An Unusual Presentation of an Ectopic Mandibular Third Molar in the Condylar Region: A Case Report and Review of Literature

Abstract

Rationale: Ectopic teeth arise from developmental abnormalities, pathological conditions or iatrogenic factors. They can be supernumerary, deciduous or permanent and cause dental and facial pain, swelling and infection. Limited cases reveal limited knowledge about causes, symptoms, treatment options and surgical procedures. A thorough evaluation, including radiographic imaging and clinical examination, aids diagnosis and treatment planning. Patient Concern: A 54-year-old female patient complains of tooth mobility in the upper right back tooth region for one month and occasional pain in the right pre-auricular region. Diagnosis: Chronic generalised periodontitis with an impacted tooth in the right condylar region. Intervention: Extraction of Grade III mobile 17 and conservative treatment for ectopic molar in the condylar region. Outcome: The patient is on regular follow-up with no similar complaints. Take-Away Lesson: A personalised approach is crucial in managing ectopic mandibular third molars and should take into account the patient’s symptoms, preferences and potential complications. Successful treatment requires informed decision-making and thorough evaluation.