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Impacted Mandibular "Double" Third Molar: Fusion or Gemination? A Case Report
Nadim Oliva1, Martina Casaburi2, Silvano Mucllari3
1Specialist in Oral Surgery, University of Milan, Milan, Italy.
Compendium of Continuing Education in Dentistry (Jamesburg, N.J. : 1995)
|June 20, 2024
Summary
This case report details the successful extraction of a mandibular impacted "double" third molar, a rare dental anomaly potentially caused by tooth fusion or gemination. Early intervention in young patients with incomplete root development facilitates favorable surgical outcomes.
Area of Science:
- Dentistry
- Oral and Maxillofacial Surgery
- Developmental Biology
Background:
- Dental anomalies like tooth fusion present unique diagnostic and treatment challenges.
- Impacted third molars require careful management due to potential complications.
Purpose of the Study:
- To report a case of a mandibular impacted "double" third molar.
- To discuss the diagnostic process and surgical management of this rare dental anomaly.
Main Methods:
- A 21-year-old patient with a suspected fused or geminated mandibular third molar underwent radiological examination.
- Therapeutic options were evaluated, and surgical extraction was performed with antibiotic and antiseptic prophylaxis.
Main Results:
- Radiological analysis provided detailed information on tooth morphology, root development, and proximity to the inferior alveolar nerve.
- Surgical extraction was successful due to the patient's young age, incomplete root formation, and standard surgical protocols.
Conclusions:
- Surgical extraction can be a safe and effective treatment for impacted "double" third molars in select cases.
- Early diagnosis and management, considering factors like root development, are crucial for successful outcomes in treating dental anomalies.
