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Case Reports
. 2021 Dec 31;13(12):e20858.
doi: 10.7759/cureus.20858. eCollection 2021 Dec.

Impacted Third Molars, A Rare Occurrence of Identical Bilateral Impacted Mandibular Third Molars in Linguo-Buccal Location: A Case Report

Shaul Hameed Kolarkodi  1 , Fatimah M Alharbi  2 , Reema Aljurbua  2 , Lina Aloufi  2 , Hessah Almubarak  2
Affiliations
Case Reports

Impacted Third Molars, A Rare Occurrence of Identical Bilateral Impacted Mandibular Third Molars in Linguo-Buccal Location: A Case Report

Shaul Hameed Kolarkodi et al. Cureus. .

Abstract

Symmetrical horizontal impacted bilateral mandibular third molar in lingo-buccal direction is a rare type of impacted teeth. When a tooth cannot erupt and fails to achieve a normal function and occlusion during its chronological age of eruption, it is called an impacted tooth. In this paper, a case of a male patient aged 20 years old who had bilateral horizontally impacted lower third molar which was noticed in a routine screening panoramic radiograph and confirmed with cone beam computed tomography (CBCT) imaging and referred to the oral maxillofacial surgical center for surgical removal of the impacted teeth in order to avoid late complications is discussed.

Keywords: bilateral; impaction; lingo-buccal direction; surgical extraction; symmetrical.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. CBCT panoramic view showed a bilateral impacted mandibular third molars
CBCT, Cone-beam computed tomography.
Figure 2
Figure 2. CBCT of the sagittal slice showing thinning on lingual cortical plates
CBCT, Cone beam computed tomography.
Figure 3
Figure 3. CBCT of the axial section showing the root of 38-48 not completely formed and the impacted teeth in horizontally placed in lingo-buccal direction
CBCT, Cone beam computed tomography.
Figure 4
Figure 4. CBCT of the coronal slice showing the idiopathic osteosclerosis
CBCT, Cone beam computed tomography.
Figure 5
Figure 5. CBCT of the coronal slice showing the relationship between horizontal impacted and inferior alveolar canal
CBCT, Cone beam computed tomography.
Figure 6
Figure 6. CBCT of the sagittal slice showing bilateral symmetrically impacted teeth
CBCT, Cone beam computed tomography.
Figure 7
Figure 7. CBCT of the coronal slice showing the proximity of impacted tooth to the lingual nerve
CBCT, Cone beam computed tomography.
See this image and copyright information in PMC

References

    1. Impacted maxillary canines: a review. Bishara SE. Am J Orthod Dentofacial Orthop. 1992;101:159–171. - PubMed
    1. Evaluation of the agreement by examiners according to classifications of third molars. [ Jan; 2022 ];Lima CJ, Silva LC, Melo MR, Santos JA, Santos TS. Med Oral Patol Oral Cir Bucal. 2012 17:0–6. - PMC - PubMed
    1. The impacted lower third molar and its relationship to tooth size and arch form. Ng F, Burns M, Kerr WJ. Eur J Orthod. 1986;8:254–258. - PubMed
    1. Panoramic radiographic predictors of mandibular third molar eruption. Niedzielska IA, Drugacz J, Kus N, Kreska J. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006;102:154–158. - PubMed
    1. Evaluation of the indication for surgical extraction of third molars according to the oral surgeon and the primary care dentist. Experience in the Master of Oral Surgery and Implantology at Barcelona University Dental School. Fuster Torres MA, Gargallo Albiol J, Berini Aytés L, Gay Escoda C. https://pubmed.ncbi.nlm.nih.gov/18667984/ Med Oral Patol Oral Cir Bucal. 2008;13:0–504. - PubMed

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