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

IF 1.7 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Imaging Science in Dentistry Pub Date : 2022-12-01 DOI:10.5624/isd.20220124
Adib Al-Haj Husain, Daphne Schönegg, Fabienne Andrina Bosshard, Silvio Valdec
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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.

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双侧上颌多余第4、5磨牙1例临床报告及文献复习。
在磨牙区域出现多牙可能是明显的,基于拥挤和嵌塞,但大多数病例是无症状的,是在常规放射检查中偶然发现的。这篇文章报告了一个29岁的妇女谁提出了一个严重的压力感在上颌第三磨牙的区域,已经增加了数周的强度。临床检查显示,尽管完成了正畸治疗,但上颌前牙拥挤,第三磨牙爆发,第二象限局部牙龈炎。x线检查显示双侧上颌多出第四、第五磨牙,因此行锥束计算机断层扫描精确定位多出的牙齿,以便术前诊断和综合治疗计划。本报告介绍了一个罕见的双侧多臼齿病例的放射学和外科病例管理,并回顾了有关流行病学和治疗方案的文献。
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来源期刊
Imaging Science in Dentistry
Imaging Science in Dentistry DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
2.90
自引率
11.10%
发文量
42
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