A Unique Clinical Appearance of Upper Maxillary Premolar associated with Dentigerous Cyst: Case Report

Authors

  • Mohd Faizal Abdullah
  • Shaifulizan Abdul Rahman Oral and Maxillofacial Surgery Unit, School of Dental Sciences, Universiti Sains Malaysia, Health Campus, 16150, Kubang Kerian, Kota Bharu, Kelantan
  • Nik Rozainah Nik Abdul Ghani Conservative Unit, School of Dental Sciences, Universiti Sains Malaysia, Health Campus, 16150, Kubang Kerian, Kota Bharu, Kelantan
  • Rosnani Mamat Conservative Unit, School of Dental Sciences, Universiti Sains Malaysia, Health Campus, 16150, Kubang Kerian, Kota Bharu, Kelantan
  • Masitah Hayati Harun Oral Medicine and Oral Pathology Unit, School of Dental Sciences, Universiti Sains Malaysia, Health Campus, 16150, Kubang Kerian, Kota Bharu, Kelantan

DOI:

https://doi.org/10.24191/cos.v11i1.26043

Keywords:

dental anomaly, double-headed upper premolar, hypercementosis, dentigerous cyst

Abstract

During dental development, a variety of hereditary and environmental variables interact to cause dental abnormalities. The etiology may involve multi-tiered, multi-directional, and multi-factorial processes. Fusion is a dental anomaly that happens during tooth development, where two separated teeth bud fuse together to form a single tooth. The morpho-differentiation or histo-differentiation stages of tooth development, genetic and environmental variables can induce developmental dental abnormalities. A clinical resemblance of a "double-headed" maxillary second upper left premolar with two crowns, formed on the both coronal and apical root end or whether it is just a hypercementosis of apical root discovered after surgical extraction and enucleation of cyst. Investigations to confirm such unique findings were performed. This case report discusses the importance of clinical, radiographic and laboratory investigations to confirm the unique appearance of the maxillary second premolar.

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Published

2024-03-01

How to Cite

Abdullah, M. F., Abdul Rahman, S., Nik Abdul Ghani, N. R., Mamat, R., & Harun, M. H. (2024). A Unique Clinical Appearance of Upper Maxillary Premolar associated with Dentigerous Cyst: Case Report. Compendium of Oral Science, 11(1), 103–110. https://doi.org/10.24191/cos.v11i1.26043