Bilateral supernumerary maxillary fourth and fifth molars: A clinical case report and literature review

Abstract

Supernumerary teeth that are present in the molar region may be evident based on crowding and impaction, but most cases are asymptomatic and discovered as incidental findings during routine radiological examinations. This article reports the case of a 29-year-old woman who presented with a severe feeling of pressure in the region of the maxillary third molars that had been increasing in intensity for weeks. A clinical examination revealed crowding of the maxillary anterior teeth despite the completion of orthodontic treatment and an erupted third molar with localized gingivitis in the second quadrant. A radiographic examination revealed bilateral supernumerary maxillary fourth and fifth molars, so cone-beam computed tomography was performed to locate the supernumerary teeth precisely for a preoperative diagnosis and comprehensive treatment planning. This report presents the radiological and surgical case management of a rare case of bilateral supernumerary molars and reviews the literature regarding epidemiology and treatment options.

Imaging in Third Molar Surgery: A Clinical Update

“…Despite these concerns, three-dimensional imaging does not significantly increase the value of risk assessments in these cases. However, in cases involving supernumerary third molars, three-dimensional imaging surpasses conventional OPGs in its diagnostic superiority [28]. Postoperatively, an OPG may be performed to confirm the successful removal of the third molar and to assess any changes in the adjacent structures or to perform periodic long-term monitoring in cases with complications or at risk for late-onset alterations, such as cystic changes, to monitor the patient's current condition, rule out root remnants or further complications, and ensure proper healing.…”