Abstract
The pathogenesis of ectopic teeth is unknown, but it could be due to tissue interactions during tooth development. The causes can be multi-factorial. Ectopic teeth may be permanent, deciduous, or supernumerary. Maxillary canine and mandibular third molar are the most frequently involved tooth. Ectopic eruption of teeth other than the oral cavity is rare, but various authors have reported ectopic teeth in various facial region. Tooth in the maxillary antrum may cause local sinonasal symptoms. Water's view, panoramic radiography, and plain skull radiography are advocated for maxillary sinus pathology. Routine computerized tomography imaging is debatable. The standard treatment for an ectopic tooth in the maxillary sinus is a surgical removal through Caldwell-Luc procedure and recently functional endoscopic sinus surgery is gaining popularity. We report a case of ectopic eruption of maxillary right first molar in the maxillary sinus with the complaint of foul smelling discharge from the nose and surgically removed by Caldwell-Luc procedure.
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