Kissing molars: A rare case report

Abstract

Kissing molar is a rare condition wherein the occlusal surfaces of the impacted mandibular molars are in close proximity with each other within a single follicular space, with their roots in the opposite direction. According to the existing dental literature, the occurrence of this phenomenon is extremely rare and its etiology remains unknown. Keywords: Mandibular, kissing molar, follicular space, impacted ÖZ Kissing molar, gömülü mandibuler molarların oklüzal yüzeylerinin tek bir foliküler torba içerisinde birbirleriyle çok yakın oldukları ve köklerinin ters yönde olduğu nadir bir durumdur. Mevcut dental literatüre göre, bu fenomenin gelişmesi son derece nadirdir ve etiyolojisi bilinmemektedir.

Update on clinical, imaging, and therapeutic aspects of kissing molars: A systematic review

“…The authors conclude that there may be a relationship between KM and mucopolysaccharidosis, but impacted molar molars are not a pathognomonic factor, and RF may exist in patients without systemic alterations as an isolated characteristic. The mucopolysaccharidosis is inherited metabolic disorders, in which there will be abnormal deposition of mucopolysaccharides in the tissues like, skin, soft tissues of airway, cornea, central nervous system, heart, liver, spleen, bones, ligaments, and other sites due to an enzyme abnormality (Shahista, et al, 2013) The KM mainly involve second and third lower molars, with a higher prevalence of bilateral cases (n=9) (Van Hoof, 1973;Zerener, et al, 2016;Robinson, et al, 1991;Fortes, et al, 2014;Anish, et al, 2015;Ghosh, et al, 2017;Jannu, et al, 2014;Kiran, et al, 2014;Nakamura, et al, 1992;Nedjat-Shokouhi & Webb, 2014) followed by 7 cases involving teeth #47 and #48 (Gonzalez-Perez, et al, 2015;Arjona-Amo, et al, 2016;Scheuber & Bornstein, 2014) and 5 cases of teeth #37 and #38 (Fortes, et al, 2014;Ghosh, et al, 2017;McIntyre, 1997;Bozkurt, et al, 2017). In the literature, there is only 1 case of KM involving teeth #46 and #47, described by Barros, et al (2018) and 1 case involving third and fourth molar quarters,…”

“…In all cases, the surgical technique of odontossection was used to remove these teeth (n=17, 81%, p=0.055). Only two cases presented orthodontic treatment as a viable possibility in the management of KMs (Barros, et al, 2018;Ghosh, et al, 2017). There was no difference between anesthetic protocols (general or local) (p = 0.440) and most of the studies did not describe the anesthetic protocol used (n = 19, 57.58%) (Table 2) (Figure 4).…”

“…The cases were distributed in the continents of South America (n = 4) (Barros, et al, 2018;Giraldi Neto, et al, 2012;Fortes, et al, 2014). Central America (n = 1) (Nuño & Quijada, 2019) and North America (n=1) (Robinson, et al, 1991), Asia (n=9) (Anish, et al, 2015;Cansiz, et al, 2016;Ghosh, et al, 2017;Jannu, et al, 2014;Kiran, et al, 2014;Nakamura, et al, 1992) and Europe (n=17) (Menditti, et al, 2015;Gonzalez-Perez, et al, 2015;Arjona-Amo, et al, 2016;Boffano & Gallesio, 2009;McIntyre, 1997;Nedjat-Shokouhi & Webb, 2014;Scheuber & Bornstein, 2014). and.…”

“…and. The distribution among countries was: 4 in Brazil (Barros, et al, 2018;Giraldi Neto, et al, 2012;Fortes, et al, 2014), 1 in the United States (Robinson, et al, 1991), 1 in Mexico (Nuño & Quijada, 2019), 4 in India (Anish, et al, 2015;Ghosh, et al, 2017;Jannu, et al, 2014;Kiran, et al, 2014), 2 in Turkey (Zerener, et al, 2016;Barros, et al, 2018), 3 in Japan (Nakamura, et al, 1992), 4 in Italy (Menditti, et al, 2015;Boffano & Gallesio, 2009), 7 in Spain (Gonzalez-Perez, et al, 2015;Arjona-Amo, et al, 2016), 1 in Scotland (McIntyre, 1997), 1 in England (Nedjat-Shokouhi & Webb, 2014), 1 in Switzerland (Scheuber & Bornstein, 2014), 1 in the Netherlands (Van Hoof, 1973), (Figure 2). Bozkurt, et al (2017) published a series of 3 cases, but they did not describe the location of the study.…”

Impacção dentária do tipo “Kissing Molars”: uma revisão narrativa da literatura/ "Kissing Molars" Dental Impaction: a narrative review of the literature

“…O tratamento cirúrgico envolvendo a extração ambos os dentes de KMs é o protocolo de tratamento mais comum (4, 5, 7-10, 13-15, 17-19, 25, 27, 28, 31, 34-37). Outras opções de tratamento compreendem a terapia ortodôntica ( 16) quando há possibilidade de alinhamento dos dentes envolvidos, acompanhamento e proservação do paciente em casos sem sintomatologia e sem espessamento do folículo (8,17,31,33), ou ainda tratamentos combinados, como cirúrgicoortodôntico (17,(38)(39)(40).…”