Dr. Neeta A. Patel Reader (Conservative Dentistry & Endodontic) A.M.C Dental College (L.G.

Hospital)

Ectopic Supernumerary Nasal Tooth

Abstract:
The incident of ectopically erupting teeth has increased. However it is a rare phenomenon, this is a clinical case where tooth found in nasal cavity. Introduction: Oro facial trauma is a common and forms a large component of any maxillofacial service work load .Even minor trauma injury .So careful when teeth remain can result in significant orofacial and dental be evaluation of dental history and thorough examination , particularly missing after initial inspection . Other anatomical sites should

considered to ensure they do not contain traumatically displaced teeth. This is a clinical case report of tooth found in a nasal cavity. Case Report: A 32 year old male attended dental department, L. G. Municipal Hospital for replacement of upper right central incisor which was missing (fig.1). Patients examination revealed portion of the crown of upper right permanent central erupted in the floor of right nostril and (fig.2). Tooth was asymptomatic. There was no history of pain, nasal congestion or any discomfort. Patient was only concerned about missing tooth, which he wanted replace. Even patient could not recollect the history of trauma. In such cases are chances of recurrent nasal infection, swelling advised for surgical removal under general anesthesia. Patient was given partial denture temporarily till he makes the decision. in nose, headache He was also dental incisor

, and nasal congestion. Patient was explained about future complication.

Fig. 1

Fig.2

Discussion: Ectopic and supernumerary teeth may erupt in different site affects 0.1-1% of the population . Various theories have been proposed to explain the excessive growth of Dental lamina. Other cause is dental trauma. Dental trauma is common and affects up to 30% of people during their life time. The mechanism of injury to both the primary and permanent dentition results in teeth erupting intact in nasal cavity years after initial trauma. Failure to diagnose and manage such cases would place the patient at unnecessary risk of nasal infection and epitasis. They also proved to be a rare cause of nasal obstruction. Teeth should be removed under general anesthesia to control any possible epitasis and are at best managed in hospital setting.

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