European Journal of Biomedical and Pharmaceutical Sciences

BILATERAL MULTIPLE IMPACTED PERMANENT TEETH IN A NON-SYNDROMIC PATIENT: A RARE FINDING

*Deepa Niroula, Jyotsna Rimal, Iccha Kumar Maharjan, Sushma Pandey, Pragya Regmee and Abhinaya Luitel

ABSTRACT

Background: While impaction of tooth is widespread and common, multiple impacted teeth itself is a rare condition and is usually associated with syndromes, metabolic and hormonal disorders. However, in some cases impaction of multiple teeth is not associated with fixed complex of symptoms. Case report: We present a case of a 20 yr old male with clinically missing multiple permanent teeth with retained deciduous teeth. Intraorally, thick band of mucosa was present in the posterior alveolar ridge. Panoramic radiograph revealed total of 24 impacted teeth, eleven in mandible and thirteen in maxilla. Generalized enamel hypoplasia was seen in posterior impacted teeth. The mucosa overlying the impacted teeth had thickened soft tissue outline. Detailed history, clinical examination and chest X-Ray did not reveal any syndrome or metabolic disorder, except for subclinical hypothyroidism. Conclusion: In the index case, all the impacted teeth were of permanent dentition and were bilaterally symmetrical and occurred in the absence of any syndromes, metabolic and hormonal disorders which is a rare occurrence.

Keywords: Bilaterally impacted, Permanent teeth, Panoramic Radiography, Non-syndrome.