Nasal Tooth Research Articles

Intranasal Tooth in a Patient with Cleft Lip and Palate: Case Report

A rare form of ectopic teeth is the nasal tooth. This is a very rare clinical phenomenon. A clear etiology was not suspected in most of the reported cases. However, many etiologies have been identified, including maxillary osteomyelitis, dental trauma, nasal infections, development of defects such as cleft palate, and genetic factors. It can cause a variety of problems, like nasal obstruction, chronic rhinorrhea, and voice disturbances. Surgical removal of the tooth has been suggested as a treatment to reduce symptoms and prevent further complications.

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.

Inverted supernumerary nasal tooth

The eruption of a tooth into the nasal cavity is a rare and incidental finding during routine clinical or radiological examination. Since the 1960s there were more than 60 reported cases of nasal teeth. To the best of our knowledge, this is only the sixth case report of a supernumerary intranasal canine in the selected period. A 22-year-old male presented with a history of recurrent rhinorrhea, nasal congestion, tension headaches, and insomnia but without previous epistaxis or facial trauma episodes, and with no history of congenital craniofacial malformations. Following a computed tomography examination, a diagnosis of a supernumerary inverted ectopic canine eruption into the left nasal cavity was established. To identify such rarities and prevent possible complications, it is essential to acquire detailed patient history, be familiar with both normal and variant maxillofacial structures, and conduct systematic radiological image analysis

Burunda süpernumerer bir diş: Kayalıpınar (Hellenistik-Erken Bizans) toplumunda bir vaka incelemesi

The paper reports on research into a nasal tooth sample belonging to a 12-years-old child excavated from the Kayalıpınar archaeological site in Sivas province, Turkey. The individuals of Kayalıpınar were dated between the Hellenistic-Early Byzantine periods. In the anthropological analysis of the child, a supernumerary tooth defined as inverted mesiodens on the maxilla was encountered. The tooth had an amorphous structure, the tooth root was very short and the tooth crown extended into the nasal cavity. The latest feature proves that it is a supernumerary nasal tooth. This evaluation is in parallel with similar studies.

Recurrent Epistaxis due to Bizarre Finding of Supernumerary Nasal Tooth

A supernumerary tooth is an additional tooth that erupted more than the normal dentition. A rarer form of a supernumerary tooth is when it erupted ectopically into the nasal cavity. Since childhood, this case report describes a 32-year-old male patient with recurrent mild nasal bleeding from his left nostril. It was never investigated seriously as the bleeding was mild and infrequent. After he was recently referred to our centre, a thorough Ear, Nose, and Throat examination was done. Direct vision with Hopkins zero-degree rigid endoscope and orthopantomogram computed tomography confirmed the provisional diagnosis of a supernumerary nasal tooth. The patient was offered surgical extraction of the tooth under general anesthesia. He denied the surgery and decided to have regular follow up. He is maintaining good health without worsening the symptoms.

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.

Nasal tooth: case report

Background Unilateral nasal obstruction with fetor comes to our mind with a differential diagnosis including foreign bodies and rhinolith. With computed tomography (CT) scan, nasal teeth could be added as well. They arise from ectopic or supernumerary teeth. Case presentation The patient came with a late presentation of right nasal obstruction and foul smell. Patient was diabetic, poorly cultured, and debilitated. Examination revealed right nasal foul discharge. Diagnostic CT was done, and the patient underwent an endoscopic procedure. Tooth was embedded within the granulation tissue and was associated with fungal infection. It was removed completely, and the patient passed a steady symptom-free postoperative course. Conclusion Nasal teeth are uncommon. Their diagnosis depends upon CT scan and surgical findings. Surgical removal is their definite successful treatment.

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.

Algorithm for Treatment of Supernumerary Nasal Tooth

The presence of a tooth in the nasal cavity is a rare condition. There is an even more rare association, which is the presence with the mineral's deposition and formation of rhinoliths. This report shows a case of rare nasal tooth associated with rhinolithiasis and describes its surgical treatment based on an algorithm. The diagnosis was made by endoscopy with the aid of computed tomography, followed by surgical endoscopy excision. The algorithm and the proposed treatment was successful in its execution and the patient presents no complaints or complications at 3 years after surgery.

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.

DENOSUMAB IN THE TREATMENT OF MAXILLARY CENTRAL GIANT CELL GRANULOMA: REPORT OF TWO NEW CASES

Central giant cell granulomas (CGCGs) are locally aggressive nonneoplastic lesions, which mainly affect the jaws of young patients. Microscopically, CGCGs are characterized by the proliferation of multinucleated giant cells in a fibrous and hemorrhagic stroma. Optimal treatment includes surgical and nonsurgical approaches. The latter encompass the use of subcutaneous denosumab due to its ability to inhibit osteoclast metabolism. Herein, we report 2 cases of aggressive CGCL treated with subcutaneous denosumab. Case 1: A 9-year-old girl with a maxillary CGCG causing nasal expansion and tooth displacement and mobility, which was recalcitrant to intralesional corticosteroid therapy, was treated with subcutaneous denosumab during 1 year (120 mg/mo), leading to complete calcification of the CGCG. Case 2: A 23-year-old woman with a diffuse maxillary enlargement diagnosed as CGCG by incisional biopsy was treated with subcutaneous denosumab for 5 months (120 mg/mo), leading to calcification of the CGCG, which was complementary managed with osteoplasty.

