A case of supernumerary maxillary molar placed in a pterygopalatine fossa

Brzakov, Riste and Nikolovski, Bruno and Velkoski, Bojan and Radojkova-Nikolovska, Vera and Minovska, Ana (2019) A case of supernumerary maxillary molar placed in a pterygopalatine fossa. In: 24th BASS Congress, 9-11 May 2019, Tirana, Albania.

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The removal of impacted maxillary third molars
is one of the most common procedures performed in oral and
maxillofacial surgery clinics with low rates of complications
and morbidity. A few cases of placement of third molars into
adjacent anatomical spaces, such as the infratemporal fossa, the
pterygomandibular space, the maxillary sinus, buccal space, or the
lateral pharyngeal space, during surgical interventions have been
Objective: To report a clinical case of an unerupted supernumerary
third molar in the upper left maxilla.
Case history: A male patient, 41 years of age, was referred by his
dentist to evaluate the third molars. The clinical exam revealed
no visible third molars. The computed tomography (CT) exam
showed the presence of a supernumerary tooth in the region of the
pterygopalatine fossa, on the left side, and impaction of the third
molar, which was causing root resorption on the second molar,
thus making it impossible to remain in the buccal cavity. The
preferred option, therefore, was to remove both third molar and the
supernumerary tooth.
CONCLUSION: A pterygopalatine fossa accommodated third
maxillary molars is a rare occurrence in the everyday dental practice.
If symptomatic, surgical removal has to be planned as earlier as
possible rather than late complications.

Item Type: Conference or Workshop Item (Poster)
Subjects: Medical and Health Sciences > Basic medicine
Medical and Health Sciences > Health sciences
Medical and Health Sciences > Other medical sciences
Divisions: Faculty of Medical Science
Depositing User: Mihajlo Petrovski
Date Deposited: 31 Jan 2020 10:08
Last Modified: 31 Jan 2020 10:08
URI: https://eprints.ugd.edu.mk/id/eprint/23639

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