Bilateral Supernumerary Teeth Presenting as Nasal Masses and Recurrent Rhinitis: An Interesting Case Report

Area of Science:

• Otorhinolaryngology
• Dental Medicine
• Radiology

Background:

• Intranasal teeth are exceedingly rare, with unclear pathophysiology and often non-specific symptoms.
• Patients may present with chronic, nonspecific nasal complaints.
• Supernumerary teeth are typically found in the jawbones or sinuses.

Purpose of the Study:

• To describe a rare case of bilateral supernumerary teeth within the nasal cavities.
• To highlight the diagnostic challenges and clinical presentation of this unusual condition.
• To contribute to the literature on ectopic tooth eruption.

Main Methods:

• Clinical examination including anterior rhinoscopy and diagnostic nasal endoscopy.
• Computed Tomography (CT) imaging of the nasal and maxillary regions.
• Surgical diagnosis and treatment of the supernumerary teeth.

Main Results:

• A 51-year-old male presented with a 10-year history of bilateral recurrent nasal obstruction and discharge.
• Endoscopy revealed a hard mass in the left nasal floor and a bulge in the right.
• CT confirmed two hyperintense lesions in the maxilla extending into both nasal cavities.

Conclusions:

• Bilateral supernumerary teeth in the nasal cavities represent an extremely rare clinical finding.
• Accurate diagnosis requires a combination of clinical examination and advanced imaging (CT).
• Surgical intervention is the standard treatment for symptomatic intranasal supernumerary teeth.