The abnormality formed after he lost his milk teeth. They extracted from his mouth more than 232 teeth located on the right side of his lower jaw. When the area was surgically opened it there were multiple pearl-like teeth inside the jaw bone and a larger “marble-like” structure which they struggled to shift and eventually had to “chisel out” and remove in fragments. “We operated on Monday and it took us almost seven hours. We thought it may be a simple surgery but once we opened it there were multiple pearl-like teeth inside the jaw bone,”said to the media head of dentistry Sunanda Dhivare-Palwankar. Knowing that the medical literature showed a maximum of 37 teeth being removed in such a procedure, this case in probable a world record. The dentistry department at JJ Hospital plans to speak with Guinness World Records about. The operation was a success and Gavai’s jawbone structure was maintained. The operation was paid for by a government health care scheme for the poor.