Bilateral Paramolar Tubercles on the Distobuccal Surfaces of Mandibular Primary First Molars: A Rare Occurrence

Abstract

A 6-year old boy was seen at the Paediatric clinic in Bangalore, with the chief complaint of pain in the lower left primary second molar. His medical, surgical, and personal history was noncontributory. Extraoral examination revealed left submandibular lymphadenopathy. Oral examination revealed a large carious lesion in relation to the left mandibular second primary molar. No soft tissue abnormalities were found. On careful clinical examination, extra additional cuspal projections were seen on the distobuccal surfaces of the right and left mandibular primary first molars [Table/ Fig-1]. The projections were 2x2mm in size with a globular shape and placed on the distobuccal surface of the mandibular primary first molars [Table/ Fig-2].The opposing teeth conformed well in occlusion with these cuspal projections. No evidence of caries was noted in the grooves of these cusps. Neither the siblings nor the parents had reported with such Dentistry Section

Nonsyphilitic occurrence of mulberry molars: A rare case report

“…Such changes may be found in the crown either in the form of anomalous cusps and variations in the occlusal surface showing globular-shaped additional cusps or in an increased number of roots. [ 3 ] However, to the best of our knowledge, this is the first nonsyphilitic case with the occurrence of multiple globular cusps resembling mulberry molars.…”