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Article: Volume 43 Number 6 Page 545 - July/August 2016

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  Dent Update 2016; 43: 545-548

Paediatric dentistry:  A Mouthful of Anomalies

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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.

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

Author notes: Rubya Adamji, BDS, MJDF, MPaed Dent RCS(Lond), Paediatric Dental StR (rubya.adamji@nhs.net), Cathy Bryant, BDS, MSc, FDS RCS, Consultant in Oral Surgery, Meera Ahluwalia, BDS, MSc(Lond), FDS(Paed Dent), Consultant in Paediatric Dentistry and 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.

Objective: To describe a rare condition and its management by a multidisciplinary approach.