Imaging Science in Dentistry

  • 제53권3호
  • /
  • Pages.229-238
  • /
  • 2023
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  • 2233-7822(pISSN)
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  • 2233-7830(eISSN)
대한영상치의학회 (Korean Academy of Oral and Maxillofacial Radiology)
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Ectopic teeth with disparate migration: A literature review and new case series

  • Pallak Arora (Department of Diagnostic Sciences, Texas A&M University School of Dentistry) ;
  • Madhu K. Nair (Department of Diagnostic Sciences, Texas A&M University School of Dentistry) ;
  • Hui Liang (Department of Diagnostic Sciences, Texas A&M University School of Dentistry) ;
  • Paras B. Patel (Propath- A Sonic Healthcare USA Anatomic Pathology Practice) ;
  • John M. Wright (Department of Diagnostic Sciences, Texas A&M University School of Dentistry) ;
  • Mehrnaz Tahmasbi-Arashlow (Department of Diagnostic Sciences, Texas A&M University School of Dentistry)
  • 투고 : 2023.02.16
  • 심사 : 2023.05.19
  • 발행 : 2023.09.30
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초록

Purpose: Ectopic eruption can be defined as the emergence of a tooth in an abnormal location, where the tooth does not follow its typical eruption pathway. While ectopic eruption within the dentate region is well-documented in the literature, ectopic eruption in non-dentate regions is relatively rare. This study aimed to report 6 cases of ectopic teeth and present a systematic review of the English-language literature on ectopic teeth, emphasizing demographic characteristics, radiographic features, potential complications, and treatment options. Materials and Methods: A literature search was conducted using the PubMed, Medline, Web of Science, and Cochrane databases. The demographic data and radiographic findings of patients presenting with ectopic teeth were recorded. Results: The literature review yielded 61 cases of ectopic teeth, with patients ranging in age from 3 to 74 years. The findings from these previously reported cases demonstrated that the most common location for ectopic teeth was the maxillary sinus, which is consistent with this case series. The Pearson chi-square test was performed to evaluate the correlation between age and location of ectopic teeth, and the results were found to be statistically significant (P<0.05). However, no statistically significant relationship was observed between sex and the location of ectopic teeth. Conclusion: The distinct features of these cases warrant reporting. This study presents the first case of supernumerary teeth in the condyle without any associated pathosis. Another notable characteristic is the pre-eruptive resorption of 2 inverted supernumerary teeth ectopically located in the palate, which predisposes to sinus opacification.

