June 2022 Vol. 10 No.6

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Case Report

Combination of bilateral paramolar and distomolar supernumerary teeth in the maxillary arch: A rare case report

Touseef Tahir Khan¹, Mahwish Erkin², Sundas Ghaus³, Mehwish Pasha⁴, Saad Shahnawaz⁵

¹Department of Periodontology Islamabad Dental Hospital, Islamabad Medical and Dental College, Pakistan
²Department of Oral Maxillofacial Surgery, Shifa College of Dentistry, Shifa Tameer-e-Millat University, Pakistan
³Department of Oral Medicine, Shifa College of Dentistry, Shifa Tameer-e-Millat University, Pakistan
⁴Department of Dental Materials, Shifa College of Dentistry, Shifa Tameer-e-Millat University, Pakistan
⁵Department of Operative Dentistry, Islamic International Dental Hospital, Riphah International University, Pakistan

*Corresponding Author's E-mail: saadahmed552@hotmail.com
 
Received: 21 May 2022  I  Accepted: 22 June 2022  I  Published: 24 June 2022  I  Article ID: MRJMMS22051
Copyright © 2022 Author(s) retain the copyright of this article.
This article is published under the terms of the Creative Commons Attribution License 4.0.

Abstract

Supernumerary molars are relatively rare entities in the oral and maxillofacial region. These are an odontostomatologic anomalies characterized by the existence of an excessive number of teeth in relation to the normal dental formula. Usually, these supernumerary teeth occur singly and unilaterally, but very rarely do they occur bilaterally. Even more unique is the occurrence of both paramolar and distomolar together. Such a condition is commonly seen with several congenital genetic disorders, including cleft lip and palate, Gardner's syndrome, and Cleidocranial Dysostosis. Other uncommon disorders which may lead to such an anomaly include Ehlers-Danlos syndrome, Fabry Anderson’s syndrome, and chondroectodermal dysplasia. However, in this case, the patient as well as his twin was asymptomatic and non-syndromic. The presence of hyperdontia causes complications which include dental impaction, delayed eruption, and relapse after orthodontic treatment. This paper reports an unusual occurrence of a combination of paramolar and distomolar in the maxillary arch of a twin male patient, which was an incidental finding.We will also discuss the prevalence and treatment options for paramolars and distomolar as relevant to our case.

Keywords: Dental Anomaly, Distomolar, Hyperdontia, Maxilla, Paramolar, Supernumerary teeth