phenylephrine-hydrochloride and Tooth-Eruption--Ectopic

In this paper, we report a case of ectopic teeth in the right ethmoid sinus which was successfully removed by nasal endoscopic surgery.

Topics: Endoscopy; Ethmoid Sinus; Humans; Nasal Surgical Procedures; Nose; Tooth Eruption, Ectopic

To describe a nasolacrimal duct (NLD) obstruction secondary to an ectopic tooth in a 5-year-old male Border collie. The dog was presented with a 1-month history of mucopurulent discharge from the left eye (OS) preceded by a lifelong history of epiphora OS. Treatment with neomycin/polymyxin B/dexamethasone ophthalmic solution had not improved the clinical signs, and the NLD was not patent when irrigated by the referring veterinarian.. A complete ophthalmologic examination was performed followed by dacryocystorhinography and computed tomography (CT).. The ophthalmologic examination revealed marked mucopurulent discharge, mild conjunctivitis, slightly elevated STT measurements, and a negative Jones test OS. Both nasolacrimal puncta OS could be cannulated without resistance for approximately 1.5 cm. Upon irrigation, copious amounts of mucopurulent discharge were exited through the corresponding punctum, while no fluid could be detected at the nares. Dacryocystorhinography was performed. Radiographs revealed an ectopic left canine tooth within the left nasal cavity. A cystic dilation of the NLD was observed proximal to the ectopic tooth. Computed tomography was performed to determine the exact position of the tooth and possible involvement of adjacent structures; CT confirmed the previous imaging findings. Treatment with systemic antibiotics, NSAIDs, and ofloxacin ophthalmic solution led to resolution of the clinical signs within several days. Surgery was declined by the owner.. This is the first case report describing a blocked NLD due to an ectopic tooth in a dog. Ectopic teeth should be included as a differential diagnosis in cases of dacryocystitis and chronic epiphora in dogs.

Topics: Animals; Dacryocystitis; Dog Diseases; Dogs; Lacrimal Duct Obstruction; Male; Nasolacrimal Duct; Nose; Tooth Eruption, Ectopic

Cone beam computed tomography (CBCT) of orthodontic patients is a diagnostic tool used increasingly in hospital and primary care settings. It offers a high-diagnostic yield, short scanning times, and a lower radiation dose than conventional computed tomography. This article reports on four incidental findings-that appear unrelated to the scan's original purpose-arising in patients for whom CBCT was carried out for orthodontic purposes. It underlines the need for complete reporting of the data set.

Topics: Adolescent; Cervical Atlas; Child; Cone-Beam Computed Tomography; Dental Enamel; Female; Foreign Bodies; Humans; Incidental Findings; Male; Mandibular Condyle; Nose; Root Resorption; Tooth Eruption, Ectopic; Tooth, Supernumerary

Intranasal ectopic eruption is an uncommon condition. Even if an intranasal tooth can be completely asymptomatic, sometimes a variety of nasal signs and symptoms may be associated, ranging from mild nasal congestion to recurrent epistaxis and purulent rhinorrhea. As a consequence, surgical removal is often required. Endoscopic extraction of the intranasal tooth has been reported to present several advantages with respect to traditional surgical approaches and thus recommended as routine treatment in such cases. However, when a tooth is impacted next to the nasal floor, an alternative approach could be needed. We suggest an alternative transoral approach to perform extraction of intranasal teeth, aimed at avoiding excessive bone removal to reach the nasal floor area and preventing the complications related to traditional intraoral buccal or palatal approach. It could represent a reliable alternative to traditional removal in the Oral Surgery Department.

Topics: Adolescent; Humans; Male; Nose; Oral Surgical Procedures; Tooth Eruption, Ectopic; Tooth Extraction; Tooth, Impacted; Tooth, Supernumerary

Foreign bodies may present to the general dental practitioner, either as a cause of complaint or, more commonly, as an incidental finding during routine examination. This article describes an unusual case where a rhinolith perforated the hard palate to appear in the mouth as an erupting tooth.. It is useful for the general dental practitioner to be aware of the existence of foreign bodies, their sequelae and management.

Topics: Adult; Catheters, Indwelling; Diagnosis, Differential; Drainage; Foreign Bodies; Humans; Male; Nasal Obstruction; Nose; Palate, Hard; Paranasal Sinus Diseases; Paranasal Sinuses; Tooth Eruption, Ectopic

A 3-year-old Thoroughbred mare was evaluated because of abnormal upper respiratory tract sounds (that had become apparent during race training) of 3 to 4 months' duration.. On initial physical evaluation, there were no abnormal findings. During trotting, an abnormal upper airway expiratory sound was audible. Endoscopic examination revealed a small mass protruding into the right ventral nasal meatus. Radiographic images of the skull revealed no abnormal findings. Computed tomography of the head revealed an abnormal structure in the same location as the mass that was observed during endoscopy. The x-ray attenuation of the mass was identical to that of dental tissue.. The mass was surgically removed with endoscopic guidance. On gross examination, the excised mass appeared to be a nearly normal molariform tooth. Histologic examination revealed that it was a well-formed tooth, with no other associated cellular populations. The mass was determined to be a molariform supernumerary intranasal tooth. Six months following discharge from the hospital, the trainer reported that the abnormal respiratory tract sound was no longer audible. During a follow-up endoscopic examination performed at the training facility, no abnormalities were detected.. In horses, an intranasal tooth should be considered as a differential diagnosis for expiratory stridor. Clear definitions of heterotopic polyodontia, dentigerous cyst, and temporal teratoma can be used to clinically diagnose these separate anomalies. In the horse of this report, computed tomographic findings contributed to determination of a diagnosis and formulation of a treatment plan.

