2022 Volume 60 Issue 3 Pages 135-140
Paramolars are excess teeth that appear on the buccal side of the molars; however, there have been few reports on paramolars. We experienced a case in which a paramolar was found on the buccal side of the maxillary molar. We report here on the clinical course.
The patient was a girl who was 12 years old at the first visit and had an excess tooth on the buccal side near the maxillary molar. From orthopantomography, it was difficult to distinguish between a paramolar cusp (tubercle) of a molar and a paramolar. Therefore, we performed a cone beam CT examination and determined that it was a paramolar.
We planned a paramolar extraction because paramolars may prevent the eruption of and caries in the maxillary molar. In addition, we histologically examined the extracted paramolar, and found that the paramolar was highly likely to have formed at the same time as the adjacent first molar.
In this case, we showed that cone beam CT examination is useful for diagnosing paramolars. Based on a histological analysis of the paramolar, we also suggest that a paramolar may form together with the adjacent first molar.
