Update on clinical, imaging, and therapeutic aspects of kissing molars: A systematic review

Authors

DOI:

https://doi.org/10.33448/rsd-v10i6.15506

Keywords:

Dental follicle; Kissing molars; Rosette formation.

Abstract

Introduction: The Kissing Molar (KM) is defined by two or more lower posterior teeth in contact with the occlusal surfaces and the roots in opposite directions. Purpose: This study aimed to review epidemiological, clinical, and imaging aspects related to Kissing Molars. Methods: A two-phase systematic review registered in the PROSPERO platform was performed. Search strategies were developed for specific databases (PubMed, Scopus, Web of Science, Scielo, and LILACS), including the gray literature (Open Grey and Google Scholar). The CARE guideline was followed to evaluate methodological aspects, and the Joanna Briggs Institute instrument (MAStARI) assessed the risk of bias. Statistical analysis considered a 5% level of significance. Results: The initial search strategy resulted in 564 articles. From this total, 21 studies (case reports and case series) meet the eligibility criteria. The main aspects associated with KMs (n=32) were laterality difference between males and females (p=0.028), report of mental retardation (p=0.023), the involvement of second (p=0.036) and third (p<0.001) molars, surgical intervention (p<0.001) associating ostectomy and odontossection (p=0.028), and low occurrence of postoperative complications (p=0.002). Conclusion: A low number of KMs were reported in the literature. They showed statistically significant differences regarding epidemiological, clinical, imaging, and therapeutic characteristics. Thus, dental surgeons would consider these aspects before the treatment of patients with KMs.

References

Adeyemo, W. L. (2006). Do pathologies associated with impacted lower third molars justify prophylactic removal? A critical review of the literature. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology 102(4):448–52. https://doi.org/10.1016/j.tripleo.2005.08.015

Albuquerque, A. F. M., Sampaio-Melo, C. M., Studart-Soares, E. C., Rodrigues-Ribeiro, T., Roriz-Fonteles, C. S., Alves-Pereira, K. M., Ferreira-Barbosa, D. A., Barros-Silva, P. G., Gurgel-Costa, F. W. (2018). Preemptive analgesia-related gene and protein expression in third molar surgeries under non steroidal anti-inflammatory drug protocols: A PROSPERO-registered systematic review of clinical studies. Med Oral Patol Oral Cir Bucal 23:e723-e32. https://doi.org/10.4317/medoral.22576

Anish, N., Vivek, V., Thomas, S., Daniel, V. A., Thomas, J., Ranimol, P. (2015). Till Surgery do us Part: Unexpected Bilateral Kissing Molars. Clin Pract 5:688. https://doi.org/10.4081/cp.2015.688

Arjona-Amo, M., Torres-Carranza, E., Batista-Cruzado, A., Serrera-Figallo, M. A., Crespo-Torres, S., Belmonte-Caro, R., Albisu-Andrade, C., Torres-Lagares, D., Gutiérrez-Pérez, J. L. (2016). Kissing molars extraction: Case series and review of the literature. J Clin Exp Dent 8:e97-e101. https://doi.org/10.4317/jced.52741

Aromataris, E., Munn, Z. (2017). Joanna Briggs Institute Reviewer's Manual.

Barros, S. E., Janson, G., Chiqueto, K., Ferreira, E., Rosing, C. (2018). Expanding torque possibilities: A skeletally anchored torqued cantilever for uprighting "kissing molars". Am J Orthod Dentofacial Orthop 153:588-98. https://doi.org/10.1016/j.ajodo.2017.12.006

Boffano, P., Gallesio, C. (2009). Kissing molars. J Craniofac Surg 20:1269-70. https://doi.org/10.1097/SCS.0b013e3181abb271

Bozkurt, P., Altindag, A., Ilhan, E., Erdem, E. (2017). Kissing molars: report of three cases involving supernumerary tooth, dentigerous cyst and fibro-osseous lesion. Cumhuriyet Dent J 20:104-8. https://doi.org/10.7126/cumudj.345891

Cansiz, E., Isler, S. C., Gultekin, B. A. (2016). Removal of Deeply Impacted Mandibular Molars by Sagittal Split Osteotomy. Case Rep Dent 2016:1902089. https://doi.org/10.1155/2016/1902089

Cawson, R. A. (1962). The oral changes in gargoylism. Proc R Soc Med 55:1066–70.