Topics: Animals; Diagnosis, Differential; Endoscopy; Female; Horse Diseases; Horses; Nose; Physical Conditioning, Animal; Respiratory Sounds; Tomography, X-Ray Computed; Tooth Eruption, Ectopic; Tooth Extraction; Tooth, Supernumerary; Treatment Outcome

The main features of median cleft facial syndrome are hypertelorism, cranium bifidum occultum, widow's peak, and midine clefting of the nose, upper lip and palate. Since this pathology was first described in 1967, many cases have been reported in the literature, but none of these reports has addressed oral anomalies in depth.. The authors present the case of a female patient aged 4 years and 7 months who was diagnosed with median cleft facial syndrome. In this case, the patient had an abnormal number of teeth, owing to fusion or agenesis of teeth, supernumerary teeth and ectopic eruption of some teeth. These oral anomalies had not been described before in the literature as being associated with this syndrome.. Median cleft facial syndrome is a rare pathology; however, dentists should know its possible alterations at an oral level, because children with this syndrome need dental treatment to achieve good esthetics and correct occlusion.

Topics: Anodontia; Child, Preschool; Craniofacial Abnormalities; Female; Fused Teeth; Humans; Hypertelorism; Nose; Syndrome; Tooth Eruption, Ectopic; Tooth, Supernumerary

Intranasal ectopic teeth are rare and ectopic eruption of teeth can occur in a variety of locations. Commonly seen in the palate and maxillary sinus, they have also been reported in the mandibular condyle, coronoid process, orbital and nasal cavities, and through the skin. With the advent of sinonasal endoscopy in the mid 1980s, and subsequent advances in surgical techniques, endoscopic management of intranasal lesions has become possible. In the current case study, we report a successful endoscopic removal of intranasal ectopic teeth located in the nasal cavity. The endoscopic surgical approach used in this case caused less morbidity than do the more common methods of removing an intranasal ectopic tooth.

Topics: Endoscopy; Humans; Male; Nose; Tomography, X-Ray Computed; Tooth Eruption, Ectopic

A boy aged 11 years presented with dental pain, several carious teeth and a localized area of acute necrotizing ulcerative gingivitis (ANUG). Developmental absence of the premolar teeth was notable and additional anomalies included mid-facial hypoplasia, mandibular prognathism, transposed teeth and delayed exfoliation of the deciduous teeth. These abnormalities have significant oral, dental, orthodontic and orthognathic implications.

Topics: Anodontia; Bicuspid; Child; Craniofacial Abnormalities; Dental Caries; Gingivitis, Necrotizing Ulcerative; Humans; Male; Maxilla; Nose; Palate; Patient Care Planning; Prognathism; Tooth Eruption, Ectopic; Tooth Exfoliation; Tooth, Deciduous

To present the clinical experience of a series of 13 consecutive cases of an intranasal tooth treated by endoscopic extraction during a 15-year period.. Retrospective review.. The records of 13 patients who underwent endoscopic extraction of an intranasal tooth at Taipei Medical University Hospital and Chang Gung Memorial Hospital between 1986 and 2000 were reviewed.. All the patients had an uneventful recovery and the presenting symptoms were completely relieved after surgery. The follow-up period was 6 months to 14 years 5 months (average, 9 yr 2 mo). Examination of these extracted teeth showed that 11 were supernumerary teeth and two were ectopic permanent canine teeth.. Endoscopic extraction of the intranasal tooth has the advantages of good illumination, clear visualization, and precise dissection, and in our experience the result of endoscopic extraction of an intranasal tooth is satisfactory. We recommend the routine use of a rigid endoscope in the treatment of an intranasal tooth.

Topics: Adolescent; Adult; Child; Child, Preschool; Endoscopy; Female; Humans; Male; Nose; Tomography, X-Ray Computed; Tooth Eruption, Ectopic; Tooth Extraction; Tooth, Supernumerary

Ectopic and supernumerary teeth occur in a wide variety of sites. Those that have been reported include the mandibular condyle, coronoid process, orbit, palate, nasal cavity and the maxillary antrum. Eruption of teeth into these sites is rare, and easily overlooked. We present two cases in which eruption of teeth into the nose and paranasal sinuses was associated with significant morbidity and show how this was relieved by appropriate surgery.

Topics: Adult; Humans; Male; Maxillary Sinus; Nose; Tomography, X-Ray Computed; Tooth Eruption, Ectopic; Tooth, Supernumerary

Topics: Adult; Humans; Male; Nose; Radiography; Tooth Eruption, Ectopic; Tooth, Supernumerary

Topics: Adult; Cuspid; Humans; Male; Nasal Cavity; Nose; Tooth Eruption, Ectopic; Tooth Extraction

Topics: Female; Humans; Infant, Newborn; Maxillary Diseases; Nose; Osteomyelitis; Tooth Eruption, Ectopic; Tooth Extraction

Topics: Abscess; Adolescent; Humans; Male; Nose; Tooth Eruption, Ectopic; Tooth, Supernumerary

Topics: Adult; Female; Humans; Nose; Tooth Eruption, Ectopic; Tooth, Supernumerary

Topics: Adult; Female; Humans; Male; Nose; Tooth Eruption, Ectopic; Tooth, Supernumerary