Extremely Rare Form of Impaction Bilateral Kissing Molars: Report of a Case and Review of the Literature

Zerener, Tamer; Bayar, Gürkan Raşit; Altuğ, Hasan Ayberk; Kiran, Serkan

doi:10.1155/2016/2560792

Cited by 11 publications

(30 citation statements)

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“…The most commonly affected impacted teeth are mandibular and maxillary third molars, maxillary canine, second mandibular premolars and maxillary premolars, central incisors and very rarely second molars respectively. 6 In this case report third and second molars are involved on the left side.…”

Section: Introductionmentioning

confidence: 82%

“…4 In 2016, T. zerener et al; reported a case report study in which they shown a 38 yr. old female patient with bilateral kissing molars which is managed surgically through intraoral approach, in which also shown that kissing molar is a rare unusual type of condition which needs proper treatment planning before extracting these molars, to prevent complications like inferior alveolar nerve paraesthesia, mandibular fractures. 6 In most of the cases of kissing molars as reported in several studies in the literature, proper surgical management method was not clearly defined which makes management of this condition difficult. In our case report, we used extra-oral approach for surgical removal of this type of impacted condition, because in our patient roots of second molar was so inferiorly placed along lower border of the mandible and in close relation to inferior alveolar nerve canal.…”

Section: Discussionmentioning

confidence: 99%

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Unusual location of molars called as kissing molars: A case report

Singh¹,

Daga²,

Vignesh³

et al. 2020

IJOHD

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Introduction: Kissing molars also called as "rosette formation", these are unusual impacted teeth with their occlusal surfaces are in close apposition and the roots pointing in opposite direction. These are extremely rare conditions actually about less than thirty cases has been reported since now in the literature. Materials and Methods: This case report describes a patient who visited our outpatient clinic for pain over her left side of mandible for last one months. OPG was advised which showed unusual impacted left lower second and third molar relationship with their occlusal surfaces facing each other. Management by extraction of both second and third molars with proper surgical curettage of the site was done. Results: Postoperatively marked relief in the pain for the patient. Minimal postoperative swelling was observed immediate postoperative, which subsides after 5 days and there is no postoperative paraesthesia reported with relation to inferior alveolar nerve branch of trigeminal nerve and marginal mandibular nerve branch of facial nerve. Conclusion: Kissing molars are rare unusual pathological condition which needs proper treatment planning and management for proper surgical removal to prevent possible chances of postoperative paraesthesia with relation to inferior alveolar nerve branch of trigeminal nerve and marginal mandibular nerve branch of facial nerve. This report documents better surgical management of a patient with kissing molars.

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Section: Introductionmentioning

confidence: 82%

Section: Discussionmentioning

confidence: 99%

Unusual location of molars called as kissing molars: A case report

Singh¹,

Daga²,

Vignesh³

et al. 2020

IJOHD

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“…Panoramik radyografi çoğu durumda altın standart olarak kabul edilir. 24 İnferior alveoler sinir gibi anatomik yapılara yakınlığın değerlendirilmesi için konik ışınlı bilgisayarlı tomografi gibi ileri görüntüleme yöntemleri kullanılmalıdır.…”

Section: Gereç Ve Yöntemlerunclassified

The Study of Kissing Molars in Patients Admıtted to Uşak University Faculty of Dentistry

