Case of the week: Developing Distodens (supernumerary teeth) 4


This week is a neat case showing two distodens developing in the mandible.  Distodens are supernumerary teeth found in the molar region.

Note distal to the mandibular left (developing) third molar is another follicle with the enamel evident.  On the patients right side, only the follicle is evident.  No calcified structure is visible on this image.

If you  have any questions, please let me know. Thanks and enjoy!



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4 thoughts on “Case of the week: Developing Distodens (supernumerary teeth)

  • Paul de Haan

    Can you clarify the mixed radiopactity in the anterior region of the mandible? My differential is periapical cemento-osseous dysplasia.

    • Dr. Shawneen Gonzalez Post author

      Just to clarify, do you mean the area apical to the mandibular left canine and first premolar. If so a periapical cemento-osseous dysplasia would be a little lower on a differential list due to the space between the entity and the apices. Another entity I would put higher is a cemento-ossifying fibroma. Is that the area you are looking at?

  • Shahan

    Hi doc, thank you for sharing this here. I have a rounded shape tooth like structure in between my 1st lower left molar and bicuspid. It was found in a xray with my dentist in 2010. It doesnt pain or does anything. I was just wandering is there something to be worried about.

    Please let me know

    • Dr. Shawneen Gonzalez Post author

      Based on your description it sounds like an extra tooth (supernumerary tooth). Each case is different and I will defer to your dentist on whether they feel it should be removed or can stay in with no problems to the surrounding teeth as each individual is different.