Eliasson, S., Heimdahl, A., Nordenram, A. (1989). Pathological changes related to long-term impaction of third molars. International Journal of Oral and Maxillofacial Surgery 18(4):210–12. https://doi.org/10.1016/s0901-5027(89)80055-4

Fortes, R. Z. S., Júnior-Salvaro, V., Modolo, F., Mackowiecky, E. (2014). Kissing molars: Report of a case. Journal of Oral and Maxillofacial Surgery, Medicine, and Pathology 26:48-51. https://doi.org/10.1016/j.ajoms.2012.09.008

Ghosh, R., Babu, S. G., Castelino, R. L., Nair, M., Rao, K., Bhat, S., Banerjee, B. (2017). Kissing molars: a rare case report. Eur J Ther 23:42-4. https://doi.org/10.5152/EurJTher.2017.09120

Giraldi Neto, F. O., Rocha Júnior, H. V., Martinez Júnior, W., Duarte, B. G., Salgueiro, D. G., Santana, E. (2012). Interesting cases of kissing molars. Report of two cases. Rev Odontol UNESP 41:292-5.

Gonzalez-Perez, L. M., Infante-Cossio, P., Sanchez-Sanchez, M., Valdivieso-del-Pueblo, C., Robles-Garcia, M. (2015). Kissing Molars: A Report of Three Cases and Literature Review. Int J Oral Dent Health 1:12. https://doi.org/10.23937/2469-5734/1510012

Gulses, A., Varol, A., Sencimen, M., Dumlu, A. (2012). A study of impacted love: kissing molars. Oral Health Dent Manag 11:185-8.

Jannu, A., Ksn, S. B., Vivek, G. K., Veena, G., Kamath, R. (2014). Missing molars caught kissing. IORS J Dent Med Scienc 13:51-4. https://doi.org/10.9790/0853-13535154

Kiran, H. Y., Bharani, K. S., Kamath, R. A., Manimangalath, G., Madhushankar, G. S. (2014). Kissing molars and hyperplastic dental follicles: report of a case and literature review. Chin J Dent Res 17:57-63.

Liberati, A., Altman, D. G., Tetzlaff, J., Mulrow, C., Gøtzsche, P. C., Loannidis, J. P. A., Clarke, M., Devereaux, P. J., Kleijnen, J., Moher, D. (2009). The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration. J Clin Epidemiol 62:e1-34. https://doi.org/10.1371/journal.pmed.1000100

McIntyre, G. (1997). Kissing molars: an unexpected finding. Dent Update 24:373-4.

Menditti, D., Laino, L., Cicciu, M., Mezzogiorno, A., Perillo, L., Meditti, M., Cervino, G., Lo Muzio, L., Baldi, A. (2015). Kissing molars: report of three cases and new prospective on aetiopathogenetic theories. Int J Clin Exp Pathol 8(12):15708-18.

Nakamura, T., Miwa, K., Kanda, S., Nonaka, K., Anan, H., Higash, S., Beppu, K. (1992). Rosette formation of impacted molar teeth in mucopolysaccharidoses and related disorders. Dentomaxillofac Radiol 21:45-9. https://doi.org/10.1259/dmfr.21.1.1397452

Nedjat-Shokouhi, B., Webb, R. M. (2014). Bilateral kissing molars involving a dentigerous cyst: report of a case and discussion of terminology. Oral Surg 7:107-10. https://doi.org/10.1111/ors.12118

Nuño, A. I. S., Quijada, A. S. (2019). Distomolars in ectopic position (kissing molars): report of a case. Revista ADM 76:44-48.

