Asyndromic hypodontia associated with tooth morphology alteration: A rare case report
A 24-year-old male reported to the department of conservative dentistry and endodontics with the chief complaint of pain in right lower back tooth region. On intra-oral examination, the patient had multiple carious lesions and multiple missing teeth with retained deciduous teeth. Intraoral periapical radiographs were done for mandibular molars and left maxillary molar. Single rooted morphology of molars was observed on the intraoral periapical radiographs. OPG was taken after the completion of root canal treatment. The OPG depicted an interesting picture []. It revealed altered morphology of all permanent teeth and numerous missing teeth. Realizing the importance of the findings of this case, a computed tomograph for upper and lower jaw was advised. Since only high resolution computer tomography (HRCT) facility was available at the university hospital, HRCT was undertaken [] and the findings of HRCT confirmed the diagnosis. HRCT and OPG images suggested that right maxillary lateral incisor, second premolars, and third molars were congenitally missing. Deciduous second molars were retained and showed normal anatomy and all permanent teeth had single roots [Figures and ].\nSince hypodontia along with altered morphology of teeth was observed, thorough medical examination was advised. The medical examination and checkup revealed no contributory finding. So it was concluded that there was no association with any medical condition and could not be kept under the category of any known syndrome. The patient is a single child and oral examination of his parents revealed nothing significant. So a familial correlation, at least for now, could not be established.\nThe importance of this case lies in the fact that all permanent teeth were single canalled including all molars, which is a rare finding.[] Also the condition presented with no additional anomaly other than dental, so could not be associated with any syndrome.