Intranasal Tooth Research Articles

A rare case of an intra-nasal ectopic tooth leading to rhinolith

Teeth in non-dentate areas including the intra-sinus and intranasal teeth are rarely encountered in clinical practice. Although the majority of patients remain asymptomatic, the usual presenting complaints are nasal obstruction, epistaxis, hyposmia and headache. In this article, we present a case of an intranasal tooth in a 38-year-old male who presented with complaints of hyposmia and nasal obstruction. Computed tomography (CT) of the paranasal sinuses and nasal cavity showed a tooth-like structure in the left inferior nasal cavity extending from the hard palate. The mainstay of treatment is the surgical removal of the ectopic tooth under anaesthesia. Even in asymptomatic patients, surgical removal of the nasal tooth is advised to prevent complications. Along with a clinician’s understanding of the condition, imaging aids in the diagnosis of an ectopic tooth. Imaging, particularly with CT, also helps plan the surgical approach to treatment.

Collaborative supernumerary nasal tooth extraction by nasal and intraoral approaches

AbstractBackgroundThe purpose of this report was to describe an effective technique by which a fractured intranasal supernumerary tooth was pushed from the oral cavity side toward the nasal cavity.Case presentationA 6‐year‐old female with two maxillary supernumerary median impacted teeth, including an intranasal tooth, performed teeth extraction. The surgical procedure was a collaboration operation of oral and maxillofacial surgery and otorhinolaryngology. By pushing the fractured tooth in the nasal cavity from the oral cavity toward the nasal cavity, the remaining root in her maxilla could be easily removed from the nasal cavity with an endoscope.ConclusionCollaboration surgery of the intraoral and nasal approaches could achieve minimally invasive surgery for the removal of the remaining fractured root of intranasal teeth.

Ectopic nasal tooth: A case report.

Introduction and importanceThe ectopic eruption of the teeth into the nasal cavity is a rare phenomenon. It is mostly found incidentally or with nasal symptoms.Case presentationA 32-year-old male patient presented with nasal obstruction and recurrent epistaxis. Nasal endoscopy revealed a mass in left nasal floor along with septal deviation and right inferior turbinate hypertrophy. Sinus CT confirmed the same clinical finding with emphasis on the mass being a foreign body mostly consistent with a tooth. Septoplasty, inferior turbinoplasty, and endoscopic removal of the nasal tooth were performed. The patient tolerated the procedure well with improvement in nasal symptoms.Clinical discussionThe exact etiology of supernumerary teeth is still unclear. There are different clinical presentations that can occur; however, the intranasal tooth can be asymptomatic or cause a variety of signs and symptoms. The diagnosis of nasal teeth is usually made by the clinical and radiographic findings, and removal of the nasal teeth is generally advised to alleviate the symptoms and prevent complications.ConclusionEctopic eruption of the teeth into the nasal cavity is a rare form of supernumerary teeth. Thus, crucial attention to the clinical, radiological and histopathological examination should be taken for more accurate diagnosis and thus appropriate management in case of nasal obstruction or recurrent epistaxis.

English

Supernumeraries erupting in ectopic regions are one of the commonly found anomalies of orofacial region.1 The mesiodens, being located between the maxillary central incisors is the most common supernumerary tooth.2,3 But impacted mesiodens erupting into nasal cavity is a rare finding. We are detailing an instance of an inverted impacted mesiodens in the nasopalatine canal of an adult patient with encroachment on the nasal floor diagnosed as an incidental finding in panoramic radiograph. Intranasal tooth in adults is reported rare in the literature. Although surgical removal is advised generally on diagnosis of impacted mesiodens, we stress the importance of periodic monitoring of such cases which adds significantly to the patient wellbeing, function and aesthetics. There are few published case reports and most of the cases reported in the literature are in children which prompt for immediate removal upon its recognition. A supernumerary tooth that erupts ectopically into the nasal cavity is referred to as an intranasal tooth. Its occurrence rate is low with only 0.1 to 1 % people being affected from the community.4 The aetiology of intranasal tooth stays undefined. Supernumerary teeth may develop from the region of the nasal cavity as a result of a damage caused by an injury, rhinogenic maxillary sinusitis, a dental disease, oral blisters, obstructed path of dental eruption, and disruption of developmental tissue in the palatine gap.4 The potential complications that can arise due to nasal eruption of tooth are perforation of nasal septum, naso-oral fistula and aspergillosis4. The probable dental complications include midline diastema (17.6 %), late eruption of the permanent incisors (38.8 %), axial rotation of the permanent incisors (16.4 %), root resorption of the neighbouring teeth (4.7 %),5 cyst formation, 6 and infection.1 A team approach with inclusion of disciplines in medicine and dentistry is necessary for planning and execution of an appropriate treatment method in order to prevent complications related to inadvertent surgical entry into vital structures.

