Kissing molars: Report of a case

There are few cases of “kissing molars” related in English language literature. The term “kissing molar” was given by Van Hoof [1] in 1973, describing four impacted molars in a 31-year-old patient. The imaginological appearance consisted of a single follicular space associated with two molars with their occlusal surfaces in close apposition and the roots pointing in opposite directions [2].The condition of impacted bilateral kissing molars is only reported four times in the literature [1], [2], [3] and [4]. The occurrence of a dentigerous cyst associated with this phenomena was found in only one patient [5]. In a dentigerous cyst scenario, the risk and morbidity of a surgical procedure must be evaluated in the management of asymptomatic patients, so the treatment approaches should be based on patient age, cyst site and size, involvement of vital structures and potential for normal eruption into occlusion of the impacted tooth involved [6]. Furthermore, in surgical treatment of impacted molars in mandible it is critical to evaluate the relationship of the impacted teeth and the alveolar inferior nerve using high resolution cone-beam computed tomography (CBCT) which improves the surgical management of the teeth, helps the surgical planning and avoids unexpected casualties from the surgery [7] and [8].The aim of this article is to describe a case of a bilateral kissing molars in mandible associated with bilateral dentigerous cyst assessed through CBCT images and the management of this condition. Furthermore, it was reviewed all cases of kissing molars reported in the literature.