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The diagnosis and management of supernumerary nasal teeth

Published online by Cambridge University Press:  22 April 2019

K-F Jin ,
Z-C Lou  and
Z-H Lou
K-F Jin
Affiliation:
Department of Otorhinolaryngology, Affiliated Yiwu Hospital of Wenzhou Medical University, Zhejiang, China
Z-C Lou*
Affiliation:
Department of Otorhinolaryngology, Affiliated Yiwu Hospital of Wenzhou Medical University, Zhejiang, China
Z-H Lou
Affiliation:
Department Clinical Class No.11, Clinical Medicine, Xinxiang Medical University, Henan, China
*
Author for correspondence: Dr Zhen-Cai Lou, Department of Otorhinolaryngology, Affiliated Yiwu Hospital of Wenzhou Medical University, 699 Jiangdong Road, Yiwu, Zhejiang 322000, China E-mail: [email protected] Fax: +86 057 9520 9678
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Abstract

Objective

To discuss the reasons for misdiagnosis of supernumerary nasal teeth.

Methods

Clinical data of four supernumerary nasal tooth patients were analysed retrospectively at visits to our otolaryngology department between 2005 and 2018.

Results

All four patients were male and had a supernumerary nasal tooth in the right nasal cavity. Three of the four patients had previously been misdiagnosed. All the supernumerary nasal teeth were surrounded by granulation tissue or hypertrophic nasal mucosa, and were subsequently confirmed by computed tomography and endoscopy. The granulation tissue or hypertrophic nasal mucosa was removed using microwave ablation, and the supernumerary nasal teeth successfully removed by endoscopy.

Conclusion

Supernumerary nasal teeth are rare, and are usually misdiagnosed because such teeth are surrounded by hypertrophic nasal mucosa or granulation tissue. They can be confirmed by computed tomography and endoscopy.

Keywords

Supernumerary ToothIntranasal ToothMisdiagnosisComputed Tomography, X-RayEndoscopy
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 133 , Issue 6 , June 2019 , pp. 538 - 541
Copyright
Copyright © JLO (1984) Limited, 2019 

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Footnotes

Dr Z-C Lou takes responsibility for the integrity of the content of the paper

References

1Thawley, SE, LaFerriere, KA. Supernumerary nasal tooth. Laryngoscope 1977;87:1770–3Google Scholar
2Kirmeier, R, Truschnegg, A, Payer, M, Malyk, J, Daghighi, S, Jakse, N. The supernumerary nasal tooth. Int J Oral Maxillofac Surg 2009;38:1219–22Google Scholar
3Primosch, RE. Anterior supernumerary teeth – assessment and surgical intervention in children. Pediatr Dent 1981;3:204–15Google Scholar
4Kim, DH, Kim, JM, Chae, SW, Hwang, SJ, Lee, SH, Lee, HM. Endoscopic removal of an intranasal ectopic tooth. Int J Pediatr Otorhinolaryngol 2003;67:79–81Google Scholar
5Dhingra, S, Gulati, A. Teeth in rare locations with rare complications: an overview. Indian J Otolaryngol Head Neck Surg 2015;67:438–43Google Scholar
6Janardhan, N, Kumar, SR, Reddy, RR, Kumar, CA. Rhinolithiasis due to supernumerary ectopic tooth: very rare case. Indian J Otolaryngol Head Neck Surg 2013;65:383–4Google Scholar
7Liu, JF. Characteristics of premaxillary supernumerary teeth: a survey of 112 cases. ASDC J Dent Child 1995;62:262–5Google Scholar
8Ray, B, Singh, LK, Das, CJ, Roy, TS. Ectopic supernumerary tooth on the inferior nasal concha. Clin Anat 2006;19:68–74Google Scholar
9Moreano, EH, Zich, DK, Goree, JC, Graham, SM. Nasal tooth. Am J Otolaryngol 1998;19:124–6Google Scholar
10Rege, SR, Shal, KL, Marfati, PT. Osteomyelitis of maxilla with extrusion of teeth in the floor of the nose requiring extraction. J Laryngol Otol 1970;84:533–5Google Scholar
11Mittal, M, Sultan, A. Clinical management of supernumerary teeth: a report of two cases. J Indian Soc Pedod Prev Dent 2010;28:219–22Google Scholar
12Kumar, A, Namdev, R, Bakshi, L, Dutta, S. Supernumerary teeth: report of four unusual cases. Contemp Clin Dent 2012;3:S71–7Google Scholar
13Iwai, T, Aoki, N, Yamashita, Y, Omura, S, Matsui, Y, Maegawa, J et al. Endoscopic removal of bilateral supernumerary intranasal teeth. J Oral Maxillofac Surg 2012;70:1030–4Google Scholar
14van Essen, TA, van Rijswijk, JB. ‘Intranasal toothache’: case report. J Laryngol Otol 2013;127:321–2Google Scholar
15Vinothkumar, TS, Kandaswamy, D, Arathi, G, Ramkumar, S, Felsypremila, G. Endodontic management of dilacerated maxillary central incisor fused to a supernumerary tooth using cone beam computed tomography: an unusual clinical presentation. J Contemp Dent Pract 2017;18:522–6Google Scholar