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    Bilateral Maxillary Second Molar Tooth Microdontia: A Case of Very Rare Tooth Anomaly

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    Yusuf Diansyah
    This case report describes a rare case of bilateral microdontia (abnormally small teeth) of the maxillary (upper jaw) second molar teeth in a 22-year-old female patient. Radiographs revealed that the second molar teeth were much smaller than normal on both sides of the upper jaw. Additionally, the third molar teeth were not present. This anomaly of microdontia occurring in both second molar teeth without being associated with a syndrome is very rare, with only one previous case reported. The small size of the teeth could make them more susceptible to cavities and more difficult to treat, so early diagnosis is important. This case contributes to the literature on dental anomalies by documenting this unusual presentation of bilateral

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    Bilateral Maxillary Second Molar Tooth Microdontia: A Case of Very Rare Tooth Anomaly

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    Yusuf Diansyah
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    This case report describes a rare case of bilateral microdontia (abnormally small teeth) of the maxillary (upper jaw) second molar teeth in a 22-year-old female patient. Radiographs revealed that the second molar teeth were much smaller than normal on both sides of the upper jaw. Additionally, the third molar teeth were not present. This anomaly of microdontia occurring in both second molar teeth without being associated with a syndrome is very rare, with only one previous case reported. The small size of the teeth could make them more susceptible to cavities and more difficult to treat, so early diagnosis is important. This case contributes to the literature on dental anomalies by documenting this unusual presentation of bilateral

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    This case report describes a rare case of bilateral microdontia (abnormally small teeth) of the maxillary (upper jaw) second molar teeth in a 22-year-old female patient. Radiographs revealed that the second molar teeth were much smaller than normal on both sides of the upper jaw. Additionally, the third molar teeth were not present. This anomaly of microdontia occurring in both second molar teeth without being associated with a syndrome is very rare, with only one previous case reported. The small size of the teeth could make them more susceptible to cavities and more difficult to treat, so early diagnosis is important. This case contributes to the literature on dental anomalies by documenting this unusual presentation of bilateral

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    24 views3 pages

    Bilateral Maxillary Second Molar Tooth Microdontia: A Case of Very Rare Tooth Anomaly

    Uploaded by

    Yusuf Diansyah
    This case report describes a rare case of bilateral microdontia (abnormally small teeth) of the maxillary (upper jaw) second molar teeth in a 22-year-old female patient. Radiographs revealed that the second molar teeth were much smaller than normal on both sides of the upper jaw. Additionally, the third molar teeth were not present. This anomaly of microdontia occurring in both second molar teeth without being associated with a syndrome is very rare, with only one previous case reported. The small size of the teeth could make them more susceptible to cavities and more difficult to treat, so early diagnosis is important. This case contributes to the literature on dental anomalies by documenting this unusual presentation of bilateral

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    of 3

    International Journal of Applied Dental Sciences 2020; 6(2): 346-348

    ISSN Print: 2394-7489


    ISSN Online: 2394-7497
    IJADS 2020; 6(2): 346-348 Bilateral maxillary second molar tooth microdontia: A
    © 2020 IJADS
    www.oraljournal.com
    case of very rare tooth anomaly
    Received: 01-02-2020
    Accepted: 03-03-2020
    Dr. Sumeyye Celik Ozsoy and Dr. Bilgun Cetin
    Dr. Sumeyye Celik Ozsoy
    Beyhekim Oral and Dental Abstract
    Health Center/ Konya The incidence studies of teeth that have microdontia were found to be seen in maxillary lateral incisor
    Oral and Maxillofacial Radiology teeth, third molar teeth and supernumerary teeth respectively; but this anomaly, which is not related to
    Department, Dentistry Faculty any syndrome in the molar teeth is rather rare. Besides, the reported case on this subject is not enough.
    of Mehmet Akif Ersoy The objective of this paper is to share knowledge and images of a very rare case: bilateral microdontia of
    University, Burdur, Turkey
    the maxillary second molar teeth.
    Dr. Bilgun Cetin
    Burdur Mehmet Akif Ersoy Keywords: Microdontia, second molar, dental anomaly, tooth agenesis
    University Faculty of Dentistry,
    Istiklal Yerleskesi 15030 Burdur, Introduction
    Turkey Most of the anomalies observed in the teeth are caused by the effects of genetic or
    environmental factors in the developmental stages of the teeth. While shape, number and size
    anomalies are formed in the morpho-differentiation stage, formation anomalies by which the
    tooth hard tissues are formed in the histodifferentiation due to a disorder or an effect. Despite
    this, the etiology of dental anomalies is not completely known [1].
    The concept of microdontia within the relatively common size anomalies is of the entire tooth
    or only the crown or only the root, which is smaller than its normal size [2]. Although the
    incidence of microdontia varies in various studies, it is considered to be between 0.7-9.9% [1].
    The incidence studies of the teeth that have microdontia were found to be mostly seen in
    maxillary lateral incisor teeth, third molar teeth and supernumerary teeth respectively [3, 4].
    Microdontic anomalies are associated with various syndromes, such as orofacial digital
    syndrome type 3, oculo-mandibulo facial syndrome, and William's syndrome. Microdontia is
    an extremely rare condition in the second molar teeth, which is not associated with syndromes [2].
    The aim of this case report is to share knowledge and images about microdontia, which is not
    related to any syndrome, in bilateral maxillary second molar teeth. It is believed that this case
    report will contribute to the literature as there was only one report on this subject [2].

