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

The presence of a tooth inside the nasal cavity is a rare clinical entity. The exact pathophysiology is not clear and most of the times, these patients present with non-specific symptoms. We encountered a 51-year-old male with symptoms of bilateral recurrent nasal obstruction and nasal discharge of 10 years' duration. Anterior rhinoscopy and diagnostic nasal endoscopy revealed a greyish white hard gritty mass covered with mucopurulent discharge in the floor of left nasal cavity and a mucosal covered bulge was noted in the floor of right nasal cavity. CT showed 2 hyperintense lesions in the maxilla reaching the floor of both nasal cavities. Diagnosis of supernumerary teeth was made and treated accordingly. Although the presence of tooth has been reported in ovaries, maxilla, maxillary sinus, mandibular condyle, mediastinum, this is the rare case reported with supernumerary teeth in both nasal cavities.