Ouzzani, M., Hammady, H., Fedorowicz, Z., Elmagarmid, A. (2016). Rayyan-a web and mobile app for systematic reviews. Syst Rev 5:210. https://doi.org/10.1186/s13643-016-0384-4

Renton, T. (2013). Update on coronectomy. A safer way to remove high risk mandibular third molars. Dent Update 40(5):362–364, 366–8. https://doi.org/10.12968/denu.2013.40.5.362

Riley, D. S., Barber, M. S., Kienle, G. S., Aronson, J. K., Schoen-Angerer, T. V., Tugwell, P., Kiene, H., Helfand, M., Altman, D. G., Sox, H., Werthmann, P. G., Moher, D., Rison, R. A., Shamseer, L., Koch, C. A., Sun, G. H., Hanaway, P., Sudak, N. L., Kaszkin-Bettag, M., Carpenter, J. E., Gagnier, J. J. (2017). CARE guidelines for case reports: explanation and elaboration document. J Clin Epidemiol 89:218-35. https://doi.org/10.1016/j.jclinepi.2017.04.026

Robinson, J. A., Gaffney Jr, W., Soni, N. N. (1991). Bilateral 'kissing' molars. Oral Surg Oral Med Oral Pathol 72(6):760. https://doi.org/10.1016/0030-4220(91)90026-9

Scheuber, S., Bornstein, M. (2014). Kissing molars. A peculiar radiologic finding. Swiss Dent J 124:16-7.

Shahista, P., Mascarenhas, R., Shetty, S., Husain, A. (2013). Kissing molars: an unusual unexpected impaction. Archiv Med Health Sci 1:52-3. https://doi.org/10.4103/2321-4848.113570

Tufanaru, C., Munn, Z., Aromataris, E., Campbell, J., Hopp, L. (2017). Chapter 3: Systematic reviews of effectiveness. In: Aromataris E, Munn Z (Editors). Joanna Briggs Institute Reviewer's Manual. The Joanna Briggs Institute. Available from https://reviewersmanual.joannabriggs.org/

Van Hoof, R. F. (1973). Four kissing molars. Oral Surg Oral Med Oral Pathol 35:284. https://doi.org/10.1016/0030-4220(73)90297-1

Wu, Y., Song, Y., Huang, R., Hu, J., He, X., Wang, Y., Zhou, G., Sun, C., Jiang, H., Cheng, J., Wang, D. (2017). Comprehensive analysis of ectopic mandibular third molar: a rare clinical entity revisited. Head Face Med 13(1):24. https://doi.org/10.1186/s13005-017-0157-x

Zerener, T., Bayar, G. R., Altug, H. A., Kiran, S. (2016). Extremely Rare Form of Impaction Bilateral Kissing Molars: Report of a Case and Review of the Literature. Case Rep Dent 2016: 2560792. https://doi.org/ 10.1155/2016/2560792

Downloads

Published

10/06/2021

How to Cite

EVANGELISTA, Ícaro G.; SOARES, E. C. S.; BARBOSA, D. A. F.; CARNEIRO NETO, J. N.; CETIRA FILHO, E. L.; CARVALHO, F. S. R. .; SILVA, P. G. de B. .; COSTA, F. W. G. Update on clinical, imaging, and therapeutic aspects of kissing molars: A systematic review. Research, Society and Development, [S. l.], v. 10, n. 6, p. e15910615506, 2021. DOI: 10.33448/rsd-v10i6.15506. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/15506. Acesso em: 13 nov. 2024.

Issue

Vol. 10 No. 6

Section

Health Sciences

License

Copyright (c) 2021 Ícaro Girão Evangelista; Eduardo Costa Studart Soares; Daniel Almeida Ferreira Barbosa; José Nunes Carneiro Neto; Edson Luiz Cetira Filho; Francisco Samuel Rodrigues Carvalho; Paulo Goberlânio de Barros Silva; Fábio Wildson Gurgel Costa

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Authors who publish with this journal agree to the following terms:

1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.

2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.

3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.