paramolar

Paramolar refers to an accessory cusp found on the buccal (cheek) side of a molar tooth. These supernumerary cusps are typically located on the buccal surface, often between the mesiobuccal and distobuccal cusps, or sometimes more posteriorly. Paramolars can vary in size and shape, ranging from small, insignificant bumps to fully developed cusps that may even occlude with opposing teeth.

The presence of paramolars is considered a dental anomaly. They can occur on either deciduous (baby) teeth or permanent teeth, and on any molar, though they are more commonly observed on mandibular (lower) molars. The etiology of paramolars is not fully understood, but genetic factors are believed to play a role. They are generally asymptomatic unless they interfere with occlusion or become prone to wear or decay.

In some cases, paramolars can contribute to malocclusion or cause difficulties during orthodontic treatment. Their presence might also complicate dental restorations or extractions. Diagnosis is usually made through clinical examination and radiographic imaging. Treatment, if necessary, typically involves removal of the paramolar, especially if it is causing functional problems or is structurally compromised.