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참고문헌

  1. Veerabhadrappa SK, Hesarghatta Ramamurthy P, Yadav S, Bin Zamzuri AT. Analysis of clinical characteristics and management of ectopic third molars in the mandibular jaw: a systematic review of clinical cases. Acta Odontol Scand 2021; 79: 514-22.  https://doi.org/10.1080/00016357.2021.1901984
  2. Thakur G, Nair PP, Thomas S, Ahuja R, Kothari R. Dentigerous cyst associated with ectopic maxillary third molar in maxillary antrum. BMJ Case Rep 2011; 2011: bcr0220113873. 
  3. Lambade P, Lambade D, Dolas RS, Virani N. Ectopic mandibular third molar leading to osteomyelitis of condyle: a case report with literature review. Oral Maxillofac Surg 2013; 17: 127-30.  https://doi.org/10.1007/s10006-012-0346-5
  4. Caillet J, Pereira B, Courtot R, Barthelemy I, Devoize L, Depeyre A. Ectopic third mandibular molar: evaluation of surgical practices and meta-analysis. Clin Oral Investig 2021; 25: 4781-99.  https://doi.org/10.1007/s00784-021-04018-z
  5. Bello SA, Oketade IO, Osunde OD. Ectopic 3rd molar tooth in the maxillary antrum. Case Rep Dent 2014; 2014: 620741. 
  6. Torenek K, Akgul HM, Bayrakdar IS. Ectopic Premolar tooth in the sigmoid notch. Case Rep Dent 2016; 2016: 6426523. 
  7. O'Meara WF. Ectopic eruption pattern in selected permanent teeth. J Dent Res 1962; 41: 607-16.  https://doi.org/10.1177/00220345620410031301
  8. Anthonappa RP, King NM, Rabie AB. Aetiology of supernumerary teeth: a literature review. Eur Arch Paediatr Dent 2013; 14: 279-88.  https://doi.org/10.1007/s40368-013-0082-z
  9. Smith JD. Hyperdontia: report of case. J Am Dent Assoc 1969; 79: 1191-2.  https://doi.org/10.14219/jada.archive.1969.0068
  10. Findik Y, Baykul T. Ectopic third molar in the mandibular sigmoid notch: report of a case and literature review. J Clin Exp Dent 2015; 7: e133-7.  https://doi.org/10.4317/jced.51871
  11. Cooper J, Storey M, Srinivasan V. Lateral incisor root resorption: a consequence of ectopic maxillary canine teeth. Orthod Update 2022; 15: 59-64.  https://doi.org/10.12968/ortu.2022.15.2.59
  12. Bergamaschi IP, Olsson B, Sebastiani AM, Trento GD, Rebellato NL, Kluppel LE, et al. Intranasal ectopic tooth in adult and pediatric patients: a report of two cases. Case Rep Surg 2019; 2019: 8351825. 
  13. Levin M, Sommer DD. Endoscopic removal of ectopic sinonasal teeth: a systematic review. J Otolaryngol Head Neck Surg 2019; 48: 30. 
  14. Ata-Ali F, Ata-Ali J, Penarrocha-Oltra D, Penarrocha-Diago M. Prevalence, etiology, diagnosis, treatment and complications of supernumerary teeth. J Clin Exp Dent 2014; 6: e414-8.  https://doi.org/10.4317/jced.51499
  15. Priya M, Doomra S, Angral S, Malhotra M, Bhardwaj A, Varshney S, et al. Supernumerary tooth: endoscopic removal for a rare cause of recurrent epistaxis. Indian J Otolaryngol Head Neck Surg 2022; 74(Suppl 2): 1143-6.  https://doi.org/10.1007/s12070-020-02221-0
  16. Burton DJ, Scheffer RB. Serratia infection in a patient with bilateral subcondylar impacted third molars and associated dentigerous cysts: report of case. J Oral Surg 1980; 38: 135-8. 
  17. Golden AL, Foote J, Lally E, Beideman R, Tatoian J. Dentigerous cyst of the maxillary sinus causing elevation of the orbital floor. Report of a case. Oral Surg Oral Med Oral Pathol 1981; 52: 133-6.  https://doi.org/10.1016/0030-4220(81)90308-X
  18. Chuong R. Dentigerous cyst involving maxillary sinus: report of case. J Am Dent Assoc 1984; 109: 59-60.  https://doi.org/10.14219/jada.archive.1984.0285
  19. Srivastava RP, Singh G. An unusual impacted inverted molar in mandibular condyle with preauricular sinus(a case report). J Indian Dent Assoc 1982; 54: 67-9. 
  20. Freedland ES, Henneman PL. An unusual cause of headache: a dentigerous cyst in the maxillary sinus. Ann Emerg Med 1987; 16: 1174-6.  https://doi.org/10.1016/S0196-0644(87)80481-X
  21. Chongruk C. Asymptomatic ectopic impacted mandibular third molar. Oral Surg Oral Med Oral Pathol 1991; 71: 520. 
  22. Bux P, Lisco V. Ectopic third molar associated with a dentigerous cyst in the subcondylar region: report of case. J Oral Maxillofac Surg 1994; 52: 630-2.  https://doi.org/10.1016/0278-2391(94)90105-8
  23. Medici A, Raho MT, Anghinoni M. Ectopic third molar in the condylar process: case report. Acta Biomed Ateneo Parmense 2001; 72: 115-8. 
  24. Vele DD, Sengupta SK, Dubey SP, Dokup MK. Cystic lesions of the nasal cavity and the paranasal sinuses: report of two unusual cases. J Laryngol Otol 1996; 110: 1157-60.  https://doi.org/10.1017/S0022215100136011
  25. Erkmen N, Olmez S, Onerci M. Supernumerary tooth in the maxillary sinus: case report. Aust Dent J 1998; 43: 385-6.  https://doi.org/10.1111/j.1834-7819.1998.tb00196.x
  26. Alexandrakis G, Hubbell RN, Aitken PA. Nasolacrimal duct obstruction secondary to ectopic teeth. Ophthalmology 2000; 107: 189-92.  https://doi.org/10.1016/S0161-6420(99)00023-8
  27. Goh YH. Ectopic eruption of maxillary molar tooth - an unusual cause of recurrent sinusitis. Singapore Med J 2001; 42: 80-1. 
  28. Kamei T, Inui M, Nakamura S, Tagawa T. Bony ossicle in the maxillary sinus containing a tooth. J Oral Maxillofac Surg 2001; 59: 1108-11.  https://doi.org/10.1053/joms.2001.25862
