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Supernumerary tooth in the nasal cavity.

Stuti Mathur1, Bhavika Verma1, Yogesh Dabholkar1

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Intranasal ectopic dentition, a rare condition, involves teeth growing in the nasal cavity. Early diagnosis and treatment are crucial to prevent complications from these supernumerary teeth.

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Area of Science:

  • Dentistry
  • Otorhinolaryngology
  • Pathology

Background:

  • Intranasal ectopic dentition is an uncommon condition where teeth are found in the nasal cavity.
  • Teeth have been documented in various unusual locations, including the ovaries, testes, mediastinum, and presacral regions.
  • Within the maxillofacial area, ectopic teeth have been observed in the maxillary sinus, mandibular condyle, coronoid process, chin, nose, and orbit.

Purpose of the Study:

  • To report a rare case of intranasal ectopic dentition presenting as a rhinolith.
  • To highlight the importance of early identification and management of supernumerary teeth in the nasal cavity.

Main Methods:

  • A case study of a 21-year-old female patient with symptoms of epistaxis and headache.
  • Clinical examination including anterior rhinoscopy.
  • Diagnostic assessment to identify the nature of the nasal mass.

Main Results:

  • Anterior rhinoscopy revealed a hard, white mass with granulation tissue in the right nasal cavity floor.
  • The clinical presentation mimicked a rhinolith.
  • The mass was identified as ectopic dentition, a form of supernumerary teeth.

Conclusions:

  • Intranasal ectopic dentition, though rare, should be considered in the differential diagnosis of nasal masses, especially when presenting with symptoms like epistaxis.
  • Supernumerary teeth can lead to complications such as crowding and cyst formation.
  • Prompt diagnosis and surgical intervention are essential for effective management and prevention of further issues.