Ectopic Upper Third Molar in Maxillary Sinus: A Case Report and Literature Review

Al-Ani, Raid M.; Aldelaimi, Tahrir N.; Khalil, Afrah A.

doi:10.1007/s12070-021-03039-0

Cited by 6 publications

(4 citation statements)

References 16 publications

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“…Various cases have been reported with ectopic tooth in the maxillary sinus, with varied symptoms including pain, swelling, facial asymmetry, difficulty chewing, sinus issues, and malocclusion with management approaches including observation, extraction, orthodontic treatment, endoscopic sinus surgery, or combination approaches [ [15] , [16] , [17] ]. However the rarity of our case lies in the fact that the presentation was totally asymptomatic.…”

Section: Discussionmentioning

confidence: 99%

Incidentally detected ectopic maxillary tooth in an asymptomatic adult male: A rare case scenario

Devkota,

Adhikari,

Lamichhane

et al. 2024

Radiology Case Reports

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Section: Discussionmentioning

confidence: 99%

Incidentally detected ectopic maxillary tooth in an asymptomatic adult male: A rare case scenario

Devkota,

Adhikari,

Lamichhane

et al. 2024

Radiology Case Reports

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“…The extraoral approach produces a greater vision of the surgical field but presents risks of facial nerve injury, salivary fistula and skin scar. The intraoral approach is safer, with fewer complications, but with a smaller field of visión ( 8 ). In the case of ectopic teeth in the maxillary sinus, the most used approach is the Caldwell-Luc because an adequate field of vision is achieved through an osteotomy of the anterior wall of the maxillary sinus and the risk of complications is minimal ( 9 ).…”

Section: Discussionmentioning

confidence: 99%

Endoscopically assisted removal of ectopic teeth in the floor of the orbit. Case report and latest literature review

Zubiate-Illarramendi,

Monsalve,

Cariati

et al. 2024

J Clin Exp Dent

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Ectopic sinonasal third molar is a rare condition characterized by the aberrant position of the third molar in the maxillar sinus. The etiology of the teeth in the maxillary sinus is commonly associated to trauma and iatrogenic dental procedures. We present the clinical case of a 33-year-old man who presents an ectopic tooth in the right maxillary sinus, located in the orbital floor, who requires endoscopic control through a maxillary approach when performing the extraction. The endoscopic technique is being increasingly used in the maxillofacial field. Thanks to the endoscopic control for complex extractions like the descibed case, complications such as injuries of the infraorbital nerve or fractures of the different walls of the sinus could be avoided. In conclusion, endoscopic control to perform tooth extractions in the maxillary sinus is a safe option that helps to avoid complications such as fracture of the maxillary sinus walls or fracture of the orbital floor. Key words: Endoscopic, ectopic tooth, caldwell luc, maxillary sinus.

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“…Pain, swelling, and trismus are reduced when nearby soft tissues sustain minimal damage and when wounds are closed properly. It follows that pharmacologic approaches aimed at reducing the clinical signs of surgical trauma should naturally focus on preventing the synthesis of acute inflammatory mediators or reducing their impact [ 1 ]. After surgery, enzymes have been shown to have anti-inflammatory, antithrombotic, and fibrinolytic properties in vitro and in vivo.…”

Section: Introductionmentioning

confidence: 99%

Comparison of the Efficacy of Corticosteroids With Enzymatic Agents in the Postoperative Sequelae for Lower Third Molar Surgery: A Prospective Study

Vijayakumar,

Sundaram,

Kumar

et al. 2024

Cureus

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Introduction The presence of impacted third molars is a prevalent problem associated with varying degrees of difficulty in extraction and potential consequences, including pain, swelling, and trismus. According to studies, enzymatic combinations, such as bromelain, rutoside, trypsin, and serratiopeptidase, are known to have a very promising role in reducing inflammation and promoting wound healing. This study compared natural enzymatic agents with corticosteroids for postoperative pain, swelling, and trismus in the impacted lower third molar surgery. Objectives The present study aimed to compare the efficacy of prednisolone, a combination of trypsin, chymotrypsin, bromelain, rutoside, and papain, and serratiopeptidase in the postoperative sequelae after surgical extraction of impacted mandibular third molars. The primary objective was to assess the difference in swelling between the three groups. The secondary objectives were to assess the difference in postoperative pain and trismus between the three groups. Materials and methods A total of 150 patients who presented to the department of oral and maxillofacial surgery for surgical removal of an impacted mandibular third molar with a moderately difficult score of 5-7 in the Pederson difficulty index were chosen for a prospective study. Patients were categorized into three groups based on the postoperative drug prescribed. In group 1, prednisolone 10 mg was prescribed; in group 2, a combination of trypsin, chymotrypsin, bromelain, rutoside, and papain was prescribed; and in group 3, serratiopeptidase 15 mg was prescribed. All patients were prescribed a combination drug of aceclofenac 100 mg and paracetamol 325 mg twice daily as a standard analgesic. Swelling, pain, and trismus in each patient were recorded preoperatively and at postoperative day one and day seven. The Friedman test was employed to evaluate the variation in pain levels within the groups over time, while the Kruskal-Wallis test was utilized to investigate the disparity in pain levels between the groups. The difference in swelling and trismus within the groups across the timeline was measured by repeated measures analysis of variance (ANOVA), and the difference in swelling and trismus between the groups was measured by one-way ANOVA. A p-value below 0.05 was deemed to be statistically significant. Results Group 1 showed less swelling, pain, and trismus on both postoperative day one and day seven compared to group 2 and group 3, which was a statistically significant difference (P < 0.05). It was found that swelling, pain, and trismus measurements in postoperative day one and day seven in group 2 were comparatively less than in group 3. Neither group demonstrated any side effects or other complications during the follow-up period. Conclusion It can be concluded that the use of prednisolone postoperatively following surgical removal of the mandibular third molar provided better relief with regard to ...

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Ectopic Upper Third Molar in Maxillary Sinus: A Case Report and Literature Review

Cited by 6 publications

References 16 publications

Incidentally detected ectopic maxillary tooth in an asymptomatic adult male: A rare case scenario

Incidentally detected ectopic maxillary tooth in an asymptomatic adult male: A rare case scenario

Endoscopically assisted removal of ectopic teeth in the floor of the orbit. Case report and latest literature review

Comparison of the Efficacy of Corticosteroids With Enzymatic Agents in the Postoperative Sequelae for Lower Third Molar Surgery: A Prospective Study

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