The study presents a case of the rarely occurring totally retained fourth molar teeth simultaneously in maxilla and mandible. The appearance of supernumerary teeth is a relatively uncommon dental anomaly and it is rare for patients to have impacted fourth molars in two quadrant. The aim of this work is to describe the presence of unilateral (right) fourth molars in the maxilla and the mandible in a young female patient aged 24 years. Orthopantomogram revealed impacted lower third molars but also unerupted unilateral (right) upper and lower fourth molars. Before orthodontic treatment, the patient was subsequently admitted for removal of third and fourth impacted upper and lower molars under local anesthesia.
Socket healing after tooth extraction is a multistage process, often complicated by pain and inflammatory complications. To prevent complications in healing, many preparations of disinfecting, soothing and supporting the healing process activity are used. The effect of Tubulex swabs on wound healing was evaluated. Tubulex are sterile swabs, moistened with Tubulicid Blue, which contains benzalkonium chloride, amphoteric-2, disodium edetate dehydrate and phosphate buffer saline, giving it disinfectant and soothing properties. A positive effect of the use of Tubulex on the healing of post-extraction wounds has been proved.
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