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Impacted Molariform Distomolar Double Tooth: A Case Report.

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  • 1Oral Medicine and Radiology, Vinayaka Mission's Sankarachariyar Dental College, Vinayaka Mission's Research Foundation, Salem, IND.

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|May 6, 2022
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Double teeth, or conjoined teeth, occur when two tooth buds fuse or one splits. This case details an impacted molariform distodens fused at the crown and root in a 27-year-old female patient.

Area of Science:

  • Dentistry
  • Oral and Maxillofacial Surgery
  • Developmental Biology

Background:

  • Double teeth, known as conjoined or connated teeth, result from the fusion of two tooth buds or the incomplete division of a single tooth bud.
  • Supernumerary fourth molars, termed distomolars or distodens, are rare dental anomalies.
  • Distomolars typically present with small, conical, or peg-shaped crowns, with molariform distodens appearing as small premolars distal to the last molar.

Observation:

  • This case report focuses on a 27-year-old female patient.
  • The patient presented with an impacted molariform distodens.
  • The distodens exhibited fusion of both the crown and the root structures.

Findings:

  • The observed anomaly was a molariform distodens, a type of supernumerary tooth.
Keywords:
distomolarfusiongeminationsupernumerary teethtooth extraction

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  • The distodens was impacted, indicating it had not erupted properly into the dental arch.
  • A significant finding was the complete fusion of the crown and root of the distodens.

    • Implications:

    • Understanding the morphology and fusion patterns of supernumerary teeth like distodens is crucial for accurate diagnosis.
    • Such anomalies may require specific management strategies in endodontics and oral surgery.
    • This case contributes to the literature on rare dental anomalies, aiding in the understanding of tooth development variations.