Molar-like incisors: a rare case of multiple anomalies of the developing dentition

ABSTRACT

A rare case of a 9-year-old child is presented. The child was brought to the dental department of Children Hospital of Pakistan Institute of Medical Sciences, Islamabad in 2005, with severe toothache. His painful tooth was a mobile left lower central incisor which was cavitated, abnormal in shape and bigger in size. His other erupted teeth were also of abnormal shape [lowers anterior teeth resembled molars and upper anteriors resembled premolars], hypocalcified and cavitated. The mobile tooth was extracted under local anaesthesia. The extracted tooth had a hollow crown without any root. The panoramic radiograph of the patient showed generalized macrodontia, abnormal shaped teeth with almost no roots in both primary and permanent dentition. There were missing primary and permanent anterior teeth in both jaws possibly resulting in impaction and ectopic position of the other teeth. Due to uncooperative behaviour of the patient's father investigations of any systemic involvement could not be performed. It is believed that no similar case has been previously reported in literature