Abstract

Objectives: This work aims to report an unusual case of fourth molars in three patients from the same family. Case Report: The patient underwent third and fourth molars removal with little morbidity. Some important aspects were discussed, in particular the use of piezosurgery. Important features of the classification and epidemiology of distomolars and paramolars were discussed. The authors believe this to be the first report of familial fourth molars. Conclusions: Although considered a rare condition, fourth molars can be treated as an unusual or uncommon condition. The term rare is not appropriate to this situation and the authors debate it. Piezosurgery is very harmful in extensive osteotomies to remove third and/or fourth molars.

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