Unusual Bilateral Paramolars Associated with Clinical Complications

Area of Science:

• Dentistry
• Oral and Maxillofacial Surgery
• Developmental Biology

Background:

• Paramolars are uncommon supernumerary teeth typically found buccally or lingually to the molar row.
• Bilateral occurrences of paramolars are exceptionally rare, often presenting diagnostic and management challenges.

Purpose of the Study:

• To report two rare cases of bilateral paramolars with significant clinical complications.
• To describe the management of these complex cases, including associated dental anomalies.

Main Methods:

• Clinical case reports detailing patient presentation, diagnostic imaging (e.g., OPG, CBCT), and treatment procedures.
• Detailed description of the surgical excision and follow-up of the paramolars and associated anomalies.

Main Results:

• Two cases of unusual bilateral paramolars were successfully managed.
• One case presented with co-occurring microdontia and a paramolar exhibiting a multilobed crown with an anomalous buccal tubercle.

Conclusions:

• Bilateral paramolars, though rare, require careful diagnosis and management due to potential complications.
• The co-occurrence of paramolars with other dental anomalies highlights the complexity of maxillofacial development.