Isolated bilateral molariform mandibular second premolars; a case report

Area of Science:

• Dentistry
• Oral Pathology
• Orthodontics

Background:

• Molariform second premolars are a rare dental anomaly where premolars resemble molars in size and shape.
• This condition is often associated with macrodontia, an enlargement of teeth that disrupts dental proportions.
• Bilateral molariform premolars, particularly those induced by gemination, are exceptionally uncommon.

Purpose of the Study:

• To report a rare case of bilateral molariform second premolars in the mandibular arch.
• To discuss the diagnostic challenges and treatment implications of this anomaly.
• To highlight the importance of early diagnosis and interdisciplinary collaboration.

Main Methods:

• Detailed clinical examination and radiographic evaluations were used for diagnosis.
• The case involved a young patient with bilateral mandibular molariform second premolars.
• Treatment planning included orthodontic correction and subsequent reshaping of the macrodont premolars.

Main Results:

• The bilateral molariform premolars exhibited exaggerated dimensions and molar-like occlusal morphology.
• The anomaly posed challenges for orthodontic alignment and restorative planning.
• The patient's treatment plan involved orthodontics followed by reshaping.

Conclusions:

• Molariform premolars significantly impact dental alignment and treatment outcomes.
• Dental professionals must be vigilant for these anomalies to prevent complications such as crowding and malocclusion.
• Early diagnosis and strategic, interdisciplinary intervention are vital for successful management.