Simultaneous surgical treatment of impacted third and fourth molars: a case report

• Serrano Torrecilla, Mónica ; Martínez-Rodríguez, Natalia ^[1] ; Martínez-González, Sandra ^[3] ; Rubio Alonso, Luis Jesús ^[2] ; Martínez-González, José Maria ^[2]
  1. [1] Universidad Rey Juan Carlos

     Universidad Rey Juan Carlos

     Madrid, España

     
  2. [2] Universidad Complutense de Madrid

     Universidad Complutense de Madrid

     Madrid, España

     
  3. [3] Hospital Virgen de la Paloma

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• Localización: Científica dental: Revista científica de formación continuada, ISSN 1697-6398, ISSN-e 1697-641X, Vol. 13, Nº. Extra 4 (Versión en inglés de los trabajos ganadores y los segundos clasificados de los premios de la revista), 2016, págs. 45-50
• Idioma: inglés
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• Resumen

  • Introduction: Supernumerary teeth or hyperdontia is an uncommon alteration characterized by an increased number of teeth in an individual, the etiology of which remains controversial. This abnormality is more common in females and the most frequent location isthe maxilla, usually on the midline.

    Objectives: This paper describes simultaneous surgical treatment of impacted third and fourth molars as well as the diagnostic protocol necessary to perform it.

    Clinical case: We present the case of a 48-year-old female who came in to the Orofacial Implantology Surgery Service at Hospital Virgen de La Paloma who was referred by her regular dentist. Radiologicalstudy with panoramic radiographsrevealed the presence of bilateral impacted lower distomolars next to third molars.

    Their relationship with the inferior dental nerve was determined by tomography. Once the patient wasinformed, and after obtaining informed consent, surgical extraction of the four lower molars was carried out.

    Conclusions: The treatment of supernumerary molars should be performed as soon as possible to avoid displacement and eruption of permanent teeth.