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Bilateral molariform mandibular second premolars.

Sonu Acharya1, Pradip Kumar Mandal1, Chiranjit Ghosh1

  • 1Department of Pedodontics and Preventive Dentistry, Institute of Dental Sciences, SOA University, Bhubaneswar, Odisha 751030, India.

Case Reports in Dentistry
|February 17, 2015
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Summary
This summary is machine-generated.

This case report details isolated bilateral macrodontia, a rare dental anomaly where teeth are larger than normal. Findings highlight unique morphological features of macrodontic premolars in a young patient.

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Area of Science:

  • Dentistry
  • Oral and Maxillofacial Surgery
  • Pediatric Dentistry

Background:

  • Macrodontia is a rare dental anomaly characterized by abnormally large teeth.
  • Generalized macrodontia may be associated with systemic conditions or syndromes.
  • Isolated macrodontia, particularly in premolars, is less common.

Purpose of the Study:

  • To present the clinical and radiographic findings of isolated bilateral macrodontia in a 14-year-old child.
  • To describe the distinct morphological characteristics of macrodontic premolars.

Main Methods:

  • Case report of a 14-year-old patient presenting with dental crowding.
  • Clinical examination and radiographic analysis (e.g., panoramic X-rays, periapical views) to assess tooth size, morphology, and position.
  • Detailed description of the crown and root morphology of the affected premolars.

Main Results:

  • The patient exhibited local crowding of maxillary and mandibular teeth.
  • Radiographic findings confirmed bilateral macrodontia affecting mandibular second premolars.
  • One macrodontic premolar was impacted, while the other was erupted.
  • The macrodontic premolars displayed large, multitubercular, and molariform crowns with tapering, single roots.

Conclusions:

  • Isolated bilateral macrodontia of premolars can occur without associated systemic conditions.
  • The distinct morphology of macrodontic teeth, including their crowns and roots, is important for diagnosis and treatment planning.
  • This case highlights the variability in presentation and the need for thorough radiographic evaluation in cases of dental anomalies.