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References

Fuentes R, Borie E Bilateral macrodontia of mandibular second premolars: a case report. J Morph Sci. 2011; 28:212-215
Nemes JA, Alberth M The Ekman-Westborg and Julian trait: report of a case. Oral Surg Oral Med Oral Pathol Oral Radiol Endodont. 2006; 102:659-662
Dugmore CR Bilateral macrodontia of mandibular second premolars: a case report. Int J Paed Dent. 2001; 11:69-73
O'Sullivan EA Multiple dental anomalies in a young patient: a case report. Int J Paed Dent. 2000; 10:63-66
Reichart PA, Westergaard J, Jensen KA Macrodontia of a mandibular premolar. Oral Surg. 1977; 44:606-609
Groper JN Macrodontia of a single tooth: review of literature and report of case. J Am Dent Assoc. 1987; 114
Rootkin-Gray VF, Sheehy EC Macrodontia of a mandibular second premolar: a case report. ASDC J Dent Child. 2001; 68:347-349
Primack JE Individual bilateral megadontism: report of a case. J Am Dent Assoc. 1967; 75:655-657
Hermel J, Yardeni J, Hass N Bilateral molarization of teeth erupted in the region of second mandibular premolars. Am J Phys Anthrop. 1968; 28:345-350
Peck S, Peck H Megadontism anomaly of the mandibular second premolars. Oral Surg. 1983; 55
Dadpe M, Kale YJ, Patil PS Molarization of the mandibular second premolars with concurrent dentin dysplasia: a rare case report. Int J Contemp Dent. 2010; 1:66-69
Canoglu E, Canoglu H, Aktas A, Cehreli Z Isolated bilateral macrodontia of mandibular second premolars: a case report. Eur J Dent. 2012; 6:330-334
Kyriazidou A, Haider D, Mason C, Parekh S, Bloch-Zupan A Case report: macrodont mandibular second premolars, a hereditary dental anomaly. Eur Archiv Paed Dent. 2013; 14:411-416
Hall RJLondon: Chapman and Hall Medical; 1964
Ekman-Westborg B, Julin P Multiple anomalies in dental morphology: macrodontia, multituberculism, central cusps and pulp invaginations. Oral Surg Oral Med Oral Pathol Oral Radiol. 1974; 38:217-222
Solanki M, Patil S, Baweja DK, Noorani HPKS Talon cusps, macrodontia and aberrant tooth morphology in Berardinelli syndrome. Oral Surg Oral Med Oral Pathol Oral Radiol Endodont. 2008; 105:e41-e47
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A mouthful of anomalies

From Volume 43, Issue 6, July 2016 | Pages 545-548

Authors

Rubya Adamji

BDS, MJDF, MPaed Dent RCS(Lond)

Paediatric Dental StR (rubya.adamji@nhs.net)

Articles by Rubya Adamji

Cathy Bryant

BDS, MSc, FDS RCS, BDS, FDSRCS, MSc

Consultant in Oral Surgery, King's College Hospital, Denmark Hill, London SE5 9RS, UK

Articles by Cathy Bryant

Meera Ahluwalia

BDS, MSc(Lond), FDS(Paed Dent)

Consultant in Paediatric Dentistry, King's College Hospital, Denmark Hill, London SE5 9RS, UK

Articles by Meera Ahluwalia

Julie C Mitchell

BDS, MFDS, FDS(Paed Dent) RCPS(Glasg), MSc(King's Lond)

Consultant in Paediatric Dentistry, King's College Hospital, Denmark Hill, London SE5 9RS, UK

Articles by Julie C Mitchell

Abstract

Isolated bilateral macrodontia of the mandibular second premolars is a rare condition. We believe that the case reported here is the first in which isolated bilateral macrodontia of the mandibular second premolars presents with numerous dental anomalies affecting other teeth. A 14-year-old boy was referred to the Paediatric Dental Department of King's College Hospital with a partially erupted mandibular left second premolar. Clinical and radiographic examination subsequently revealed macrodontia of both mandibular second premolar teeth and multiple other dental anomalies. This report discusses the presentation and multidisciplinary management of this case.

CPD/Clinical Relevance: This case report describes an already rare condition made even more extraordinary owing to its presentation with multiple other dental anomalies.

Article

Macrodontia is a rare dental anomaly and can be characterized by an excessive enlargement of all tooth structures and can be associated with morphological anomalies.1

Macrodontia can be classified as ‘true generalized’, ‘relative generalized’ or ‘isolated’. ‘True generalized’ macrodontia in which all teeth in the dentition are larger than normal may be associated with certain conditions such as Klinefelter's syndrome or pituitary gigantism.2,3 ‘Relative generalized’ macrodontia refers to the presence of normal or slightly larger than normal teeth in relatively smaller jaws.2 The term ‘isolated’ macrodontia describes the situation in which individual teeth are larger than those of the normal series.

The incidence of ‘isolated’ macrodontia affecting the permanent dentition has been reported to be 0.9–2%, with a slightly higher prevalence in males.4 However, the incidence of macrodontia of the mandibular second premolars has not been reported to date.

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