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Published on: May 30, 2025
A unique case report of mulberry second molar in a non-syphilitic patient
Zdravka Harizanova1, Ferihan Popova1, Marieta Peycheva2,3
1Department of Anatomy, Histology and Embryology, Faculty of Medicine, Medical University-Plovdiv, Plovdiv, Bulgaria.
Rationale:
The common embryologic neural origin of the ectoderm includes the epidermal layer of the skin and the amelodentinal components of the teeth which can result in numerous diseases damaging both skin and dentition. Three main dental abnormalities were described as a consequence of congenital syphilis: Hutchinson incisors, bud molars, and mulberry molars which usually affect all permanent first molars.
Patient Concerns:
As far as we know, this case is the first reported for mulberry second molar in a non-syphilitic patient. Ten projections globular in shape were presented on the occlusal surface of the second mandibular molar.
Diagnoses:
The findings were characteristic for mulberry molars and therefore diagnosed as mulberry molars.
Interventions And Outcomes:
No prosthetic treatment was conducted, just topical fluoride application was performed, and periodic observations were scheduled.
Lessons:
It is recommended that gynecologists and pediatricians should be provided with additional information about the local and systemic factors that can lead to developmental diseases of the teeth.
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