A Rare Presentation of Distomolar Teeth: Report of a Case

Objectives :

A distomolar tooth, also known as a distodens, is a supernumerary tooth located distally to the third molars. It is an uncommon phenomenon with a reported prevalence of 0.02% to 0.16% across various countries. Distomolars can manifest as singular or multiple, erupted or impacted, and can occur unilaterally or bilaterally. To the best of our knowledge, very few cases of three distomolars in one patient have been reported in the English literature.

Case :

This study presents the case of a healthy 22-year-old male who was found to have three impacted distomolars. These distomolars were located bilaterally in the maxilla and unilaterally on the left side of the mandible. They were discovered incidentally during a routine radiographic examination. As the patient expressed no discomfort or complaints related to this condition, no treatment was administered. Instead, the patient was placed on a regular follow-up.

Conclusion:

 Although the occurrence of distomolars is rare, clinicians should regard it as a potential risk factor for the development of intraosseous lesions, which are often associated with an impacted tooth.