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Related Experiment Videos

Migrating third molar: a report of a case.

Paul Olsen Francis1, Edward Brian Fowler, Craig C Willard

  • 1Department of Periodontics, Dental Clinic #3, USA DENTAC Fort Lewis, WA 98439, USA.

Military Medicine
|November 19, 2003
PubMed
Summary

This case report details a rare instance of bilateral mandibular third molar migration in a 42-year-old male. Aggressive periodontal disease in adjacent molars is speculated as the primary cause.

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Area of Science:

  • Dentistry
  • Oral Pathology
  • Periodontology

Background:

  • Pathologic tooth migration is an abnormal positional change within the dental arch.
  • Etiologic factors are diverse, often making diagnosis challenging.
  • Mandibular third molar migration is particularly uncommon.

Observation:

  • A 42-year-old male presented with asymptomatic, bilateral migration of mandibular third molars.
  • Surgical extraction was deemed excessively morbid.
  • Biopsy of associated tissue revealed inflammation and hyperplasia; differentiation between a hyperplastic dental follicle and dentigerous cyst was inconclusive.

Findings:

  • Histologic and radiographic findings were insufficient to definitively determine the etiology of the migration.
  • The patient was unaware of the condition.
  • No significant pathology beyond inflammation was identified in the biopsied tissue.

Implications:

  • This case highlights the diagnostic challenges in unusual presentations of pathologic tooth migration.
  • Severe periodontal disease in adjacent teeth is hypothesized as the causative factor.
  • Conservative management was chosen due to high surgical morbidity.

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