Ectopic Nasal Tooth Associated with Cleft Lip and Palate

Ectopic nasal tooth is a rare phenomenon with only 0.1%–1% incidence rate. They are more frequently found coupled with cleft lip and palate. Here, we present a case of intranasal tooth in a 12-year-old male child with operated cleft lip and palate. The condition was diagnosed only on the basis of intraoral periapical radiograph and was extracted using gauge-holding forceps at a rural health-care center. We discuss the possible etiology, clinical findings, diagnosis, and treatment modalities of this condition. The purpose of this paper is to highlight that this rare condition can be managed with minimum available equipment in a rural setup.

Supernumerary Tooth: Endoscopic Removal for a Rare Cause of Recurrent Epistaxis.

The presence of ectopic (supernumerary) teeth is common odontogenic problem in clinical practice. Its presence in dentate region is common but rare in the non dentate areas such as nose and maxillary sinus. The intranasal teeth generally remain asymptomatic but can get misdiagnosed for foreign body, or may present as complications like headache, epistaxis, nasal obstruction, rhinolith formation, oroantral fistula and sinusitis. Here, we discuss a case of intranasal tooth as a rare cause of profuse and recurrent epistaxis. The clinical, radiological findings and surgical treatment via endoscopic approach of this rare entity has been discussed. This interesting case report highlights the need to look beyond nose as cause for epistaxis. Endoscopic removal for this entity can be a preferred option to help minimize complications.

Intranasal Ectopic Tooth- A Rare Case Report

Presence of ectopic tooth in the nasal cavity of an adult is a rare phenomenon. Exact etiology of this condition is yet to be confirmed. We report a case of a 40-year-old woman, who presented to us with the history of left nasal obstruction of one-year duration along with pain in the left side of face revealing an on examination. Intranasal tooth was removed by surgical intervention with Luc’s forceps. The patient’s nasal obstruction and facial pain subsided after the treatment. We need to suspect an intranasal tooth when there is a white substance mimicking bone in the nasal cavity in patients presenting to us with facial pain and nasal obstruction
 Keywords: intranasal tooth; nasal obstruction; surgical extraction
 

Surgical treatment for a rare case of ectopic tooth in the lateral wall of the nasal cavity

