Interesting cases of kissing molars. Report of two cases
Interessante casos de kissing molars. Relato de dois casos clínicos
Neto, Francisco Orlando Giraldi; Júnior, Hernando Valentim Rocha; Júnior, Wilson Martinez; Duarte, Bruno Gomes; Salgueiro, Daniel Gomes; SantAna, Eduardo
Rev. odontol. UNESP, vol.41, n4, p.292-295, 2012
Abstract
Mandibular third molars are the most common unerupted teeth, whose etiology of this fact is debated on literature, being several factors causing such phenomena. On the other hand the retention of the mandibular second molar, does not present the same frequency, being a rare clinical condition, as well as the simultaneous retention of both teeth. Reports in literature classify the cases in which these teeth are simultaneously impacted with oclusal surfaces contacting each other united by the same follicular space and the roots in the opposite directions like “Kissing Molars”. The treatment of choice for these cases is the surgical removal of both teeth. Objective: The present work aims to expose a case about “kissing molars” and its management. Material and method: This case report describes two cases of Kissing Molars and their treatment. Result and conclusion: In this paper we present a case report of a “kissing molars” and its management to the patient without complications.
Keywords
Oral surgery, third molar, impacted tooth.
Resumo
Os dentes não irrompidos mais comumente encontrados são os terceiros molares inferiores, sendo a sua etiologia debatida dentro da literatura, sendo diversas causas atribuídas a essa situação. Por outro lado, a retenção do segundo molar inferior, não apresenta a mesma freqüência, apresentando-se como uma condição rara, assim como a retenção simultânea de ambos os dentes. Relatos na literatura classificam os casos em que esses dentes se apresentam simultaneamente impactados estando a superfície oclusal dos mesmos conectadas por um mesmo folículo pericoronário e as raízes em direção oposta como “Kissing Molars”. O tratamento de escolha para esses casos é a remoção cirúrgica de ambos os dentes. Objetivo: O presente trabalho visa expor um caso clínico sobre “kissing molars” , bem como o seu manejo. Material e método: Este relato de caso descreve dois casos clínicos de Kissing Molars e seus respectivos tratamentos. Resultado e conclusão: No presente trabalho temos a apresentação de um relato de caso clínico de um “kissing molars”, bem como o seu manejo sem complicações ao paciente.
Palavras-chave
Cirurgia bucal, terceiro molar, dente impactado.
Referências
1. Al-Khateeb TH, Bataineh AB. Pathology associated with impacted mandibular third molars in a group of jordanians. J Oral Maxillofac Surg. 2006; 64: 1598-602. PMid: 17052585
2. Peterson LJ. Principles of management of impacted teeth. In: Peterson LJ, Ellis III E, Hupp JR, Tucker MR, editors. Contemporary oral & maxillofacial surgery. St Louis: Elsevier; 1993. p. 225-60.
3. McIntyre G. Kissing molars: an unexpected finding. Dental Update. 1997; 24: 373-4. PMid: 9534425
4. Van Hoof RF. Four kissing molars. Oral Surg Oral Med Oral Pathol. 1973; 35: 284. PMid: 4513074. http://dx.doi.org/10.1016/0030- 4220(73)90297-1
5. Boffano P, Gallesio C. Kissing molars. J Craniofac Surg. 2009; 20: 1269-70. PMid: 19625844. http://dx.doi.org/10.1097/ SCS.0b013e3181abb271
6. Krishnan B. Kissing molars. Br Dent J. 2008; 204: 281-2. http://dx.doi.org/10.1038/bdj.2008.216
7. Almendros-Márques N, Alaejos-Algarra E, Quinteros-Borgarello M, Berini-Aytés L, Gay-Escoda C. Factors influencing the prophylatic removal of asynptomatic impacted lower third molar. Int J Oral Maxillofac Surg. 2008; 37: 29-35. http://dx.doi.org/10.1016/j. ijom.2007.06.008
8. Farish SE, Bouloux GF. General technique of third molar removal. Oral Maxillofac Surg Clin North Am. 2007; 19: 23-43. http://dx.doi. org/10.1016/j.coms.2006.11.012
9. Bouloux GF, Steed MB, Perciaccante VJ. Complications of third molar surgery. Oral Maxillofac Surg Clin North Am. 2007; 19: 117-28. http://dx.doi.org/10.1016/j.coms.2006.11.013
10. Adeyemo WL. Do pathologies associetes with impacted lower third molar justify prophylactic removal? A critical review of the literature. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006; 102: 448-52. http://dx.doi.org/10.1016/j.tripleo.2005.08.015
11. Woldenberg Y, Gatot I, Bodner L. Iatrogenic mandibular fracture associated with third molar removal. Can it be prevented?. Med Oral Patol Oral Cir Bucal. 2007; 12: 70-2.
12. Iizuka T, Tanner S, Berthold H. Mandibular fractures following third molar extraction A retrospective clinical and radiological study. Int J Oral Maxillofac Surg. 1997; 26: 338-43. http://dx.doi.org/10.1016/S0901-5027(97)80793-X
13. Al-Belasy Fa, Tozoglu S, Ertas U. Mastication and late mandibular fracture after surgery of impacted third molars associated with no gross pathology. J Oral Maxillofac Surg. 2009; 67: 856-61. http://dx.doi.org/10.1016/j.joms.2008.09.007
14. Susarla SM, Blaeser BF, Magalnick D. Third molar surgery and associated complications. Oral Maxillofac Surg Clin North Am. 2003; 15: 177‑86. http://dx.doi.org/10.1016/S1042-3699(02)00102-4
15. Valmaseda-Castellón E, Berini-Aytés L, Gay-Escoda C. Inferior alveolar nerve damage after lower third molar surgical extraction: a prospective study of 1117 surgical extractions. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2001; 92: 377-83. http://dx.doi. org/10.1067/moe.2001.118284
16. Lee JT, Dodson TB. The Effect of mandibular third molar presence and position on the risk of a Angle fracture. J Oral Maxillofac Surg. 2000; 58: 394-9. http://dx.doi.org/10.1016/S0278-2391(00)90921-2
17. Iida S, Hassfeld S, Reuther T, Nomura K, Mühling J. Relationship between the risk of mandibular Angle fractures and the status of incompletely erupted mandibular third molars. J Craniomaxillofac Surg. 2005; 33: 158-63. http://dx.doi.org/10.1016/j.jcms.2004.12.001
18. Sortino F, Pedullà E, Masoli V. The piezoelectric and rotatory osteotomy technique in impacted third molar surgery: comparison of postoperative recovery. J Oral Maxillofac Surg. 2008; 66: 2444-8. http://dx.doi.org/10.1016/j.joms.2008.06.004
19. Gbotolorun OM, Arotiba GT, Ladeinde AL. Assessment of factors associated with surgical difficulty in impacted mandibular third molar extraction. J Oral Maxillofac Surg. 2007; 65: 1977-83. http://dx.doi.org/10.1016/j.joms.2006.11.030
20. Marciani RD. Third molar removal: an overview of indications, imaging, evaluation, and assessment of risk. Oral Maxillofac Surg Clin North Am. 2007; 19: 1-13. http://dx.doi.org/10.1016/j.coms.2006.11.007
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