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Four impacted fourth molars in a young patient: a case report
M Clementini1, L Ottria, C Pandolfi
1Department of Odontostomatologic Science, University of Rome "Tor Vergata", Rome, Italy.
ORAL & Implantology
|June 7, 2013
Summary
This case study highlights a rare dental anomaly: a 22-year-old male with impacted fourth molars in all four quadrants. This discovery was made during treatment for a common infection around unerupted third molars.
Area of Science:
- Dentistry
- Oral and Maxillofacial Surgery
- Radiology
Background:
- Supernumerary teeth are uncommon dental anomalies.
- Impacted fourth molars in all quadrants are exceptionally rare.
- This case presents a unique instance of this anomaly in a young adult.
Observation:
- A 22-year-old male presented with acute pericoronitis affecting unerupted third molars.
- Radiographic examination revealed not only impacted third molars but also bilateral, unerupted fourth molars in both the maxilla and mandible.
- The patient experienced an acute infection around his unerupted lower third molars.
Findings:
- The primary finding is the presence of bilateral impacted fourth molars in the maxilla and mandible.
- This represents a rare occurrence of a complete set of impacted fourth molars.
- The patient's acute pericoronitis was successfully managed with local measures.
Implications:
- This case underscores the importance of thorough radiographic examination in diagnosing rare dental anomalies.
- Understanding the prevalence and presentation of supernumerary and impacted fourth molars is crucial for oral surgeons.
- Surgical management, including extraction under general anesthesia, was planned for the impacted third and fourth molars.
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