A case of tooth inside the nasal cavity

Complaints:

35 years old female patient came with c/o

1. Obstruction to left nose - 1 year

2. Bleeding from left nose - 6 months

On examination:

Whitish hard mass seen occupying the floor of left nasal cavity.

It was surrounded by granulation tissue which bled on probing.

CT scan showed:

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Removal was performed under general anesthesia.

A fully formed tooth was removed.

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Discussion:

It is common to have supernumerary teeth. Supernumerary teeth is defined as an extra teeth.

Supernumerary teeth is also known as supplementary dentition. It is commonly seen within the
maxillary sinus. palate etc. It was also documented inside the orbit.

Causes of supernumerary dentition:

1. Crowding of teeth due to maxillary abnormalities

2. Dental displacement due to surgery / trauma

Tooth inside the nasal cavity may lead to

1. Foul smelling nasal discharge
2. Chronic sinusitis

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