Rare Combination of Developing Unerupted Paramolar and Distomolar in Maxilla: A Case Report and Review of Literature

Abstract

Supernumerary molars are relatively rare entities in maxillofacial region which can be classified broadly into distomolars and paramolars. Usually these occur singly and unilaterally. Occurrence of both paramolar and distomolar together is a very rare finding. This paper reports an unusual occurrence of combination of developing unerupted paramolar and distomolar follicles in the maxilla which was an incidental finding in the Orthopantamograph of a 13 year old girl. Patient was asymptomatic, hence was kept under observation and follow up. This paper describes the incidence and prevalence, possible etiological factors, complications, treatment options for supernumerary molars along with review of literature.

Nonsyndromic Bilateral Posterior Maxillary Supernumerary Teeth: A Report of Two Cases and Review

“…The documented incidences similar to our cases reported in other population are briefed in Tables 1 and 2 [12, 13]. Hou et al [14], Dhull et al [15], Shetty [16], and Sulabha and Sameer [17] had reported the presence of bilateral maxillary paramolars similar to our first case report.…”

“…Hou et al [14], Dhull et al [15], Shetty [16], and Sulabha and Sameer [17] had reported the presence of bilateral maxillary paramolars similar to our first case report. Nirmala and Tirupathi [12] had documented the combination of unilateral maxillary paramolar and distomolar similar to our second case report.…”

“…Niswander and Sujaku [36] also proposed the presence of an autosomal recessive gene which explains the familial tendency to ST. It have been reported in patients with syndromes like cleft lip and palate, cleidocranial dysplasia, Ehlers–Danlos syndrome type III, Fabry–Anderson's syndrome, Ellis–van Creveld syndrome, Gardner's syndrome, Goldenhar syndrome, Hallermann–Streiff syndrome, orofaciodigital syndrome type I, incontinentia pigmenti, Marfan syndrome, Nance–Horan syndrome, and trichorhinophalangeal syndrome 1 [12]. …”