CC BY 4.0 · Eur J Dent 2024; 18(02): 687-691
DOI: 10.1055/s-0043-1772248
Case Report

Gemination of an Erupted Mandibular Third Molar: A Short Presentation of an Exceptionally Rare Clinical Occurrence

1   Dental Academy for Continuing Professional Development, Karlsruhe, Germany
,
1   Dental Academy for Continuing Professional Development, Karlsruhe, Germany
2   Clinic for Conservative Dentistry and Periodontology, Christian-Albrechts-University Kiel, Germany
› Author Affiliations

Abstract

Double teeth, like fusions and geminations, are rare disorders of tooth development. In this short case presentation, we describe the unique appearance of a fully erupted mandibular wisdom tooth in a 72-year-old patient whose tooth exhibited gemination. This was possible because tooth 46 had to be removed from the patient at the age of 20 and the missing molar was not replaced. This geminated tooth of 48 had been in function for almost 50 years and finally had to be removed due to a periodontal inflammation. To the best of our knowledge, this is the first case presented of this dental anomaly for a fully erupted lower wisdom tooth.



Publication History

Article published online:
20 September 2023

© 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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  • References

  • 1 Gunduz K, Sumer M, Sumer AP, Gunhan O. Concrescence of a mandibular third molar and a supernumerary fourth molar: report of a rare case. Br Dent J 2006; 200 (03) 141-142
  • 2 Kremeier K, Hülsmann M. Fusion and gemination of teeth: review of the literature, treatment considerations, and report of cases. ENDO 2007; 1 (02) 111-123
  • 3 Ben Salem M, Chouchene F, Masmoudi F, Baaziz A, Maatouk F, Ghedira H. Fusion or gemination? Diagnosis and management in primary teeth: a report of two cases. Case Rep Dent 2021; 2021: 6661776
  • 4 Buchanan GD, Tredoux S, Schouwstra CM, Nel C, Gamieldien MY. Double gemination or fusion of a permanent mandibular second molar: a case report. Chin J Dent Res 2021; 24 (03) 199-202
  • 5 Camargo AJ, Arita ES, Watanabe PC. Fusion or gemination? An unusual mandibular second molar. Int J Surg Case Rep 2016; 21: 73-77
  • 6 Su J, Shao LM, Wang LC. et al. Concrescence of maxillary second molar and impacted third molar: a case report. World J Clin Cases 2022; 10 (28) 10286-10292
  • 7 Xu Y, Sun J. Concrescence of the right maxillary second and third molars: a case report. Clin Case Rep 2022; 10 (05) e05824
  • 8 Mader CL. Fusion of teeth. J Am Dent Assoc 1979; 98 (01) 62-64
  • 9 Ramezani M, Asgari S, Adel M. Endodontic management of a rare case of the geminated maxillary second molar tooth using CBCT. Clin Case Rep 2021; 9 (08) e04496
  • 10 Pindborg JJ. Pathology of the Dental Hard Tissues. Copenhagen: : Munksgaard; 1970
  • 11 Hernandez-Guisado JM, Torres-Lagares D, Infante-Cossio P, Gutierrez-Perez JL. Dental gemination: report of case. Med Oral 2002; 7 (03) 231-236
  • 12 Jain A, Sisodia S, Rana KS, Gupta C, Ansari I, Dholakia PP. The study of prevalence and distribution of shape anomalies of teeth in Indian population on the basis of age and gender. Cureus 2022; 14 (08) e28532
  • 13 Nandini DB, Deepak BS, Singh DN, Aparnadevi P. Bilateral gemination of permanent maxillary canine with labial and palatal talon's cusps: a rare entity. J Oral Maxillofac Pathol 2021; 25 (Suppl. 01) S71-S75
  • 14 Türkaslan S, Gökçe HS, Dalkız M. Esthetic rehabilitation of bilateral geminated teeth: a case report. Eur J Dent 2007; 1 (03) 188-191
  • 15 Zhu M, Liu C, Ren S, Lin Z, Miao L, Sun W. Fusion of a supernumerary tooth to right mandibular second molar: a case report and literature review. Int J Clin Exp Med 2015; 8 (08) 11890-11895
  • 16 Jiang K, Che C, Ding Z, Zeng S, Wang W, He X. Precision diagnosis and antidiastole on supernumerary cusp of tooth by CBCT. Surg Radiol Anat 2016; 38 (09) 1099-1104
  • 17 Ruprecht A, Ross AS. Gemination of a mandibular third molar. Oral Surg Oral Med Oral Pathol 1985; 59 (04) 432
  • 18 Zachariades N, Skoura-Kafoussia C. Geminated lower third molar. Report of un uncommon case. J Oral Med 1985; 40 (04) 208
  • 19 Sandeep S, Kumar GJ, Potdar S. et al. Rare case of gemination of mandibular third molar-a case report. J Family Med Prim Care 2020; 9 (05) 2577-2579