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

The diagnosis and management of supernumerary nasal teeth.

To discuss the reasons for misdiagnosis of supernumerary nasal teeth. Clinical data of four supernumerary nasal tooth patients were analysed retrospectively at visits to our otolaryngology department between 2005 and 2018. All four patients were male and had a supernumerary nasal tooth in the right nasal cavity. Three of the four patients had previously been misdiagnosed. All the supernumerary nasal teeth were surrounded by granulation tissue or hypertrophic nasal mucosa, and were subsequently confirmed by computed tomography and endoscopy. The granulation tissue or hypertrophic nasal mucosa was removed using microwave ablation, and the supernumerary nasal teeth successfully removed by endoscopy. Supernumerary nasal teeth are rare, and are usually misdiagnosed because such teeth are surrounded by hypertrophic nasal mucosa or granulation tissue. They can be confirmed by computed tomography and endoscopy.

Endoscopic Removal of Intranasal Supernumerary Tooth: A Case Report.

The presence of an ectopic tooth into the nasal cavity is unusual. It can be supernumerary, deciduous or permanent. It is important to identify it early to prevent complications such as epistaxis, paranasal sinusitis, nasal septal deviation, nasal septal abscess, and oral-nasal fistula. The diagnosis of nasal teeth is mainly based on clinical and radiographic examination. Treatment is early extraction and endoscopy gives good illumination and helps in easy and precise dissection which is better than old morbid traditional techniques. We report a case of a female presenting with nasal obstruction and foul smell, diagnosed with nasal tooth and successfully removed with endoscopic approach.

ECTOPIC NASAL TOOTH AS A SOURCE OF EPISTAXIS –A CASE REPORT

Nasal teeth are ectopic location of teeth which can present with variety of symptomatology and remains undiagnosed for many years. This can be diagnosed radiologically when patient undergoes Computerized Tomography (CT) for the nasal sinuses for some of the complaints related to this etiology. We report such case of 40-years old lady who attended outpatient department with complaint of epistaxis. Plain CT of Para Nasal Sinuses (PNS) clinched the diagnosis. Keywords: nasal teeth; computerized tomography; Para nasal sinus.

Nasal tooth - An ectopic eruption of permanent tooth

Eruption of a tooth takes place in a predetermined path. However, if the path gets disrupted, the tooth erupts in absurd direction leading to ectopic eruption. The ectopic eruption of permanent tooth into the nasal cavity is an unusual phenomenon and only few cases have been reported in the literature. We report a case of nasal eruption of a tooth in a 47-year-old female patient, which presented as pus discharge in the floor of the left nasal cavity. In this case report, we highlight the importance of clinical findings, investigations and management of ectopic eruption of teeth.

Nasal tooth leading to nasal obstruction: Case Report

We report a 21-year-old male was involved in a road traffic accident with injury to the face and bleeding from the nose. The case is learning lesson to all trauma surgeons the need for thorough intraoral examination in a case of injury to the face.

Sectional Anatomic and Computed Tomography Features of the Nasal and Oral Cavities of the One-humped Camel (Camelus Dromedarius)

The purpose of the study was to provide a description of normal cross-sectional anatomy of the camel nasal and oral cavities using computed tomography (CT) and macroscopic cross-sections. Transverse images of two isolated camel cadaver heads were obtained by an axial CT equipment. Computed tomography scans were processed with a detailed algorithm using nasal and soft tissue windows settings and compared with the corresponding frozen cross-sections of the heads, to assist in the accurate identification of nasal and oral structures. In our study, nasal window provided excellent anatomic details of nasal conchae, bones and teeth; however, other soft tissue components of the nasal and oral cavities are better differentiated using a soft tissue window. These CT images are intended to be a useful anatomic reference in the interpretation for clinical CT imaging studies of the nasal and oral cavities in dromedary camels.

Carious Nasal Tooth: A Case Report from the Oral and Maxillofacial Unit of Komfo Anokye Teaching Hospital

Ectopic teeth erupting in the nasal cavity are a rare occurrence. This may present with varying degree of morbidity. We present a very rare occurrence case report of an ectopic carious tooth in a nasal cavity. The upper left central incisor was congenitally missing and patient thought it was a form of diastema. Her chief complaint was painful whitish growth in the floor of her left nose with foul smelling mucoid discharge. The learning experience in this case report is that, in conducting examination for a missing upper incisors, the floor of the nose must be included. A further research is needed to establish the actual pathogenesis involved in cariogenesis in the nasal cavity.