Among the ways to approach cases of ectopic teeth, the surgical approach is a valid option and should be considered, since it is considered simple and it permits direct visualization and a rapid recovery. The aim of this article is to report a rare case of ectopic tooth in the lateral wall of the nasal cavity caused by trauma in the maxillofacial region in childhood, and to describe its clinical and imaging characteristics as well as ways of treatment and surgical aspects. A 25-year-old woman was seen at the clinic of Maxillofacial Surgery and Traumatology due to the presence of a foreign body in the nose. A treatment plan was elaborated based on physical and radiographic examination. The tooth was removed by a surgical approach and the patient underwent esthetic rehabilitation. Surgical treatment of ectopic teeth provides a good and satisfactory postoperative result, is simple and mostly without complications. Ectopic teeth are rare, and the professional should be able to perform the diagnosis, indication and planning of treatment, as well as its execution. Surgical treatment is an option that produced an effective result in the present case.Descriptors: Mouth; Tooth, Impacted; Ambulatory Surgical Procedures.ReferencesVerma RK, Bakshi J, Panda NK. Ectopic intranasal tooth: an unusual cause of epistaxis in a child. Ear Nose Throat J. 2012;91(6):242-44.Gupta YK, Shah N. Intranasal tooth as a complication of cleft lip and alveolus in a four years old child: case report and literature review. Int J Paediatr Dent. 2001;11(3):221-24.Thor AL. Delayed removal of a fully intruded primary incisor through the nasal cavity: a case report. Dental Traumatol. 2002;18(4):227-30.Koçak HE, Özdamar K, Bilgi B, Aipayam H. Case report a rare cause of intranasal mass: bilateral ectopic nasal teeth. Iran J Otorhinolaryngol. 2017;29(94):287-89.Van Essen TA, Van Rijswijk JB. Intranasal toothache case report. J Laryngol Otol. 2013;127(3):321-22.Kim DH, Kim JM, Chae SW, Hwang SJ, Lee SH, Lee HM. Endoscopic removal of an intranasal ectopic tooth. Int J Pediatr Otorhinolaryngol. 2003;67(1):79-81.Ray B, Singh LK, Das CJ, Roy TS. Ectopic supernumerary tooth on the inferior nasal concha. Clin Anat. 2006;19(1):68-74.Zalagh M, Akhaddar A, Benariba F. Chronic rhinorrhea revealing an actinomycotic rhinolithiasis with ectopic tooth. Int J Oral Maxillofac Surg. 2012;41(3):297-99.Moreano EH, Zich DK, Goree JC, Graham, SM. Nasal tooth. Am J Otolaryngol. 1998;19(2):124-26.Sammatino G, Trosino O, Perillo L, Cioff A, Marenzi G, Mortellaro C. Alternative transoral approach for intranasal tooth extraction. J Craniofac Surg. 2011;22(5):1944-46.Lee FP. Endoscopic extraction of an intranasal tooth: a review of 13 cases. Laryngoscope. 2001;111(6):1027-31.

Intranasal teeth in a 3-year-old child with Smith-Lemli-Opitz syndrome

Intranasal teeth in a 3-year-old child with Smith-Lemli-Opitz syndrome

Recurrent Unilateral Nasal Obstruction: A Cause Lying Deep Inside


 
 
 
 Recurrent nasal obstruction, a common symptom in pediatric practice, can lead to some unusual diagnosis rarely. Non- response to standard treatment warrants further delineation of local anatomy, particularly if symptoms occur unilaterally. Here, we report a case of recurrent unilateral nasal obstruction in a 16 years old girl not amenable to conventional treatment with medicines, which on subsequent investigations revealed an impacted intranasal tooth.
 
 
 

Ectopic intranasal tooth causing recurrent epistaxis in adolescent patient

Abstract Tooth eruption into the nasal cavity is considered a rare phenomenon. The clinical manifestations of an intranasal tooth are quite variable. However, many patients may be completely asymptomatic and are only noted incidentally. Early surgical extraction is considered the treatment of choice in both cases to avoid potential complications. Thus, a proper clinical approach is a must to establish the diagnosis. In this article, we report an unusual case of intermittent unilateral epistaxis and unilateral nasal obstruction caused by an intranasal tooth in a 15-year-old adolescent male patient who was successfully managed by endoscopic surgical extraction of the tooth and concomitant septoplasty.

