A striking feature of the skull base is the pterygoid hamulus known for its bizarre morphology and biomechanical location. Pterygoid hamular bursitis is an inflammation of bursae located between the tendon, muscle, and bony prominences. The minimal objective finding in an apparently normal orofacial apparatus and dependence on the subjective symptoms experienced by the patient with widespread referral pattern often perplexes the clinician. Bursitis should be considered in the differential diagnosis of craniofacial neuralgia, temporomandibular joint dysfunction, and chronic craniofacial pain. Clinical signs and symptoms of this intriguing entity are diverse and multifaceted that can sometimes demand services of clinicians across various specialties considering the anatomic density of the region. Care must be taken to avoid delay, misdiagnosis, and overtreatment.

Key Clinical MessageThe case illuminates the likelihood of a dental pathology presenting with discrete signs and symptoms and the importance of the differential diagnosis of some incongruent clinical entities. The purpose of this article was to present a case report of odontogenic keratocyst (OKC) arising in the orbital floor, finding the common thread in rare pathology, and highlighting the aberration in our treatment plan by collating all the wealth of information published in the literature.

Introduction: Dermatoglyphics may be of clinical significance to segregate those individuals who are at an increased risk for the presence of an impacted tooth. Dermatoglyphics seems to be promising as a non-invasive diagnostic tool to forecast the presence/absence of an impacted tooth. Objective The study aimed to analyze the most common pattern of dermatoglyphics present in an individual with/without impacted tooth and find a dermatoglyphic marker if any. Methods A cross-sectional study comprising of 180 subjects (90 cases and 90 control) was conducted. Blue duplicating ink was applied on the fingertips using the rolling impression technique and recorded. Results In individuals predisposed to the presence of impacted teeth, there was an increase in the frequency of WHORL-PLAIN pattern in right hand ring finger (60%) and left hand little finger (33.3%) with a p-value of 0.028 and 0.009 respectively, and LOOP-ULNAR in the right hand middle finger (74.4%) with a p-value of 0.024. Forward stepwise binary logistic regression analysis showed the left hand little finger to be the most predictive for impaction. Conclusion Dermatoglyphics could serve as a non-invasive marker to forecast the presence/absence of an impacted tooth. Its utility lies in early diagnosis to curtail the surgical complications associated with symptomatic removal of an impacted tooth.