Distomolar Supernumerary in the mandibular ramus associated with a dentigerous cyst. A case presentation

• Main Authors: Denia Morales Navarro (Author), José Ángel Méndez Capote (Author)
• Format: Book
• Published: Universidad de Ciencias Médicas de La Habana, 2018-02-01T00:00:00Z.
• Subjects: article
• Online Access: Connect to this object online.
• Notes: 1729-519X
• Keywords: Medicine (General); R5-920; Public aspects of medicine; RA1-1270
• Source: Revista Habanera de Ciencias Médicas, Vol 17, Iss 2, Pp 255-264 (2018)

<p style="margin-bottom: .0001pt; text-align: justify; line-height: 150%;"><span style="color: #000000; font-family: verdana; font-size: small;"><strong>Introduction:</strong> Supernumerary teeth are anomalies in which there is an increase of the normal dental formula. They occasionally cause complications, such as the formation of a dentigerous cyst. Because of the unusual finding, and even more because of the report of this association, a case presentation is carried out. <strong><br /> Objective:</strong> To describe the management of a supernumerary distomolar in the mandibular ramus associated with a dentigerous cyst, making emphasis on the importance of the preoperative imaging studies and the endo-buccal surgery approach.<br /> </span><span style="color: #000000; font-family: verdana; font-size: small;"><strong>Case presentation:</strong> 34 years old female patient from whom the third molars were removed during adolescence, who presented facial cellulitis 3 months before the molars removal, which was a reason to perform an orthopantomography. Then, a molar in the mandibular ramus was detected. During oral examination, a light vestibular table expansion in the left mandibular ramus was found. The presence of a dental structure from the molar group which was associated with a radiolucent area was confirmed by orthopantomography, and was also confirmed by CT-scan. Exeresis of both molars under general anesthesia was planned, with an endo-buccal approach. There were no complications. The patient was discharged 24 hours later, and was treated in the outpatient consulting room for 6 months. Histopathological diagnosis revealed the presence of a cyst. <strong><br /> Conclusions:</strong> The finding of a supernumerary distomolar tooth in the mandibular ramus associated with a dentigerous cyst is an infrequent clinical situation that allows to make good use of the benefits of digital imaging studies, and implement a treatment plan that ends in a successful exeresis via an endo-buccal route, without any complications. </span></p><p style="margin-bottom: .0001pt; text-align: justify; line-height: 150%; border: none; padding: 0cm;"><span style="color: #000000; font-family: verdana; font-size: small;"><strong>Keywords:</strong>supernumerary tooth, tooth not erupted, dentigerous cyst, successful exeresis.</span></p>