Unilateral Impacted Maxillary Distomolar Associated with an Erupted third Molar : a Rare Case Report

Reports describing the clinical relationship between supernumerary fourth molars and adjacent third molars are exceedingly scarce. The present case involves a unilateral impaction of a right maxillary fourth molar, identified in the presence of a normally erupted right maxillary third molar. The patient sought consultation due to persistent irritation of the right buccal mucosa caused by repeated cheek biting. Comprehensive clinical and radiographic evaluation indicated that the erupted third molar was contributing to the patient’s symptoms; therefore, its removal was planned and performed using conventional local infiltration anaesthesia.