FUSION AND GEMINATED MAXILLOMANDIBULAR FOURTH MOLARS: REPORT OF CASES SERIES

Abstract

Introduction: The presence of supernumerary teeth is a relatively uncommon dental anomaly. It is even rarer to encounter patients with distomolar teeth, commonly referred to as fourth molars. The occurrence of supernumerary teeth is indeed an unusual dental anomaly, and it is a rarity for patients to have impacted fourth molars in all quadrants. The gemination or fusion of maxillary and mandibular posterior teeth is even more infrequent. There are few reports of gemination and fusion involving third or fourth molars. This article describes the clinical, Case Series Presentation: radiological, and surgical approaches used to address the cases of nine patients who presented with maxillary and mandibular fourth molars diagnosed via panoramic x-ray. Routine radiographic examinations revealed impacted lower third molars in addition to the fourth molars. It was decided to extract the impacted teeth causing the patients' complaints. The impacted third and fourth molars were extracted under local anesthesia. One of these extracted teeth exhibited fusion, while the other exhibited gemination. This study aims to describe the fourth molar Aim: teeth found in nine patients who visited our clinic due to pain and/or orthodontic discomfort, as well as the fusion and gemination of these teeth, along with the surgical treatments administered. Accurate diagnosis can help prevent Conclusion: postsurgical complications and streamline the endodontic, prosthodontic, periodontal, orthodontic, and clinical management of such cases. Tooth extraction surgery was the chosen clinical procedure to address the impacted teeth.