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VOLUME 56 , ISSUE 4 ( October-December, 2022 ) > List of Articles


Bilateral Occurrence of Supernumerary Cusps on the First Permanent Molars of 6-year-old Libyan Child: Case Report

Majda T Elfseyie, Fatimah A Mohammed

Keywords : Accessory cusp, Dens evaginatus, First permanent molars, Supernumerary cusps, Tooth anomalies

Citation Information : Elfseyie MT, Mohammed FA. Bilateral Occurrence of Supernumerary Cusps on the First Permanent Molars of 6-year-old Libyan Child: Case Report. J Postgrad Med Edu Res 2022; 56 (4):185-188.

DOI: 10.5005/jp-journals-10028-1601

License: CC BY-NC 4.0

Published Online: 31-12-2022

Copyright Statement:  Copyright © 2022; The Author(s).


Supernumerary cusps are morphological variations classified into three patterns: Carabelli's cusp, dens evaginatus (DE), and talon cusps. DE is a disturbance of tooth formation that appears as an accessory tuberculated cusp composed of enamel, dentin, and pulp tissue. The first permanent molars (FPMs) may show alteration in their shape or structure. However, the alteration could be observed as accessory cusps on the occlusal surface or accessory roots or hypomineralization as molar incisor hypomineralization. DE is a rare dental anomaly that can occur in primary or permanent dentitions. It is infrequently seen on anterior teeth or premolars. However, their occurrence on molars is rarer. This presented a rare case of bilateral double supernumerary cusps on the right and the left maxillary FPMs of a 6-year-old Libyan boy, while the mandibular FPMs appeared with normal cusps. The aims of this study were to report and discuss the diagnostic methods and the management of this anomaly. In addition, shed light on the importance of early diagnosis and follow-up observation. That could help in reducing the potential dental problems and to improve patients’ quality of life.

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