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Case Reports
. 2012 Jan;5(1):21-5.
Epub 2012 Jul 17.

Endoscopic removal of supernumerary tooth from the nasal cavity of a child: a case report

M Clementini  1 , A Morlupi, C Agrestini, M DI Girolamo, S DI Girolamo, L Ottria
Affiliations
Case Reports

Endoscopic removal of supernumerary tooth from the nasal cavity of a child: a case report

M Clementini et al. Oral Implantol (Rome). 2012 Jan.

Abstract

Introduction: A case report showing the removal of a supernumerary tooth from the nasal cavity by means of an endoscopic approach is presented.

Materials and methods: A 9-year-old healthy child presented to our department because of the right central incisor which appeared clinically rotated. The observation of orthopantomography revealed the presence of a supernumerary tooth in the anterior maxilla with the crown positioned towards the nasal floor. The maxillary CT demonstrated a quite close relationship of the tooth with the nasal cavity, so a nasal approach was planned.

Results: Under general anesthesia the supernumerary tooth was removed by means of an endoscopic approach from a nostril. During the extraction the adjacent structures were unharmed. The postoperative course was uneventful.

Conclusions: This case report suggests that in case of supernumerary teeth positioned close to the nasal cavity, trans-nasal endoscopy may represent a valid alternative to more demolishing traditional surgery.

Keywords: ectopic tooth; extraction; nasal floor; supernumerary; transnasal endoscopy.

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Figures

Figure 1
Figure 1
The orthopantomography revealed the presence of a radiopaque mass lesion in contact with the rotated central incisor and protruding the floor of the right nasal cavity.
Figure 2
Figure 2
A computed tomography (CT) revealed the relationship of the presumed supernumerary tooth with the adjacent structures, such as nasal floor.
Figures 3,4
Figures 3,4
Once the tooth was localized the covering periostium was removed.
Figures 3,4
Figures 3,4
Once the tooth was localized the covering periostium was removed.
Figures 5,6
Figures 5,6
The tooth was dislocated from its site of impaction and avulsed.
Figures 5,6
Figures 5,6
The tooth was dislocated from its site of impaction and avulsed.
Figure 7
Figure 7
The tooth avulsed from the right nostril.
Figure 8
Figure 8
The supernumerary tooth.
See this image and copyright information in PMC

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