Endoscopic Supernumerary Canine Tooth Extraction in an Adult Presented with Acute Nasal Blockage : A Case Report

Intranasal ectopic tooth, which can be derived from either supernumerary, deciduous or permanent tooth, is generally a rare event. Their existence can cause a wide array of complication such as epistaxis, nasal blockage, nasal pain, rhinosinusitis, septal deviation, septal abscess as well as oronasal fistula. We highlight a case of a canine supernumerary tooth that erupted at floor of nasal cavity, causing an acute unilateral nasal blockage, and managed successfully with an endoscopic nasal tooth extraction.International Journal of Human and Health Sciences Vol. 03 No. 04 October’19 Page : 235-237

Intranasal Tooth in a Patient with Cleft Lip and Palate

Intranasal Tooth in a Patient with Cleft Lip and Palate

Intranasal Tooth in a Patient with Cleft Lip and Palate

Intranasal Tooth in a Patient with Cleft Lip and Palate

Case presentation of an intranasal ectopic tooth in a pediatric patient

An ectopic tooth in the nasal cavity is a rare phenomenon, especially on the inferior turbinate. In most of the reported cases, no etiological explanation of the intranasal teeth has been suggested or found. In children, intranasal ectopic teeth are usually associated with cleft lip and alveolus. Here, we report a rare case of a pediatric patient with unilateral nasal obstruction due to an intranasal ectopic tooth originating from the inferior turbinate without any facial and dental deformities. This case is unique due to the unusual location of the ectopic tooth and its presentation in a child without facial and dental deformities.

Intranasal Tooth: Incidental Finding in two Cases

Ectopic eruption of a tooth with its impaction in the nasal cavity is a rare phenomenon. Detailed radiographic evaluation of such patients often reveals surprising things which cannot be expected like incidental intranasal tooth in our cases. This is usually seen in syndromic patients who are associated with cleft lip and palate. They can arise throughout the mid face including the nasal cavity, hard palate, condyle of mandible, orbit and maxillary antrum. They may be placed vertically, horizontally or inverted in position. Sometimes they may erupt normally in the oral cavity and sometimes due to ectopic eruption of these teeth they may be impacted in nasal floor. These teeth have atypical crown and root. We report here 2 cases of non syndromic patients who had supernumerary tooth impacted within the nasal floor with discussion of etiology, complications, diagnosis and treatment approach.

Intranasal tooth as complication of cleft lip and palate in an adult patient: A case report and literature review

We present a rare case of intranasal tooth in 22 years old male who was operated before 21 years for cleft lip. This patient presented to otolaryngology outpatient clinic with complaint of long standing unilateral right nasal discharge. It is a rare complication of cleft lip and palate. There are only 7 cases reported in literatures and we believe this is the first case reported in adult patient.

Nasal eruption

Intranasal tooth is a result of ectopic tooth eruption. Ectopic tooth eruption may occur in the maxillary sinus, condyle, coronoid process of mandible, orbit, palate, or nasal cavity. Incidence of nasal eruption is 0.1-1.0%. Herein, we report a rare case of an intranasal tooth in a 9-year-old boy. The clinical and radiographic findings of the case along with its possible etiology, management and complications are also discussed.

Unusual presentation of a tooth in a 9-year-old child with cleft lip and palate: a case report

Intranasal teeth are an uncommon but definite association with cleft lip and palate. 1 The age of patients and the clinical symptoms surrounding their presentation can vary, as well as their management. A case report of a 9 year-old female with right-sided unilateral cleft lip and palate and associated intranasally erupting supernumerary tooth is presented here. Clinical Relevance: This case report illustrates that, in cleft lip and palate patients, teeth may present in unusual sites.

‘Intranasal toothache’: case report

This paper describes a patient with recurrent unilateral nasal discomfort and pain due to an intranasal tooth. A short overview of the literature is provided in relation to the aetiology, symptomatology, diagnosis and treatment of intranasal teeth. A 26-year-old man was referred with a history of recurrent left-sided nasal obstruction, facial pain and discomfort, and chronic purulent rhinorrhoea. Computed tomography revealed a nasal tooth, which was likely to have been the cause of these symptoms. After transnasal surgical extraction under endoscopic guidance, the patient was relieved of his complaints (at the one-year follow up). An ectopic tooth in the nasal cavity is a rare phenomenon, and in most cases the cause of an intranasal tooth remains unclear. The treatment of an intranasal tooth entails surgical extraction even though such teeth may remain asymptomatic; several cases have illustrated the potential significant morbidity associated with their occurrence.