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Lateral Molar Approach-Driven Transoral Endoscopic Procedure for Benign Infratemporal Fossa Tumor Resection

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Ectopic 3rd molar tooth in the maxillary antrum.

Seidu A Bello¹, Ifeoluwa O Oketade¹, Otasowie D Osunde²

¹QH Specialist Dental Clinics and Research Centre, Gwarimpa, Abuja, Nigeria.

Case Reports in Dentistry

|August 19, 2014

Summary

An ectopic maxillary third molar was found in the maxillary sinus of a teenage boy. Surgical extraction using the Caldwell-Luc approach led to a full recovery and symptom resolution.

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Published on: January 17, 2018

Area of Science:

Oral and Maxillofacial Surgery
Otolaryngology
Radiology

Background:

Ectopic eruption of teeth, particularly third molars, into the maxillary antrum is an uncommon occurrence.
These ectopic teeth can lead to recurrent facial swelling and inflammatory symptoms, though they may also be asymptomatic.

Purpose of the Study:

To present a rare case of an ectopic maxillary third molar within the maxillary antrum.
To discuss the diagnostic and surgical management of such cases.

Main Methods:

A 17-year-old male patient with a history of recurrent facial swelling was diagnosed with an ectopic maxillary third molar.
The tooth was surgically removed via a Caldwell-Luc antrostomy approach under general anesthesia.

Main Results:

The surgical extraction was successful, with the patient experiencing an uneventful recovery.
The patient remained symptom-free for eight months post-operatively.

Conclusions:

Ectopic teeth in the maxillary antrum, especially third molars, necessitate surgical intervention.
The Caldwell-Luc approach remains a primary surgical method, with endoscopic techniques also being explored.