Kissing Molars in a Patient with Hemifacial Microsomia: A Case Report

Hemifacial microsomia (HFM) is a congenital craniofacial anomaly characterized by mandibular hypoplasia and facial asymmetry. Kissing molars (KM) represent a rare dental anomaly in which the occlusal surfaces of impacted molars are in contact with each other. The aim of this case report is to present the coexistence of KM in a patient diagnosed with HFM. A 28-year-old male patient presented with discomfort in the left posterior mandibular region. Clinical examination revealed facial asymmetry associated with mandibular growth deficiency on the left side. Panoramic radiography demonstrated a KM configuration in the left mandibular posterior region and mandibular hypoplasia on the affected side. The mandibular deformity was classified as Type II A according to the Pruzansky–Kaban classification. Due to symptoms and potential complications, the impacted teeth were surgically removed. Postoperative healing was uneventful, and bone healing was observed at the six-month follow-up. Atypical impacted tooth configurations may occur in patients with HFM. This case contributes to the literature by presenting the coexistence of HFM and KM.