Ekman-Westborg and Julin [1974: Oral Surg 38:217-222], described multiple macrodontia and multituberculism affecting the teeth without other anomalies (E-WJ). We describe a Chilean case in a 12-year-old with the typical dental alterations and with histopathologic findings that include absence of predentin layer and prominent reduced enamel epithelium. E-WJ is not a syndrome and we propose "multiple macrodontic multituberculism" as a better name for this anomaly of uncertain etiology affecting only the crowns of the teeth.
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http://dx.doi.org/10.1002/ajmg.a.20102 | DOI Listing |
BMC Oral Health
January 2025
Oral and Dental Disease Research Center, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran.
Background: Molariform second premolar is a rare dental anomaly where the second premolar resembles a molar in size and shape. This condition is often linked to macrodontia, a rare enlargement of teeth that disrupts dental proportions and can manifest in isolated, relative, or generalized forms. Although mandibular second premolars are more prone to morphological variability, the occurrence of bilateral molariform premolars, induced by a unique form of gemination, is exceptionally uncommon and infrequently documented, thus making this case clinically significant.
View Article and Find Full Text PDFDent Update
April 2013
Birmingham Dental Hospital, St Chad's Queensway, Birmingham. West Midlands.
Unlabelled: Macrodontia is an uncommon dental anomaly that can present in both primary and permanent dentition. It has often been reported to occur concomitantly with other dental anomalies and has also been an established clinical characteristic of numerous systemic conditions and syndromes. The following case reports illustrate the challenges of managing macrodont teeth in view of the various treatment options available, as well as the multiple factors that tend to influence each case individually.
View Article and Find Full Text PDFOral Surg Oral Med Oral Pathol Oral Radiol Endod
May 2009
Gazi University, Faculty of Dentistry, Department of Oral Diagnosis and Radiology, Ankara, Turkey.
A case of Ekman-Westborg and Julin trait and endodontic treatment of a macrodontic lateral incisor with a necrotic pulp and periradicular pathosis presented in a 21-year-old woman. Clinical and radiological findings suggesting the Ekman-Westborg and Julin trait included multiple macrodontia, multituberculism, and single conical molar roots. Orthodontic problems such as mandibular prognatism and anterior and posterior cross-bite and other minor dental morphological changes were also found.
View Article and Find Full Text PDFMed Oral Patol Oral Cir Bucal
February 2009
University of Minnesota, Minnesota, USA.
Dens in dente, also known as dens invaginatus and dilated compound odontoma, is a malformation that can occur on primary, permanent, or supernumerary teeth that is characterized by a deep invagination of the surface of a crown or root covered with enamel. This abnormality in tooth morphology generally affect the maxillary lateral incisors but several cases of multiple dens invaginatus have been reported in the literature. A 15 year-old female patient is reported here presenting five dens invaginatus: four in the permanent mandibular incisors and one in the permanent, maxillary left central incisor, additionally the following dental findings were observed: a permanent mandibular left mulberry molar, molarization of some premolars, several microdontic conoid teeth, retention of five primary teeth, absence of several permanent teeth germs, a macrodontic molar with abnormal roots and several periapical radiolucencies associated to the dens invaginatus.
View Article and Find Full Text PDFDent Update
November 2007
Dundee Dental Hospital and School, Park Place, Dundee.
Unlabelled: This case report describes the presence of multiple dental anomalies in the upper labial segment of a 7-year-old boy; a macrodont, transposition and supplemental tooth.
Clinical Relevance: This case highlights the need for careful treatment planning in patients with mutiple dental anomalies.
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