Scholarlink

Background <p>Kissing molars (KMs) represent a rare pattern of tooth impaction characterized by two molars positioned crown-to-crown within a single follicular space. Although most cases involve the mandible, maxillary occurrence remains exceptional.</p> Case presentation <p>This report describes a case of true maxillary KMs in a 14-year-old systemically healthy patient. Panoramic radiography revealed crown-to-crown impaction of teeth 27 and 28, and cone-beam computed tomography confirmed the inverted position of the third molar and assisted surgical planning. Selective extraction of tooth 28 performed, preserving tooth 27 due to its incomplete root formation and favorable vertical orientation. Spontaneous eruption of the second molar occurred within 12&#xa0;months, confirming the effectiveness of a conservative approach.</p> Conclusions <p>This case emphasizes the importance of early diagnosis, three-dimensional imaging, and individualized surgical planning to optimize functional outcomes and preserve permanent dentition in pediatric patients presenting with rare impaction patterns.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Maxillary Kissing Molars in a Pediatric Patient: Case Report

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2026年3月25日

查看全文
  • Victor Paes Dias Gonçalves,
  • Patrick Martins Barbosa Brito,
  • Bernardo Barbosa Freire,
  • Patricia Siqueira,
  • Márcia Costa Louvain,
  • Felipe Perisse Duarte Lopes

摘要

Background

Kissing molars (KMs) represent a rare pattern of tooth impaction characterized by two molars positioned crown-to-crown within a single follicular space. Although most cases involve the mandible, maxillary occurrence remains exceptional.

Case presentation

This report describes a case of true maxillary KMs in a 14-year-old systemically healthy patient. Panoramic radiography revealed crown-to-crown impaction of teeth 27 and 28, and cone-beam computed tomography confirmed the inverted position of the third molar and assisted surgical planning. Selective extraction of tooth 28 performed, preserving tooth 27 due to its incomplete root formation and favorable vertical orientation. Spontaneous eruption of the second molar occurred within 12 months, confirming the effectiveness of a conservative approach.

Conclusions

This case emphasizes the importance of early diagnosis, three-dimensional imaging, and individualized surgical planning to optimize functional outcomes and preserve permanent dentition in pediatric patients presenting with rare impaction patterns.