Evirgen¹,

Türkmenoğlu²,

Yüksel³

2020

Turkiye Klinikleri J Dental Sci

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ÖZET Amaç: "Kissing molars (KMs)" veya "rosette formasyonu", tek bir foliküler torba içerisinde gömülü daimi molar dişlerin oklüzal yüzeylerinin birbiriyle temas etmesini ve köklerinin zıt yönlere uzanmasını ifade eder. Nadir görülen bir durumdur. Bu çalışmanın amacı, Uşak Üniversitesi Diş Hekimliği Fakültesi Ağız, Diş ve Çene Radyolojisi Kliniğine Kasım 2016-Ağustos 2018 tarihleri arasında başvuran hastalarda KMs vakalarını prevalans, yaş, cinsiyet, sınıflandırma ve ilişkili olabilecek patoloji açısından değerlendirmektir. Gereç ve Yöntemler: Toplam 28984 panoramik radyografi ve 892 konik ışınlı bilgisayarlı tomografi görüntüsü retrospektif olarak incelendi. Radyolojik ve klinik veriler yaş, cinsiyet, medikal anamnez, prevalans, sınıflama ve ilişkili patolojiye göre değerlendirildi. Bulgular: Çalışmaya toplamda 18.792 erkek, 11.084 kadın hasta dâhil edilmiştir. İncelenen 29.876 radyolojik tetkik sonucunda toplam 7 hastada KMs tespit edildi (%0,023). KMs tespit edilen 7 hastanın 4'ü erkek, 3'ü kadındı ve yaş ortalaması 28,2 olarak saptandı. 7 hastada tespit edilen toplam 13 KMs olgusunun 4 tanesi unilateral, 3 tanesi bilateral olarak tespit edildi. Sonuç: KMs vakalarının görülme sıklığı çok düşüktür ve radyolojik tanısında herhangi bir zorluk yaşanmaz. Panoramik radyografi üzerinde KMs'ler görüldüğünde, çevre dokular üzerindeki potansiyel etkiler dikkatle incelenmelidir. KMs, mandibular fraktür, perikoronit, lokal ağrı, kistik değişiklik ve komşu dişlerde kök rezorpsiyonu gibi bazı komplikasyonlara neden olabilir. KMs vakalarının herhangi bir sistemik durumla ilişkisini belirlemek adına daha fazla çalışmaya ihtiyaç duyulmaktadır. Anah tar Ke li me ler: Gömülü dişler; kissing molars; prevalans; mukopolisakkaridoz ABS TRACT Objective: Kissing molars (KM) or rosette formation refers to contacting occlusal surfaces of impacted permanent molars in a single follicular space and their roots pointing in opposite directions. It is a rare phenomenon. The aim of present study was to assess the incidence, age, sex, classification and associated pathologies of kissing molars in all patients who presented to Oral and Maxillofacial Radiology Department at Uşak University Faculty of Dentistry between November 2016 and August 2018. Material and Methods: A total of 28,984 panoramic radiograph and 892 cone-beam computed tomography images were inspected retrospectively. The radiological and clinical data of KMs were evaluated according to age, gender, medical history, prevalence, classification and associated pathology. Results: A total of 18,792 male and 11,084 female patients were included in the study. As a result of 29,876 radiological examinations, KMs were detected in 7 patients (%0.023). Of the 7 patients, 4 were male and 3 were female, and the mean age was 28.2. Thirteen KMs were detected in 7 patients, 4 were detected unilaterally and 3 were bilaterally. Conclusion: The incidence of CMS cases is very low and there is no difficulty in the radiological diagnosis. The potential effects on the surrounding tissues should be exam...

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“…1,2 However, "kissing molars" (KMs) describe an unusual type of tooth impaction in which 2 mandibular molars are severely tipped and impacted with their occlusal surfaces positioned crown-to-crown and the roots pointing in opposite directions. [3][4][5][6][7][8] Gulses et al 9 proposed a radiographic classification of KMs into Class I, Class II, or Class III categories depending on the location of the teeth involved. If the impactions are between the first and second molars, they are classified as Class I KMs; between the second and third molars, Class II KMs; and between the third and fourth mandibular molars, Class III KMs.…”

mentioning

confidence: 99%

“…Surgical treatment involving extraction of 1 or both KMs is the most common protocol. 4,7,[11][12][13] The reason for this includes the high severity of the ectopic positions inherent to KMs. When molar tipping is extremely severe, showing a vertically inverted position in a panoramic radiograph (ie, root apex positioned more occlusally than the tooth crown), and the exposure level of the molar crown does not allow placement of uprighting mechanics on its buccal surface, molar uprighting may be a challenging task.…”

mentioning

confidence: 99%