PMC3571523_01
(A) Clinical image showing paramolar tubercles on the buccal surface of tooth # 2; (B) facial view of the maxillary study model showing paramolar tubercles. Note gingival recession (arrow) due to the projection of the tubercles from the tooth and the alveolus.
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On clinical examination, in addition to carious teeth, two well-developed lobulated tubercles were found on the buccal surface of tooth # 2 (Figure 1A and 1B). Gingival recession was observed on the buccal surface due to the projection of the tubercles from the tooth and the alveolus (Figure 1B).
(A) Periapical radiograph showing paramolar tubercle (arrow) superimposed on the mid-surface of the associated tooth; (B) axial SCT scan image of maxilla showing pulp chamber of tooth # 2.
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Though it was not possible to confirm the presence of pulp chamber or root in the paramolar tubercle, but we could clearly demarcate the enamel overlying the tubercle (Figure 2A). SCT scan images revealed a single and a distinct pulp chamber in paramolar tubercles (Figure 2B).
Axial SCT scan images of A) cervical, B) middle, and C) apical third sections of the roots of tooth # 2.
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To accommodate the tubercle and the additional root, the buccal alveolar bone level was seen more apical at the tubercle (Figure 3A-3C).