2023 Volume 69 Issue 7 Pages 348-352
We report a case of true kissing molars in the posterior right maxillary molar region. A 39-year-old man was referred to our hospital in February 2021 regarding discomfort in the right molar region. A panoramic radiograph showed an impacted wisdom tooth superimposed on the 7 root and facing an impacted supernumerary tooth at the maxillary tuberosity. In addition, computerized tomography (CT) images showed an impacted wisdom tooth between the buccal and palatal 76 roots with its crown distally upward, sharing a low-density area with an impacted supernumerary tooth with its crown proximally downward. We performed extraction of the impacted supernumerary tooth and 8 tooth and a cystectomy under general anesthesia, using a 3D-printed surgical guide for a proper approach and to avoid 76 root damage. There were no postoperative complications such as abnormal bleeding or epistaxis and no symptoms of postoperative maxillary sinusitis. The patient later reported that the discomfort was gone, and he experienced an uneventful recovery.
