hafer, Hine, and Levy, in their text, state that, the maxillary fourth molar is the second most common supernumerary tooth in the dental arch. The mandibular fourth molar, although seen occasionally, is a relatively rare finding. A 16-year-old Caucasian girl, in no acute distress, was referred for surgical removal of impacted teeth. Panorex film revealed Sour impacted fourth molars in addition to the four impacted third molars. The impacted teeth were in a relatively favorable position for surgical extraction. With the patient under nasotracheal intubation and general anesthesia, surgical extraction of the eight impacted teeth was accomplished. The only complication was penetration of the maxillary left antrum during the surgical procedure.
bring to the readers of ORAL SURGERY,ORAL MEDICINE AND roentgenograms which demonstrate unusual, unexpected, rare, or bizarre roentgenographic changes. These roentgenograms will be accompanied by an explanationor by words of inquiry regarding the particular change. Please submit 5 by 7 inch glossy black and white prints along with two copies of the description of the case. All material for publication should be submitted to Dr. Lincoln R. Manson-Hing, University of AlabamaSchool of Dentistry, Medical Center, Birmingham, Alabama 35233. Each
ORAL PATHOLOGY one or more
The extraction sites were adequately closed with well-repositioned mucoperiosteal flaps. The postoperative course was relatively uneventful. Larry L. Raley, Bh’c., D.D.S. Edward Rekhert, D.D.X. Wilmington Medical Center Wilmington, Del.
pon oral examination of a 25-year-old white woman, a fistulous tract was observed on the gingival mucosa overlying the maxillary left lateral incisor. The patient stated that this “pimple” had been present for approximately 1 week prior to her visit to the dental clinic. The tooth was asymptomatic, and the patient had no recollection of discomfort, swelling, or “pimples.” A periapical radiograph was taken of the suspect area, and an intraradicular radiolucency was discoverd. A periapical radiolucency was also observed relative to the same tooth. Upon further testing, the pulp of the tooth was determined to be non-vital, with the adjacent teeth responding “normally.” A large Class III restoration was observed on the mesial aspect of the tooth. This case is of particular interest because of the coexistence of two different pathologic entities.