Facial Pain Associated with CPAP Use: Intra-Sinusal Third Molar

Abstract

Objective. This paper describes a patient with left hemifacial pain elicited by the use of a CPAP mask. Case Report. A 74-year-old man was referred with a history of pain in the left maxillary sinus related to the use of his CPAP interface, thereby prohibiting the use of the latter. Computed tomography revealed an intra-sinusal ectopic third molar in the left maxillary sinus floor corresponding to the painful area. After removal of the ectopic tooth under local anesthesia by a Caldwell-Luc approach, the patient was relieved of his symptoms. Conclusion. Although an ectopic tooth in the maxillary sinus is rare, this case points out the importance of actively looking for a regional problem if patients cannot tolerate the CPAP interface since this can lead to issues of incompliance and medical complications due to the untreated obstructive sleep apnoea syndrome.

Surgical approach of ectopic maxillary third molar avulsion: Systematic review and meta-analysis

“…There were 20 male and 13 female patients (3:2 ratio). The median age was 25 [19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35][36][37] years with a range from 14 to 78 years.…”

Nasolacrimal duct disease secondary to an unerupted tooth in a dog

“…3 Cases reported in the human literature often describe discomfort or dull pain associated with ectopic dental structures. [26][27][28] In this case report and in the veterinary literature, patients generally do not appear to exhibit signs of pain. However, the presence of discomfort could not be excluded.…”

Ectopic Tooth in Mandibular Canal, Maxillary Sinus, and Mandibular Condyle

“…Instead of extraction, they could be followed up regularly because of the fact that lesion and tumor can be developed from ectopic tooth during following period [4]. In rare situations, temporomandibular problems, orofacial pain, result from the ectopic tooth [5][6][7]. The patient could refer to oral and maxillofacial or otolaryngology clinic with signs and symptoms of facial swelling, pain, nasal obstruction, and sinusitis.…”