; 130: 150-5. https://doi.org/10.1016/j.oooo.2020.03.002
  16. Liu DG, Zhang WL, Zhang ZY, Wu YT, Ma XC. Three-dimensional evaluations of supernumerary teeth using cone-beam computed tomography for 487 cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2007; 103: 403-11. https://doi.org/10.1016/j.tripleo.2006.03.026
  17. Landaeta-Quinones CG, Hernandez N, Zarroug NK. Computerassisted surgery: applications in dentistry and oral and maxillofacial surgery. Dent Clin North Am 2018; 62: 403-20. https://doi.org/10.1016/j.cden.2018.03.009
  18. Piattelli A, Tete S. Bilateral maxillary and mandibular fourth molars. Report of a case. Acta Stomatol Belg 1992; 89: 57-60.
  19. Cavalcanti AL, de Alencar CR, de Carvalho Neto LG. Bilateral maxillary and mandibular fourth molars: a case report and literature review. J Investig Clin Dent 2011; 2: 296-9. https://doi.org/10.1111/j.2041-1626.2011.00075.x
  20. Al-Haj Husain A, Dobelin Q, Giacomelli-Hiestand B, Wiedemeier DB, Stadlinger B, Valdec S. Diagnostic accuracy of cystic lesions using a pre-programmed low-dose and standard-dose dental cone-beam computed tomography protocol: an ex vivo comparison study. Sensors(Basel) 2021; 21: 7402. https://doi.org/10.3390/s21010054
  21. Al-Haj Husain A, Solomons M, Stadlinger B, Pejicic R, Winklhofer S, Piccirelli M, et al. Visualization of the inferior alveolar nerve and lingual nerve using MRI in oral and maxillofacial surgery: a systematic review. Diagnostics (Basel) 2021; 11: 1657.
  22. Al-Haj Husain A, Sekerci E, Schonegg D, Bosshard FA, Stadlinger B, Winklhofer S, et al. Dental MRI of oral soft-tissue tumors-optimized use of black bone MRI sequences and a 15- channel mandibular coil. J Imaging 2022; 8: 146.
  23. Al-Haj Husain A, Schonegg D, Valdec S, Stadlinger B, Gander T, Essig H, et al. Visualization of inferior alveolar and lingual nerve pathology by 3D double-echo steady-state MRI: two case reports with literature review. J Imaging 2022; 8: 75.
  24. Al-Haj Husain A, Stadlinger B, Winklhofer S, Piccirelli M, Valdec S. Magnetic resonance imaging for preoperative diagnosis in third molar surgery: a systematic review. Oral Radiol (in press).
  25. Schonegg D, Ferrari R, Ebner J, Blumer M, Lanzer M, Gander T. Proximity of the middle meningeal artery and maxillary artery to the mandibular head and mandibular neck as revealed by three-dimensional time-of-flight magnetic resonance angiography. Oral Maxillofac Surg 2022; 26: 139-46. https://doi.org/10.1007/s10006-021-00960-0
  26. Stadlinger B, Valdec S, Wacht L, Essig H, Winklhofer S. 3D-cinematic rendering for dental and maxillofacial imaging. Dentomaxillofac Radiol 2020; 49: 20190249.
  27. Steffen T, Winklhofer S, Starz F, Wiedemeier D, Ahmadli U, Stadlinger B. Three-dimensional perception of cinematic rendering versus conventional volume rendering using CT and CBCT data of the facial skeleton. Ann Anat 2022; 241: 151905.