Abstract
According to the literature, such dentition anomaly as supernumerary teeth is more common in the practice of a dentist than of an otorhinolaryngologist. Clinical manifestations of this pathology in adults are less frequent than in children. Periodically, there appear descriptions of individual cases of hyperdentia, in which the tooth is located in the nasal cavity, paranasal sinuses, orbit. It is not always possible to find such a tooth on examination, therefore, additional research methods help to determine the location and pathological process in more detail. We present our clinical observation of tooth retention and ectopia in the nasal cavity and upper jaw. The diagnosis was confirmed by the data of endoscopic examination and computed tomography of the paranasal sinuses. The ectopic tooth was found before the development of pronounced local inflammation. The tooth was removed from the nasal cavity using endoscopic techniques, no communication between the nasal cavity and the oral cavity was found. The postoperative period was uneventful. On examination two weeks after the operation, no pathological changes in the nasal cavity, paranasal sinuses were found, as well as defects in the mucous membrane and bone part of the nasal cavity floor.
Highlights
Случаи аномалий прорезывания зубов в виде сверхкомплектных, ретинированных или дистопированных зубов встречаются в практике врача-стоматолога и требуют вмешательства ортодонта или стоматологахирурга
Удаление сверхкомплектных зубов может представлять определенные трудности, обусловленные большой глубиной залегания, близким расположением друг к другу корней или зачатков соседних зубов, неправильной формой или нахождением в полости носа, околоносовых пазухах, орбите
Описанное клиническое наблюдение является случайной находкой при проведении дополнительных методов исследования – эндоскопии и КТ полости носа и околоносовых пазух при воспалительном процессе в верхнечелюстной пазухе
Summary
Случаи аномалий прорезывания зубов в виде сверхкомплектных, ретинированных или дистопированных зубов встречаются в практике врача-стоматолога и требуют вмешательства ортодонта или стоматологахирурга. Fileva – assistant of the Otorhinolaryngology Department named after academician I.B. Soldatov. Baryshevskaya – PhD, Associate professor, Otorhinolaryngology Department named after academician I.B. Soldatov. Chernyshenko – PhD, assistant of the Otorhinolaryngology Department named after academician I.B. Soldatov.
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