Clinical  and Radiographic Findings

The clinical findings were remarkable for missing molars from the maxillary right quadrant. The radiographic findings confirmed missing maxillary right second and third molars and an impacted first molar (tooth #3) (Fig 1). The remaining teeth were erupting normally and according to the age of the patient. The impacted tooth #3 was surrounded by a radiolucent/radiopaque lesion with tooth-like structures.

Figure 1. Panoramic view at first presentation demonstrating missing right posterior second and third molars with an impacted first molar. The latter is associated with a well-demarcated, radiolucency with radiopacity and three tooth-like structures. Notice the normal eruption and development of teeth in the other three quadrants.