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Órgano Oficial de la Asociación Dental Mexicana

2019, Number 1

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Rev ADM 2019; 76 (1)

Distomolars in ectopic position (kissing molars): report of one case

Soto NAI, Soto QA

Language: Spanish
References: 22
Page: 44-48
PDF size: 237.49 Kb.


ABSTRACT

Introduction: The term kissing molars is used when the occlusal surfaces of two retained molars are in intimate contact inside the same follicular sack and roots in opposite direction. Literature has reported 44 cases. Fourth molars, also known as distomolars, are a supernumerary tooth that grows distally to third molars; size and shape are variable, generally retained. Case report: Female 32 years old, pain in the left inferior retromolar zone, trismus, dysphagia. Fourth and third retained molars, with occlusal surfaces in contact, inside the same follicular sack, roots in opposite direction are observed in orthopantomography. Discussion: There is controversy about the difference between retained molars and KM, some authors suggest that the absence of contact between two retained molars, does not allow to include them in this condition. Etiology still unknown. Dentigerous cyst formation theory is proposed due to the bone resorption in the mesial zone of retained molars in this entity, which facilitates mobilization and contact between molars.


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