A Rare case of Ectopic tooth associated with Dentigerous cyst in maxillary sinus

Rahul Gupta; Vikas Kunwar Singh; Ruchika Tiwari; Tamanna Jamwal

doi:10.21276//ujds.2023.9.2.11

Rahul Gupta MDS student
Vikas K Singh Professor and Head of Department of Oral and Maxillofacial Surgery
Ruchika Tiwari Professor, Department of Oral and Maxillofacial Surgery
Tamanna Jamwal 3rd year PG Resident, Department of Oral and Maxillofacial Surgery

DOI: https://doi.org/10.21276//ujds.2023.9.2.11

Keywords: ectopic tooth, maxillary sinus, third molar

Abstract

Ectopic eruption of teeth may be associated with developmental disturbances, pathologies or may be iatrogenic. Ectopic eruptions of 3^rd molar in maxillary sinus is relatively rare. This article reviews a 30 year male who reported to the out-patient department of Oral and Maxillofacial Surgery with complaint of pain and swelling in upper left side of the face since 15-20 days. Orthopantomogram revealed an impacted tooth in left maxillary sinus with cystic lining. Provisional diagnosis of dentigerous cyst in relation to ectopic tooth was made. Surgical removal of the tooth from the maxillary sinus using a standard Caldwell-Luc approach is the treatment of choice along with removal of the associated pathology. Asymptomatic cases should be managed similarly as the tendency to form cyst or tumor is possible.

References

1. Bello SA, Oketade IO, Osunde OD. Ectopic 3rd molar tooth in the maxillary antrum. Case reports in dentistry. 2014 Oct;2014.

2. Büyükkurt MC, Tozoglu S, Aras MH, Yolcu U. Ectopic eruption of a maxillary third molar tooth in the maxillary sinus: a case report. J Contemp Dent Pract. 2005 Aug 15;6(3):104-.

3. Shetty P, Shetty S, Agarwal N, Srivastava P. Third molar in the orbital floor: A precarious presentation of odontogenickeratocyst—A case report and review of literature. Clinical Case Reports. 2018 Sep;6(9):1854-61.

4. ChagasJúnior O, Moura L, Sonego C, de Farias EO, Giongo C, Fonseca AA. Unusual case of sinusitis related to ectopic teeth in the maxillary sinus roof/orbital floor: a report. Craniomaxillofacial Trauma & Reconstruction. 2016 Sep;9(3):260-3.

5. Beriat GK, Beriat NC, Yalcinkaya E. Ectopic molar tooth in the maxillary sinus: a case report. Clin Dent Res. 2011;35(2):35-40.

6. Kasat VO, Karjodkar FR, Laddha RS. Dentigerous cyst associated with an ectopic third molar in the maxillary sinus: A case report and review of literature. Contemporary clinical dentistry. 2012 Jul;3(3):373.

7. Elmorsy K, Elsayed LK, ElKhateeb SM. Case Report: Ectopic third molar in the maxillary sinus with infected dentigerous cyst assessed by cone beam CT. F1000Research. 2020;9.

8. Barbieri D, Capparè P, Gastaldi G, Trimarchi M.Ectopic tooth involving the orbital floor and infraorbital nerve. J Osseointegr 2017;9(4):323-5.

9. Ramanojam S, Halli R, Hebbale M, Bhardwaj S. Ectopic tooth in maxillary sinus: case series. Annals of Maxillofacial Surgery. 2013 Jan;3(1):89.

10. Borle RV, Gadbail A, Singh D. Textbook of oral & maxillofacial surgery.1st ed. JAYPEE.2014