This week I have a case of 2 for 1 (two findings on one radiograph). 😀 The first is the impaction of the mandibular molars. If you look at the patients left, you’ll see the crowns of the two molars appearing as if they are in occlusion in the mandible. The second finding is that there are two supernumerary teeth or distodens. Count carefully and you will see there are a total of four molars on both the right and left side of the patient. The image below is a reconstructed pantomograph (and the red lines are the mandibular canal tracings).
For more radiographic examples of supernumerary teeth check out my page on supernumerary teeth.
Enjoy!
wow that is quit a unigue opt, impacted 8’s are a tricky enough suppernumery 8’s at those angles would make for a horrible extraction and with the nerve so close is paralisis a possibility
soon to train as a dental therapist
Paralysis was a very serious risk on this surgery. That’s why they had the cone beam CT performed to determine exact location before surgery. Not sure of final treatment and outcomes on this case.