Bilateral Impacted Maxillary Distomolars in An Adolescent – A Rare Case Report

Abstract Supernumerary teeth refer to the occurrence of additional teeth beyond the normal dentition. Distomolars are supernumerary teeth that are seen distal to the third molars. The aetiology is multifactorial, with both genetic and environmental factors playing a role in their development. Higher incidence of supernumerary teeth is seen in conditions such as cleidocranial dysplasia, gardner syndrome, and familial hyperdontia. The presence of multiple supernumerary teeth in non-syndromic individuals is quite rare. The diagnosis of supernumerary teeth such as distomolars are predominantly through radiographic imaging such as panoramic radiographs or cone-beam computed tomography scans. Potential complications that can arise with the presence of distomolars are resorption of adjacent tooth root, cyst formation and dental malocclusion. Here, we report a case of bilateral deeply impacted maxillary distomolars in a non-syndromic individual who underwent surgical removal under local anaesthesia. The patient demonstrated satisfactory healing and adequate mouth opening at 1 week follow-up.