Non-traumatic unilateral bifid mandibular condyle and multiple inclusions: a case report

Area of Science:

• Oral and Maxillofacial Surgery
• Dentistry
• Orthodontics

Background:

• Simultaneous impaction of all mandibular first, second, and third molars, along with all maxillary second and third molars, is an unprecedented clinical scenario.
• Such severe impactions can compromise masticatory function and dental arch integrity, posing significant challenges for clinicians.
• Early diagnosis and management of eruption disturbances are crucial for achieving favorable treatment outcomes.

Purpose of the Study:

• To report the management of a unique case involving severe impaction of multiple permanent molars.
• To discuss the treatment approach for an adult patient with bilateral mandibular and maxillary molar impactions.

Main Methods:

• Surgical removal of all impacted mandibular first, second, and third molars.
• Surgical removal of all impacted maxillary second and third molars.
• Patient declined orthodontic treatment, necessitating a surgical-only approach.

Main Results:

• Successful surgical extraction of all severely impacted mandibular and maxillary molars was performed.
• The patient's masticatory function and dental arch integrity were addressed through surgical intervention.

Conclusions:

• Surgical removal of multiple impacted molars is a viable treatment option when orthodontic treatment is declined.
• While a combined surgical-orthodontic approach is often optimal, surgical intervention can effectively manage severe impactions.
• This case highlights the importance of addressing eruption disturbances to prevent long-term functional and structural dental issues.