Dental and Medical Problems

Dent Med Probl
Index Copernicus (ICV 2020) – 128.41
MEiN – 70 pts
CiteScore (2021) – 2.0
JCI – 0.22
Average rejection rate (2021) – 81.35%
ISSN 1644-387X (print)
ISSN 2300-9020 (online)
Periodicity – quarterly

Download PDF

Dental and Medical Problems

2016, vol. 53, nr 2, April-June, p. 291–295

doi: 10.17219/dmp/61348

Publication type: clinical case

Language: English

Download citation:

  • BIBTEX (JabRef, Mendeley)
  • RIS (Papers, Reference Manager, RefWorks, Zotero)

Creative Commons BY-NC-ND 3.0 Open Access

A Rare Case of Concrescence of Impacted Maxillary Molars

Rzadki przypadek wystąpienia zrośniętych zatrzymanych zębów trzonowych w szczęce

Ewelina Golusińska-Kardach1,A,B,C,D,E,F, Malina Sobieszczyk1,A,B,C,D,E,F, Jerzy Sokalski1,A,B,C,D,E,F

1 Department of Dental Surgery, Poznan University of Medical Sciences, Poznań, Poland

Abstract

Concrescence of teeth represents a rare developmental anomaly of tooth formation in which correctly formed teeth are joined solely via the cementum overlying the roots. In most cases, concrescence occurs in the posterior part of the maxilla and affects molars. A correct diagnosis based on radiological imaging poses difficulties for clinicians. Subsequently, the lack of a correct diagnosis may cause multiple complications such as the formation of an oroantral fistula or palatine tuberosity splintering. The patient, female, age 32, came to a dental surgery clinic for a planned extraction of a partially impacted tooth 17 that had caused a palatal abscess and considerable pain. During the surgical procedure it was discovered that the problem tooth (17) was completely joined with impacted tooth 18. Because of the rare occurrence of both anomalies simultaneously, the authors present a case of concrescent impacted teeth in the lateral segment of the maxilla. The aim of this paper is to make dentists aware of the possibility of encountering this unusual anomaly.

Key words

impacted teeth, concrescent teeth, lateral segment of the maxilla

Słowa kluczowe

zęby zrośnięte, zęby zatrzymane, boczny odcinek szczęki

References (19)

  1. Jańczuk Z.: Stomatologia zachowawcza zarys kliniczny. PZWL, Warszawa, 2008, 100–101.
  2. Janas A., Stelmach R., Osica P.: Bilateral fused teeth in jaw in patient with Down syndrome. TPS, 2015, 4, 39–41 [in Polish].
  3. Mohan B.: Hypercementosis and concrescence of maxillary second molar with third molar: a case report and review of literature. Oral Health Dent. Manag. 2014, 13, 558–561.
  4. Ajith S.D., Shetty S., Hussain H., Nagaraj T., Srinath M.: Management of multiple impacted teeth: A case report and review. J. Int. Oral Health 2014, 6, 93–98.
  5. Strecha J., Jurkovic R., Siebert T.: Fusion of the second maxillary molar with the impacted third molar. Bratisl. Lek. Listy 2012, 113, 569–571.
  6. Szyszkowska A., Hamwi R.: Selected dental abnormalities. Dual teeth: fused teeth, concrescent teeth, twin teeth. Supernumerary teeth. Poradnik Stomatol. 2010, 10, 226–231 [in Polish].
  7. Kaczkowski H., Pawlak W.: Report of concrescent teeth in the posteriori maxilla. Dent. Med. Probl. 2005, 42, 671–675 [in Polish].
  8. Santosh P.: Impacted mandibular third molars: review of literature and a proposal of a combined clinical and radiological classification. Ann. Med. Health Sci. Res. 2015, 5, 229–234.
  9. Mlosek K.: Radiologia stomatologiczna i szczękowo-twarzowa. Meddent-press, Warszawa, 1995, 85–116.
  10. Romito L.: Concrescence: report of a rare case. Oral Surg. Oral Med. Oral Pathol. Oral Radiol Endod. 2004, 97, 325–327.
  11. Khanna S., Sandhu S., Bansal H., Khanna V.: Concrescence – a report of two cases. Int. J. Dent. Clin. 2011, 3, 75–76.
  12. Thoma K., Goldman H.: Oral pathology. C.V. Mosby Company. St. Louis, 1960, 5th ed., 81–85.
  13. Bellapu V., Nagarakanti S.: Concrescence of erupted second molar and impacted third molar: A rare case report. IJDS, 2009, 8, 2.
  14. Khedgikar J.S., Khedgikar S.B.: Concrescence of maxillary first and second molar: a case report. J. Res. Med. Den. Sci. 2015, 2, 1.
  15. Liśniewska-Machorowska B.: Ortopedia szczękowa. Zasady i praktyka. PZWL, Warszawa 1983, 129–139.
  16. Rahnama M., Szczerba J., Puławska M.: Rare cases of incidence of retained retromolar teeth. Magazyn Stomatol. 2012, 22. Date of access: 20.11.2015 [in Polish].
  17. Badjate S.J., Cariappa K.M.: Concrescence: report of rare complication. NY State Dent. J. 2008, 74, 56–57.
  18. Grenhofer K.J.: Concrescence of maxillary second and third molar. J. Calif. Dent. Assoc. 2009, 37, 479–481.
  19. Dojs M., Roicka A.: The usefulness of pantomographic X-ray pictures in estimating the position of the paramolar and distomolar teeth. Ann. Acad. Med. Stetin. 2007, 53, 83–85 [in Polish].