An Infected Ectopic Wisdom Tooth in the Ascending Ramus

Abstract

Ectopic wisdom teeth are a rare occurrence. Furthermore, it is highly unusual to see lower wisdom teeth in the ascending ramus of the mandible. This case report is about a 41-yearold male patient with right sided facial swelling. Presenting initially as suspected right sided parotitis, the source of the infection was quickly identified as an ectopic wisdom tooth located in the ramus of the mandible. This report describes the associated investigations, management (pre-, peri-and post-) and appropriate follow-up after discharge, for a symptomatic, ectopically placed third molar tooth. The current UK guidelines for wisdom teeth removal is published by NICE (National Institute of Clinical Excellence). In conclusion, the case highlights the importance of thorough investigation and possible amendment of current guidelines.