Geeta Singh

Abstract

Condylar dislocation involves a non- self limiting displacement of the condyle, outside of its functional position. The most common condylar dislocation is anterior to the articular eminence. There may be medial, lateral, posterior, intracranial dislocations. Condylar dislocations constitutes only 3% of all the dislocations of joint in the body. Dislocations along with a fracture is very rare. This is a case report reviewing a postero-supero-lateral dislocation of condyle into the external acoustic meatus and perforating it without corporation of other fractures. Keywords: Postero-supero-lateral, Dislocation of condyle.

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Abstract

Introduction: Kissing molars also called as “rosette formation”, these are unusual impacted teeth with their occlusal surfaces are in close apposition and the roots pointing in opposite direction. These are extremely rare conditions actually about less than thirty cases has been reported since now in the literature. Materials and Methods: This case report describes a patient who visited our outpatient clinic for pain over her left side of mandible for last one months. OPG was advised which showed unusual impacted left lower second and third molar relationship with their occlusal surfaces facing each other. Management by extraction of both second and third molars with proper surgical curettage of the site was done. Results: Postoperatively marked relief in the pain for the patient. Minimal postoperative swelling was observed immediate postoperative, which subsides after 5 days and there is no postoperative paraesthesia reported with relation to inferior alveolar nerve branch of trigeminal nerve and marginal mandibular nerve branch of facial nerve. Conclusion: Kissing molars are rare unusual pathological condition which needs proper treatment planning and management for proper surgical removal to prevent possible chances of postoperative paraesthesia with relation to inferior alveolar nerve branch of trigeminal nerve and marginal mandibular nerve branch of facial nerve. This report documents better surgical management of a patient with kissing molars.   Keywords: Kissing molar, Impaction, Rare case, Management.

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