What is Paramolar?

Paramolar is a supernumerary molar usually small and rudimentary, most commonly situated buccally or palatally to one of the maxillary molars. Paramolar is a developmental anomaly and has been argued to arise from a combination of genetic and environmental factors.

What causes Paramolar?

A hyperactive dental lamina where the localized and independent hyperactivity of dental lamina is the most accepted cause for the development of the supernumerary tooth. It is suggested that paramolars are formed as a result of local, independent, conditioned hyperactivity of the dental lamina.

How is a supernumerary tooth removed?

If they are visible in your mouth then removing them is just like having a normal tooth out and is usually very simple. If they are buried then the tooth is covered by gum, and in some cases a thin layer of bone as well. The gum needs to be lifted back and the layer of bone taken away before the tooth can be removed.

When do you extract supernumerary?

Some authors advocate immediate removal of supernumerary tooth following diagnosis of their presence, while others favor postponement of surgical intervention until the age of 8 to 10 years, when the root development of central and lateral incisors is complete.

How is the extraction of a paramolar done?

The patient was referred to the Department of Oral and Maxillofacial Surgery for extraction of his paramolar. The extracted tooth was cleaned, disinfected, and analyzed.

What makes a paramolar a supernumerary molar?

Paramolar is a supernumerary molar usually small and rudimentary, most commonly situated buccally or palatally to one of the maxillary molars. Paramolar is a developmental anomaly and has been argued to arise from a combination of genetic and environmental factors.

When to use second premolar extraction in Class I patients?

In the treatment of a Class I patient extraction only in the maxilla or both the arches is a common method to correct crowding , protrusion and occlusal relationships. The basic indication for second premolar extraction is when there is moderate anterior crowding.

What’s the best way to remove a second premolar?

Second premolars have a stout single root and can be safely displaced in a buccal direction. First molars usually have one palatal and 2 buccal roots. The molars should be pushed well up into the root mass before dislodging the tooth with buccal movements while maintaining upward pressure. Disto-buccal twist is used to deliver the tooth out.