A rare cause of nasolacrimal duct obstruction: Dentigerous cyst in the maxillary sinus

Ray, Biswarup; Bandyopadhyay, Saumendra Nath; Das, Debabrata; Adhikary, Bivas

doi:10.4103/0301-4738.57161

Cited by 32 publications

(26 citation statements)

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“…This eruption may lead to local sinonasal sign and symptoms attributed to recurrent sinusitis. Obstruction the osteomeatal complex, formation of cyst in the maxillary sinus, obstruction of nasolacrimal canal leading to epiphora may occur because of the anatomic variation [3,4]. Approximately 50 cases of a tooth in the nasal cavity have been reported in the literature [5].…”

Section: Discussionmentioning

confidence: 99%

A Dentigereus Cyst Containing Displaced Tooth In The Maxillary Sinus

A¹

2014

Dentistry

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Ectopic eruption of tooth has been reported in the nasal septum, chin, palate, coronoid process and maxillary sinus in the literature. A tooth may erupt maxillary sinus and present with chronic sinusitis, mucosele and cyst formation. Obstruction the osteomeatal complex, formation of cyst in the maxillary sinus, obstruction of nasolacrimal canal leading to epiphora may occur because of the anatomic variation. There may be sinonasal symptoms of sinusitis, epiphora and pain. The diagnosis of this condition can be made radiologically. If it is symptomathic treatment of ectopic maxillary tooth with dentigerous cyst is surgical removal via a Caldwell-Luc procedure. Herein we present an original image of a dentigerous cyst containing premolar tooth in the maxillary sinus. Keywords: Tooth eruption; Maxillary sinus; Dentigerous cyst Case ReportA 43-year-old man was presented with the complaints of recurrent pain and pressure in right maxillary sinus region. He had a history of recurrent sinusitis of 5 years duration. The symptoms did not resolve despite several courses of medical therapy. The past medical history was unremarkable.Findings of anterior rhinoscopy examination were normal. In the endoscopic examination mucoid secretion was seen in right middle meatus. External examination of teeth revealed normal findings. There was no history of tooth extraction. There was no swelling in maxillary region. Intraoral examination was normal. Ocular examination was normal. Findings of blood and serum biochemistry were within normal limits. A plain computed tomography (CT) scan of the paranasal sinuses was done by taking 3-mm coronal slices. CT examination of the paranasal sinuses revealed a dentigerous cyst containing first premolar tooth in the maxillary sinus. The cyst was seen to expand in the alveolar process of the maxillary bone (Figure 1). The patient did not accept the recommended surgical treatment. DiscussionMaxillary dentigerous cysts are common disorders of the maxillary sinus. Most frequently, the cysts are incidental findings on radiographs. Etiology of the disease is not clear; inflammation, infection, allergy, odontogenic and rhinologic factors are believed to play role.

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Section: Discussionmentioning

confidence: 99%

A Dentigereus Cyst Containing Displaced Tooth In The Maxillary Sinus

A¹

2014

Dentistry

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“…Early diagnosis and proper interceptive intervention should be done to each child who is suspecting the presence of impacted supernumerary tooth or teeth (Figure 3 & 4) causing delayed eruption or impaction of 11 or 21 or other teeth. This will help to erupt the permanent tooth spontaneously into its place [10] or to reduce the chance of development of malocclusions or dentigerous cyst formation [3,4] or to prevent resorption of roots of adjacent teeth. On the other hand, if we delay the preventive and interceptive treatment to the impacted supernumerary tooth which had caused impaction of the permanent tooth ( Figure 2 & 3) may cause space loss in the dental arch (Figure 1) might require complex treatment plan later on.…”

Section: Discussionmentioning

confidence: 99%

“…It may cause mid-line diastema, rotation of incisors, crowding, ectopic eruption, impaction of incisor tooth or teeth, caries or periodontal disease. It may sometimes cause root resorption of adjacent tooth or even formation of a dentigerous cyst [3,4]. These supernumerary teeth may be impacted or erupted and sometimes they may erupt into the maxillary sinus or into the nasal cavity [4,5].…”

Section: Introductionmentioning

confidence: 99%

“…It may sometimes cause root resorption of adjacent tooth or even formation of a dentigerous cyst [3,4]. These supernumerary teeth may be impacted or erupted and sometimes they may erupt into the maxillary sinus or into the nasal cavity [4,5]. In other circumstances, they may not produce any pathological conditions as we have described above but they have to be removed for orthodontic tooth movements or for bone grafting in the cleft lip and palate cases or to place an implant into the jaws.…”

Section: Introductionmentioning

confidence: 99%

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Tuberculate Supernumerary Teeth and Its Management-A Rare Case Report

Kirtaniya¹

2017

JDHODT

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There are four types of supernumerary teeth as described by Howard [1] as conical, tuberculate, supplemental and odontomas. The tuberculate type of supernumerary teeth (Figure 1-7) possesses more than one cusp or tubercle on the crown of the tooth. They rarely erupt into the oral cavity and may cause impaction of the maxillary central incisors. In this paper we describe the management of two impacted supernumerary teeth along with orthodontic management of impacted central incisors in a child where all permanent teeth have erupted into the mouth except central incisors. The purpose of this article is to discuss the surgical management, various complications associated with supernumerary teeth and the importance of early diagnosis of supernumerary teeth which might cause impaction of the incisors and space loss.

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“…The case was successfully managed surgically by Caldwell Luc approach. [7] Caldwell luc approach is recognized as a treatment for blow out fracture of orbit. Recently however studies have demonstrated minimally invasive techniques to manage blowout fracture.…”

Section: Discussionmentioning

confidence: 99%

A Study of Caldwell-Luc Approach in Various Etiologies

Minutha¹,

Nathan²

2013

jemds

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BACKGROUND: Caldwell Luc procedure was designed to remove irreversibly damaged mucosa of the maxillary sinus and to facilitate gravitational drainage and aeration via an inferior meatal antrostomy. Though the frequency of Caldwell Luc procedure has reduced with the advent of the more conservative functional endoscopic sinus surgery, it is still indicated in cases of irreversible scarring, polypoidal mucosal inflammation and chronic inflammation associated with mucociliary dysfunction. Although initially confined to the treatment of maxillary sinusitis, nowadays, it is also indicated in case of removal of foreign bodies from maxillary sinus, as an access to pterygomaxillary fissure and pterygo-palatine fossa, evaluation and stabilization of orbital floor fracture or removal of orbital floor in decompression. In spite of its effectiveness and variety of indication, it can be associated with complications, such as numbness, pain, paresthesia, damage to teeth and oro antral fistula. OBJECTIVES: This study aims to know the possible indications of Caldwell Luc procedure and to understand the effectiveness and the complication that can be associated with the procedure.

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A rare cause of nasolacrimal duct obstruction: Dentigerous cyst in the maxillary sinus

Cited by 32 publications

References 5 publications

A Dentigereus Cyst Containing Displaced Tooth In The Maxillary Sinus

A Dentigereus Cyst Containing Displaced Tooth In The Maxillary Sinus

Tuberculate Supernumerary Teeth and Its Management-A Rare Case Report

A Study of Caldwell-Luc Approach in Various Etiologies

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