Rare case of gemination of mandibular third molar-A case report

Evlaution of Different Suturing Techniques in Deep Third Molar Surgery: An Original Research

Purpose

The purpose of this study was to compare the efficacy of various suturing methods used in deep third molar extraction procedures.

Methods

A total of four suturing method groups-simple interrupted, horizontal mattress, vertical mattress, and figure-of-eight-were randomly allocated to 100 patients having deep third molar surgery. Assessments were conducted on wound healing, operation time, intraoperative problems, postoperative pain scores, swelling measures, and patient satisfaction questionnaires. Appropriate tests were used for statistical analysis, with P < 0.05 being regarded as significant.

Results

Compared to other procedures, the figure-of-eight technique showed better results in terms of postoperative pain scores, swelling measures, wound healing percentages, and patient satisfaction (P < 0.05). There was no discernible difference in the operating time or intraoperative problems between the groups.

Conclusion

In conclusion, there seems to be a benefit to using the figure-of-eight suturing approach for deep third molar surgery in terms of improved postoperative results and patient satisfaction. It is recommended that clinicians give this strategy some thought to improve patient care and surgical results.

Gemination of an Erupted Mandibular Third Molar: A Short Presentation of an Exceptionally Rare Clinical Occurrence

Double teeth, like fusions and geminations, are rare disorders of tooth development. In this short case presentation, we describe the unique appearance of a fully erupted mandibular wisdom tooth in a 72-year-old patient whose tooth exhibited gemination. This was possible because tooth 46 had to be removed from the patient at the age of 20 and the missing molar was not replaced. This geminated tooth of 48 had been in function for almost 50 years and finally had to be removed due to a periodontal inflammation. To the best of our knowledge, this is the first case presented of this dental anomaly for a fully erupted lower wisdom tooth.

Rare case of gemination and fusion involving supernumerary teeth and second mandibular molar - Case report

This article presents the rare case of a patient with gemination and fusion involving conical supernumerary teeth and the second mandibular molar, along with its treatment. The 13-year-old girl, without any associated syndromes and currently undergoing orthodontic treatment, was referred for evaluation due to the presence of a supernumerary tooth. Following a clinical examination and analysis of a panoramic radiograph, a cone beam computed tomography was requested for a more detailed assessment of the supernumerary tooth and its relationship with adjacent structures. The sagittal sections revealed the presence of two conical paramolar supernumerary teeth, which were geminated and fused to the mesial root of tooth 47. The suggested treatment was the surgical removal of the supernumerary teeth, which was successfully performed without complications and with good healing. After one-year post-procedure, the formation of periodontal ligament was verified at the site where the supernumerary teeth were extracted. The simultaneous occurrence of gemination of two supernumerary teeth and their fusion to a mandibular molar is extremely rare, and their surgical removal provided the patient with better plaque control in the region and contributed to the progress of orthodontic treatment. Key words:Gemination and fusion of supernumerary teeth and second mandibular molar.

A Geminated Mandibular Second Molar—A Case Report

Fusion and gemination are not entirely uncommon dental anomalies that may also be named ‘double teeth’. This is due to their unusual presentation in a twin-like fashion. Teeth with these irregularities may appear clinically similar, presenting as large and bulbous in shape with unusual anatomy and fissure patterns. The exact aetiology of these anomalies is uncertain, but many potential local or systemic disturbances during the morphodifferentiation stage of odontogenesis have been considered. Gemination occurs rarely in the permanent dentition and even less frequently in the posterior region of the oral cavity. This report presents a case of a geminated mandibular second molar and discusses the importance of early recognition and diagnosis of such teeth so that adequate preventative care and treatment can be provided.

Endodontic management of a rare case of the geminated maxillary second molar tooth using CBCT

This report illustrates a rare case of a geminated maxillary right second molar tooth using CBCT in a 23-year-old man with severe pain. Nonsurgical endodontic treatment was performed, which gave rise to an asymptomatic tooth at the 12-month follow-up.