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Teeth

Teeth

The formation of teeth, also known as odontogenesis, is a complex process that begins in utero, around the sixth week of embryonic development. There are three stages to this process: the bud stage, the cap stage, and the bell stage.
In the bud stage, the tooth germ (an aggregation of cells) starts to form in the developing jawbone. During the cap stage, the tooth germ differentiates into enamel organ, dental papilla, and dental sac, which will later develop into the tooth's enamel, dentin...

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Lateral Molar Approach-Driven Transoral Endoscopic Procedure for Benign Infratemporal Fossa Tumor Resection

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Bilateral mandibular fourth molars: A case report.

A Costantino¹, G M Fonseca², M Cantín³

¹Magister Program in Oral Implantology, Faculty of Dentistry, National University of La Plata, La Plata, Argentina.

Revue De Stomatologie, De Chirurgie Maxillo-Faciale Et De Chirurgie Orale

|June 20, 2015

Summary

This summary is machine-generated.

Supernumerary fourth molars can cause pain and infection, necessitating careful diagnosis and surgical removal. Early intervention, even for asymptomatic teeth, prevents future complications and ensures patient well-being.

Keywords:

Cas clinique Case reports Chirurgie orale Fourth molars Oral surgery Quatrième molaire

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Area of Science:

Dentistry
Oral Surgery
Radiology

Background:

Fourth molars are supernumerary teeth, often impacted, located behind third molars.
Their presence can lead to local alterations, necessitating accurate diagnosis and treatment planning.
Surgical extraction is a common treatment, requiring careful execution to protect adjacent anatomical structures.

Observation:

A 26-year-old female presented with pain and infection attributed to a mandibular molar.
Panoramic radiography revealed bilateral impacted mandibular fourth molars, with the third molar also impacted.
Surgical removal of the impacted fourth molars was performed.

Findings:

Extraction of the symptomatic left fourth molars resolved the patient's pain and infection.
The asymptomatic right fourth molar was also extracted due to radiographic evidence of pericoronitis.
Histopathological examination confirmed pericoronitis in the extracted asymptomatic fourth molar.

Implications:

This case highlights the importance of thorough radiographic examination for diagnosing supernumerary teeth.
Even asymptomatic supernumerary molars with signs of pericoronitis may require prophylactic extraction.
Patient consent is crucial, emphasizing that "asymptomatic" does not equate to absence of pathology.