Bilateral Tuberculum Sextum of Maxillary Permanent First Molar

The human tooth’s morphology, which includes variations in cusp numbers and patterns, is of tremendous interest to anthropologists, morphologists, and dentists. Cusp 6 is an additional cusp that is very seldom encountered in primary or permanent mandibular molars, especially first molars. A supernum...

Full description

Saved in:
Bibliographic Details
Main Authors: Mrunali Prashant Deshkar, Yash Naik, Ramakrishna Yeluri, Nilima Thosar, Monika Khubchandani, Meenal Pande
Format: Article
Language:English
Published: MDPI AG 2025-01-01
Series:Diagnostics
Subjects:
Online Access:https://www.mdpi.com/2075-4418/15/2/134
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832588715956895744
author Mrunali Prashant Deshkar
Yash Naik
Ramakrishna Yeluri
Nilima Thosar
Monika Khubchandani
Meenal Pande
author_facet Mrunali Prashant Deshkar
Yash Naik
Ramakrishna Yeluri
Nilima Thosar
Monika Khubchandani
Meenal Pande
author_sort Mrunali Prashant Deshkar
collection DOAJ
description The human tooth’s morphology, which includes variations in cusp numbers and patterns, is of tremendous interest to anthropologists, morphologists, and dentists. Cusp 6 is an additional cusp that is very seldom encountered in primary or permanent mandibular molars, especially first molars. A supernumerary cusp located lingual to the distobuccal cusp at the crown’s distal border is cusp 6. According to the literature, cusp 6 is also known by other anthropologic designations, such as “Tuberculum Sextum” or “Entoconulid”. This case offers a unique instance of a bilateral tuberculum sextum in the maxillary permanent first molars, characterized by an additional cusp on the lingual surface. The patient, an adolescent, exhibited no associated symptoms. Early detection of such dental anomalies is essential for treatment planning, particularly in maintaining occlusal balance and preventing future complications. Regular monitoring is necessary to manage a bilateral tuberculum sextum in order to avoid enamel fractures and occlusal interference. To preserve functional occlusion and avoid problems, prophylactic sealants or selective grinding may be taken into consideration. This report highlights the importance of recognizing a tuberculum sextum for proper clinical management.
format Article
id doaj-art-a1d21822b31949e4b7ad9df49b1eeb68
institution Kabale University
issn 2075-4418
language English
publishDate 2025-01-01
publisher MDPI AG
record_format Article
series Diagnostics
spelling doaj-art-a1d21822b31949e4b7ad9df49b1eeb682025-01-24T13:28:50ZengMDPI AGDiagnostics2075-44182025-01-0115213410.3390/diagnostics15020134Bilateral Tuberculum Sextum of Maxillary Permanent First MolarMrunali Prashant Deshkar0Yash Naik1Ramakrishna Yeluri2Nilima Thosar3Monika Khubchandani4Meenal Pande5Department of Pediatric and Preventive Dentistry, Datta Meghe Institute of Higher Education and Research, Wardha 442001, Maharashtra, IndiaDepartment of Pediatric and Preventive Dentistry, Datta Meghe Institute of Higher Education and Research, Wardha 442001, Maharashtra, IndiaDepartment of Pediatric and Preventive Dentistry, Datta Meghe Institute of Higher Education and Research, Wardha 442001, Maharashtra, IndiaDepartment of Pediatric and Preventive Dentistry, Datta Meghe Institute of Higher Education and Research, Wardha 442001, Maharashtra, IndiaDepartment of Pediatric and Preventive Dentistry, Datta Meghe Institute of Higher Education and Research, Wardha 442001, Maharashtra, IndiaDepartment of Pediatric and Preventive Dentistry, Datta Meghe Institute of Higher Education and Research, Wardha 442001, Maharashtra, IndiaThe human tooth’s morphology, which includes variations in cusp numbers and patterns, is of tremendous interest to anthropologists, morphologists, and dentists. Cusp 6 is an additional cusp that is very seldom encountered in primary or permanent mandibular molars, especially first molars. A supernumerary cusp located lingual to the distobuccal cusp at the crown’s distal border is cusp 6. According to the literature, cusp 6 is also known by other anthropologic designations, such as “Tuberculum Sextum” or “Entoconulid”. This case offers a unique instance of a bilateral tuberculum sextum in the maxillary permanent first molars, characterized by an additional cusp on the lingual surface. The patient, an adolescent, exhibited no associated symptoms. Early detection of such dental anomalies is essential for treatment planning, particularly in maintaining occlusal balance and preventing future complications. Regular monitoring is necessary to manage a bilateral tuberculum sextum in order to avoid enamel fractures and occlusal interference. To preserve functional occlusion and avoid problems, prophylactic sealants or selective grinding may be taken into consideration. This report highlights the importance of recognizing a tuberculum sextum for proper clinical management.https://www.mdpi.com/2075-4418/15/2/134tuberclecusppermanent molarocclusiontuberculum sextum
spellingShingle Mrunali Prashant Deshkar
Yash Naik
Ramakrishna Yeluri
Nilima Thosar
Monika Khubchandani
Meenal Pande
Bilateral Tuberculum Sextum of Maxillary Permanent First Molar
Diagnostics
tubercle
cusp
permanent molar
occlusion
tuberculum sextum
title Bilateral Tuberculum Sextum of Maxillary Permanent First Molar
title_full Bilateral Tuberculum Sextum of Maxillary Permanent First Molar
title_fullStr Bilateral Tuberculum Sextum of Maxillary Permanent First Molar
title_full_unstemmed Bilateral Tuberculum Sextum of Maxillary Permanent First Molar
title_short Bilateral Tuberculum Sextum of Maxillary Permanent First Molar
title_sort bilateral tuberculum sextum of maxillary permanent first molar
topic tubercle
cusp
permanent molar
occlusion
tuberculum sextum
url https://www.mdpi.com/2075-4418/15/2/134
work_keys_str_mv AT mrunaliprashantdeshkar bilateraltuberculumsextumofmaxillarypermanentfirstmolar
AT yashnaik bilateraltuberculumsextumofmaxillarypermanentfirstmolar
AT ramakrishnayeluri bilateraltuberculumsextumofmaxillarypermanentfirstmolar
AT nilimathosar bilateraltuberculumsextumofmaxillarypermanentfirstmolar
AT monikakhubchandani bilateraltuberculumsextumofmaxillarypermanentfirstmolar
AT meenalpande bilateraltuberculumsextumofmaxillarypermanentfirstmolar