Paramolar – A supernumerary molar: A case report and an overview
A 22-year-old male patient was referred to the Department of Conservative Dentistry and Endodontics with a chief complaint of pain in his upper left back region of the mouth. Patient's medical and familial history was noncontributory and there was no sign of any systemic diseases or syndromes.\nAn intraoral examination revealed a Class I dentition with a well aligned upper and lower arch. In addition to the full complement of permanent teeth, there was an extra tooth present palatally between the maxillary left first and second molars []. This supernumerary tooth was diagnosed as a paramolar. The crown of this paramolar had two cusps and quite resembled a permanent premolar. The tooth was rotated, with its buccal surface face distally, whereas its mesial surface faced buccally. On clinical examination, caries was detected on the mesial surface of the paramolar []. Soft tissue examination revealed inflammation in the surrounding periodontium between the maxillary left first and second molars and paramolar.\nFollowing clinical examination, panoramic, periapical, and occlusal radiographs were taken. The palatally positioned paramolar made its clear visual assessment with the panoramic radiograph difficult. Periapical and occlusal radiographs revealed the presence of a supernumerary tooth with a single root [Figures and ].\nThe patient was informed of the existing condition and extraction of the paramolar was advised as maintenance of oral hygiene in this area was difficult and there was the possibility of food lodgement, recurrence of dental caries, and deterioration of the surrounding periodontal health. The patient was referred to the Department of Oral and Maxillofacial Surgery for extraction of his paramolar.\nThe extracted tooth was cleaned, disinfected, and analyzed. The tooth had a normal morphology. The length of the root was normal relative to its crown. The root apex was completely developed. Radiographic investigation revealed a Vertucci's Type I canal configuration. The actual size of the tooth was measured with a caliper. The mesiodistal and buccopalatal width of the crown was 6 and 10 mm, respectively. The length of the crown was 6.5 mm, whereas the length of the root was 12 mm. The morphometric measurements displayed that the paramolar had very close values relative to the maxillary premolar [].