Eruption of teeth in the nose following trauma to the primary and permanent dentitions

Gilbride, Michael; Smith, W.P.

doi:10.1038/sj.bdj.4812081

Cited by 9 publications

(10 citation statements)

References 7 publications

(5 reference statements)

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“…Patients with intranasal teeth present with a variety of signs and symptoms, most commonly unilateral nasal obstruction that has persisted for many months or years [1,4,6,7], as in the present case. Other findings include facial pain and discomfort, purulent rhinorrhea, recurrent epistaxis, fetid odor, and headache.…”

Section: Discussionmentioning

confidence: 86%

“…This literature reported an ectopic tooth attached to the inferior turbinate in two adult female skulls [3]. In most of the reported cases, no etiological explanation has been suggested or found, but the literature mentions some theories, such as displacement of tooth bud due to mid-facial trauma [4], maxilla osteomyelitis [5], and developmental disturbances, such as cleft palate [1,2]. Idiopathic etiology has also been described as an etiologic factor for ectopic teeth [3].…”

Section: Discussionmentioning

confidence: 99%

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Case presentation of an intranasal ectopic tooth in a pediatric patient

et al. 2015

American Journal of Otolaryngology

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Section: Discussionmentioning

confidence: 86%

Section: Discussionmentioning

confidence: 99%

Case presentation of an intranasal ectopic tooth in a pediatric patient

et al. 2015

American Journal of Otolaryngology

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“…Litvin et al (2) reported a case where the displacement of tooth by the expansion of the dentigerous cyst leads to the ectopic eruption of tooth in the maxillary sinus. Ectopic eruption of teeth following trauma to the primary and permanent dentitions also reported in literature (9).…”

Section: Figmentioning

confidence: 80%

“…Then, reactive osteogenic process and chronic inflammation within the sinus could lead to osteoma formation in the following period (5). Therefore, pediatric patients with maxillofacial trauma should be carefully watched for dental injury, both clinically and radiologically (9). The treatment for osteoma and an ectopic tooth within the maxillary sinus is surgical excision.…”

Section: Figmentioning

confidence: 99%

Osteoma and Ectopic Tooth of the Left Maxillary Sinus: A Unique Coexistence

Aydın¹,

Asik²,

Ahmedov³

et al. 2016

Balkan Med J

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Background: Ectopic eruption of a tooth or osteoma rarely occurs within the maxillary sinus. Coexistence of these two rare entities in the maxillary sinus has never been reported in the English literature. Case Report: Herein, we present a 21 year-old male patient with osteoma and ectopic tooth in the left maxillary sinus treated with the removal of the ectopic tooth by endoscopic sinus surgery and excision of the osteoma by the CaldwellLuc procedure. Conclusion: Unique coexistence of two different entities in the maxillary sinus is most likely due to pediatric facial trauma. Pediatric patients with maxillofacial trauma should be carefully watched for dental injury both clinically and radiologically. Keywords: Ectopic tooth, maxillary sinus, osteoma Copyright 2016 © Trakya University Faculty of Medicine Balkan Med J 201633:473-6 Osteomas are benign, slow-growing tumors of the bone and consist of mature compact or cancellous bone (1). These are the most common benign tumors of paranasal sinuses (1). The most common region is frontal sinus (1). Maxillary sinus is a rare localization for osteoma (1). Ectopic teeth are located in areas other than the alveolar arch and are infrequently seen in the maxillary sinus (2). To the best of our knowledge, this paper is the first to present the combination of two rare entities within the maxillary sinus. We also discussed the possible etiologic factors and surgical management. CASE PRESENTATIONA 21 year-old male presented with the complaints of pain and feeling of pressure, especially during biting over the left cheek for the past two months. He had a history of sinus infection not responding to antibiotics in this period. In detailed medical history, the patient mentioned a maxillofacial injury due to falling down at the age of ten which was treated with debridement and suturing of wounds. Intraoral examination showed that the upper third molar was absent and the patient had a small draining oro-antral fistula in this location (Figure 1). Endoscopic nasal examination of the nasal cavity showed normal nasal mucosa. The remainder of the examinations were also within normal limits. An orthopantomogram was initially performed for the missing upper left third molar, which showed that the ectopic third molar was located just above a radiopaque mass in the left upper jaw (Figure 2).In order to determine the exact location of the ectopic third molar and radiopaque mass, computed tomography (CT) of the paranasal sinuses was performed. In the coronal cross-section, a fully developed ectopic third molar and underlying hyperdense mass were seen in the left maxillary sinus. The welldefined mass under the ectopic third molar was 15x25 mm in size and compatible with the compact bone. This osseous mass was located in the inferior portion of the maxillary sinus and near the alveolar arch (Figure 3). The left maxillary sinus volume was increased and nasal septum was deviated to the right side. The ectopic third molar was adjacent to the posterior maxillary sinus wall and orbital floor, b...

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“…However, in a small number of cases some theories have been proposed, including tooth bud displacement due to trauma, osteomyelitis, exceptionally dense bone, or developmental disturbances such as cleft lip or palate. [1][2][3] Patients with intranasal teeth present with a variety of symptoms, including a feeling of a foreign body in the nose, nasal discharge, epistaxis, mild facial pain and external deviation of the nose. 2,4 However, intranasal teeth may also be asymptomatic and revealed only by radiological investigation.…”

Section: Discussionmentioning

confidence: 99%