    Case Report
    A 22-year-old, completely healthy female patient applied to the Department of Oral and
    Maxillofacial Radiology of the Faculty of Dentistry with complaints of sensitivity with hot and
    cold stimulants in her posterior teeth. There was no caries finding in the preliminary
    examination. Since the second molar teeth seemed smaller and the third molars were not in the
    alveolar archs, a panoramic x-ray was taken and for possibilities of caries lesion, two bitewing
    radiographs were taken. On the panoramic image, it was observed that the maxillary second
    molar teeth were very small on both sides and the third molar teeth were not formed at all (Fig.
    1). Taken into account the fact that the germs of the third molar teeth were able to slide
    anteriorly and erupt from the second molar teeth region in the early second molar tooth
    extraction, we learned that there were no permanent teeth extraction in the anamnesis.
    Furthermore, it became evident that the teeth in the question are not third molars having
    Corresponding Author: microdontia anomalies by looking at both the intraoral position (Fig. 2) and the smooth axis
    Dr. Bilgun Cetin inclination in the radiographs. In this way, microdontia was detected in maxillary second
    Assist. Prof, Burdur Mehmet molar teeth and agenesis was detected in all the third molar teeth.
    Akif Ersoy University Faculty of
    Dentistry, Istiklal Yerleskesi
    Since the cause of the complaints is gum inflammation and no proximal caries lesion was seen
    15030 Burdur, Turkey on the bitewing images (Fig. 3), the patient was referred to the periodontology clinic.

    ~ 346 ~
    International Journal of Applied Dental Sciences http://www.oraljournal.com

    No complaints were made for the second molar teeth having reported case was the first in the literature. Hans et al.
    microdontia, including aesthetics, and a possible caries reported that there was neither a case of bilateral molar teeth
    treatment for them could be difficult, so the patient was only which has microdontia anomaly nor a case of unilateral [2].
    informed about careful oral care. However, a few cases that are not associated with syndrome
    have been reported in all teeth. In the cases of multiple tooth
    Discussion involvement, the microdontia was mostly pronounced with
    Dental anomalies related to a single tooth development, due to the anterior teeth [6, 7].
    local factors, while cases involving more teeth or the Microdontia anomaly often causes aesthetic problems because
    appearance of several anomalies are observed together with it is frequently observed in lateral incisor teeth. When seen in
    various syndromes. However, it is possible to observe more the posterior teeth, it is susceptible to caries because it does
    than one anomaly in individuals without syndrome, although not provide the ideal contact with the adjacent teeth, but
    it is very rare [5]. In this case, both third molar tooth agenesis treatment can be challenging, due to its size and root canal
    and microdontia of bilateral second molar teeth were detected morphologies [3]. In fact, the root canal morphology of the
    in the patient without syndrome. second molar teeth in general can vary and this affects the
    Only one case report was found when the literature review of successes of root canal treatment [8]. Also, if there is a
    molar teeth showing bilateral microdontic anomalies microdontia, it may not be possible to predict how this can
    unrelated to the syndrome was made. In the case, microdontia change root canal morphology. For these reasons, the
    was observed in the maxillary second molar teeth bilaterally diagnosis of microdontia in the early period is very important.
    and not related to any syndrome. It was emphasized the

    Fig 1: Digital panoramik X-ray image of the case.

    Fig 2: Intraoral photograph showing bilateral microdontia of maxillary second molar teeth (white arrows).

    ~ 347 ~
    International Journal of Applied Dental Sciences http://www.oraljournal.com

    Fig 3: Bitewing radiographs of the case. (a. right side, b. left side)

    Conclusion
    Although non-syndrome microdontia is observed frequently
    in the lateral incisors, third molars, and supernumerary teeth,
    it may rarely occur in other tooth groups as well. Due to the
    different contact relationship with adjacent teeth and root
    canal morphology, it is very important to make an early
    diagnosis. Besides, it may be necessary to use radiographs in
    addition to oral examination in the diagnosis of microdontia.

    References
    1. Aren G, Güven Y, Güney Tolgay C, Özcan İ, Bayar ÖF,
    Köse TE et al., The Prevalence of Dental Anomalies in a
    Turkish Population. J Istanbul Univ Fac Dent. 2015;
    49:23-28.
    2. Hans MK, Chander S, Ahluwalia AS, Chinna H. Non
    Syndromic Bilateral Microdontia of Maxillary Second
    Molars: A Very Rare Finding. J Clin Diagn Res. 2015;
    9:ZJ03-ZJ04.
    3. Fekonja A. Prevalence of dental developmental
    anomalies of permanent teeth in children and their
    influence on esthetics. J Esthet Restor Dent. 2017;
    29(4):276-83.
    4. Anusha RL, Kanneppady SK, Banu V. Localized
    Microdontia of Maxillary Second Premolar - A Rare
    Case Report. International Journal of Preventive
    Dentistry and Oral Epidemiology. 2014; 3:10-12.
    5. Sulabha AN, Sameer C. A rare case of multiple dental
    anomalies in non syndromic patient. Bangladesh Journal
    of Medical Science. 2014; 13:95-98.
    6. Bargale SD, Kiran SDP. Non-syndromic occurrence of
    true generalized microdontia with mandibular mesiodens
    - a rare case. Head Face Med. 2011; 7:19.
    7. Suprabha BS, Sumonth KN, Boaz K, George T. An
    unusual case of non-syndromic occurrence of multiple
    dental anomalies. Indian J Dent Res. 2009; 20:385-7.
    8. Ghasemi N, Rahimi S, Shahi S, Samiei M, Frough
    Reyhani M, Ranjkesh B. A Review on Root Anatomy
    and Canal Configuration of the Maxillary Second Molars.
    Iran Endod J. 2017; 12:1-9

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