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Rhinolith mimicking a toothache.

Sandra Girgis1, Leo Cheng2, Darren Gillett1

  • 1Homerton University Hospital NHS Foundation Trust, UK.

International Journal of Surgery Case Reports
|August 2, 2015
PubMed
Summary
This summary is machine-generated.

A rare rhinolith, a calcified nasal mass, presented as atypical toothache. This case highlights the importance of considering rhinoliths in dental pain differential diagnoses when no clear dental cause is found.

Keywords:
RhinolithSymptomsToothache

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Area of Science:

  • Otolaryngology
  • Oral and Maxillofacial Surgery
  • Radiology

Background:

  • A rhinolith is a calcified mass formed from solidified mucus and foreign objects, with mineral salt accretion.
  • Toothache is an atypical presenting symptom for rhinoliths, with no prior reports in medical literature.
  • Rhinoliths are uncommon and often asymptomatic, detected incidentally on dental radiographs.

Purpose of the Study:

  • To report a unique case of a rhinolith presenting as atypical dental pain.
  • To emphasize the inclusion of rhinoliths in the differential diagnosis of unexplained maxillary dental pain.

Main Methods:

  • Case report of a 42-year-old female with a four-month history of right central incisor pain.
  • Patient also presented with a one-year history of right-sided sinonasal congestion and intermittent bloody rhinorrhea.
  • Diagnosis considered in conjunction with dental and sinonasal symptoms.

Main Results:

  • The patient experienced constant pain in the upper right central incisor.
  • Associated symptoms included chronic right-sided sinonasal congestion and intermittent epistaxis.
  • Rhinolith was identified as a potential cause for the atypical dental pain.

Conclusions:

  • Rhinoliths are rare and often asymptomatic, presenting diagnostic challenges.
  • Atypical dental pain, particularly in the anterior maxilla, warrants consideration of rhinoliths.
  • Rhinoliths should be included in the differential diagnosis for unexplained dental pathology.