Bilateral Mandibular Second Premolar Macrodontia: An Enigmatous Anomaly

Abstract

The otherwise considered being one of the smallest and weakest teeth in the arch, mandibular second premolars have been found to almost double its size in macrodontia. Such anomalies of morphological alterations have caused the teeth to be more weak and prone to diseases, as accredited to the increased surface area and particular morphology. Bilateral mandibular second premolar macrodontia is an extremely rare dental anomaly with only 5 cases reported to date, among which the first case was reported in 1967 by Primack. This article focuses on a rare case report of bilateral macrodontia of mandibular second premolar in an 18year old male.

Prevalence of dental anomalies in pediatric patients at Dental and Oral Hospital of Universitas Muhammadiyah Yogyakarta

“…These anomalies can also arise due to developmental disturbances during the morpho-differentiation stage. 10 In general, dental anomalies are caused by complex interactions between genetic, epigenetic, and environmental factors during the long process of tooth development. 11 As shown in Table 2, mesiodens was more prevalent in male pediatric patients.…”