Bilateral Maxillary Fourth and Fifth Molars in a 17-Year-Old Female.

Authors

Hikari Wakao, Takahiro Takekawa, Karen Gomi, Akinori Moroi, Koichiro Ueki

Published in

Cureus. Volume 18. Issue 9. Pages e115718. Epub Sep 03, 2026.

Abstract

Supernumerary teeth are relatively common in clinical practice; however, the occurrence of multiple supernumerary teeth in a bilaterally symmetrical pattern is rare. A 17-year-old female was referred to our department for extraction of impacted third molars. Panoramic radiography revealed two bilaterally symmetrical tooth-like structures adjacent to each maxillary third molar. Computed tomography confirmed that these were independent structures, leading to a diagnosis of bilateral maxillary fourth and fifth molars. In July 2023, the bilateral maxillary and mandibular third molars, together with the bilateral maxillary fourth and fifth molars, were extracted under general anesthesia. Gross examination of the extracted teeth revealed morphological features consistent with molar teeth. This case highlights the importance of accurate three-dimensional imaging and individualized treatment strategies in the management of complex and rare presentations of supernumerary teeth.

PMID:
42829655
Bibliographic data and abstract were imported from PubMed on 04 Oct 2026.

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