  29. Tumer C, Eset AE, Atabek A. Ectopic impacted mandibular third molar in the subcondylar region associated with a dentigerous cyst: a case report. Quintessence Int 2002; 33: 231-3. 
  30. Wassouf A, Eyrich G, Lebeda R, Gratz KW. Surgical removal of a dislocated lower third molar from the condyle region: case report. Schweiz Monatsschr Zahnmed 2003; 113: 416-20. 
  31. Suarez-Cunqueiro MM, Schoen R, Schramm A, Gellrich NC, Schmelzeisen R. Endoscopic approach to removal of an ectopic mandibular third molar. Br J Oral Maxillofac Surg 2003; 41: 340-2.  https://doi.org/10.1016/S0266-4356(03)00111-6
  32. Buyukkurt MC, Tozoglu S, Aras MH, Yolcu U. Ectopic eruption of a maxillary third molar tooth in the maxillary sinus: a case report. J Contemp Dent Pract 2005; 6: 104-10.  https://doi.org/10.5005/jcdp-6-3-104
  33. Srinivasa Prasad T, Sujatha G, Niazi TM, Rajesh P. Dentigerous cyst associated with an ectopic third molar in the maxillary sinus: a rare entity. Indian J Dent Res 2007; 18: 141-3.  https://doi.org/10.4103/0970-9290.33793
  34. Altun H, Teker AM, Ceran M, Gedikli O. Ectopic molar tooth in the maxillary sinus. Kulak Burun Bogaz Ihtis Derg 2007; 17: 237-8. 
  35. Avitia S, Hamilton JS, Osborne RF. Dentigerous cyst presenting as orbital proptosis. Ear Nose Throat J 2007; 86: 23-4.  https://doi.org/10.1177/014556130708600110
  36. Salmeron JI, del Amo A, Plasencia J, Pujol R, Vila CN. Ectopic third molar in condylar region. Int J Oral Maxillofac Surg 2008; 37: 398-400.  https://doi.org/10.1016/j.ijom.2007.09.172
  37. Litvin M, Caprice D, Infranco L. Dentigerous cyst of the maxilla with impacted tooth displaced into orbital rim and floor. Ear Nose Throat J 2008; 87: 160-2.  https://doi.org/10.1177/014556130808700313
  38. Wang CC, Kok SH, Hou LT, Yang PJ, Lee JJ, Cheng SJ, et al. Ectopic mandibular third molar in the ramus region: report of a case and literature review. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2008; 105: 155-61.  https://doi.org/10.1016/j.tripleo.2007.04.009
  39. Buyukkurt MC, Omezli MM, Miloglu O. Dentigerous cyst associated with an ectopic tooth in the maxillary sinus: a report of 3 cases and review of the literature. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010; 109: 67-71.  https://doi.org/10.1016/j.tripleo.2009.07.043
  40. Sembronio S, Albiero AM, Zerman N, Costa F, Politi M. Endoscopically assisted enucleation and curettage of large mandibular odontogenic keratocyst. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009; 107: 193-6.  https://doi.org/10.1016/j.tripleo.2008.07.020
  41. Gadre KS, Waknis P. Intra-oral removal of ectopic third molar in the mandibular condyle. Int J Oral Maxillofac Surg 2010; 39: 294-6.  https://doi.org/10.1016/j.ijom.2009.10.002
  42. Saleem T, Khalid U, Hameed A, Ghaffar S. Supernumerary, ectopic tooth in the maxillary antrum presenting with recurrent hemoptysis. Head Face Med 2010; 6: 26. 
  43. Bortoluzzi MC, Manfro R. Treatment for ectopic third molar in the subcondylar region planned with cone beam computed tomography: a case report. J Oral Maxillofac Surg 2010; 68: 870-2.  https://doi.org/10.1016/j.joms.2009.04.072
  44. Pace C, Holt D, Payne M. An unusual presentation of an ectopic third molar in the condylar region. Aust Dent J 2010; 55: 325-7.  https://doi.org/10.1111/j.1834-7819.2010.01243.x
  45. Iglesias-Martin F, Infante-Cossio P, Torres-Carranza E, Prats-Golczer VE, Garcia-Perla-Garcia A. Ectopic third molar in the mandibular condyle: a review of the literature. Med Oral Patol Oral Cir Bucal 2012; 17: e1013-7.  https://doi.org/10.4317/medoral.17864
  46. Mohan S, Kankariya H, Fauzdar S. Impacted inverted teeth with their possible treatment protocols. J Maxillofac Oral Surg 2012; 11: 455-7.  https://doi.org/10.1007/s12663-011-0307-9
  47. Nisa L, Giger R. Images in clinical medicine. Ectopic tooth in the maxillary sinus. N Engl J Med 2011; 365: 1232. 
  48. Beriat GK, Beriat NC, Yalcinkaya E. Ectopic molar tooth in the maxillary sinus: a case report. Clin Dent Res 2011; 35: 35-40. 
  49. Kim JS. Cone beam computed tomography findings of ectopic mandibular third molar in the mandibular condyle: report of a case. Imaging Sci Dent 2011; 41: 135-7.  https://doi.org/10.5624/isd.2011.41.3.135
  50. Kasat VO, Karjodkar FR, Laddha RS. Dentigerous cyst associated with an ectopic third molar in the maxillary sinus: a case report and review of literature. Contemp Clin Dent 2012; 3: 373-6.  https://doi.org/10.4103/0976-237X.103642
  51. Shivashankara C, Manjunatha BS, Tanveer A. Ectopic mandibular third molar in subcondylar region: report of a rare case. Oral Maxillofac Surg 2012; 16: 153-5.  https://doi.org/10.1007/s10006-011-0284-7
  52. Clementini M, Morlupi A, Agrestini C, DI Girolamo M, DI Girolamo S, Ottria L. Endoscopic removal of supernumerary tooth from the nasal cavity of a child: a case report. Oral Implantol(Rome) 2012; 5: 21-5. 
  53. Rai A, Rai NJ, Rai MA, Jain G. Transoral removal of ectopic maxillary third molar situated superiorly to maxillary antrum and posteroinferiorly to the floor of orbit. Indian J Dent Res 2013; 24: 756-8.  https://doi.org/10.4103/0970-9290.127628
  54. Lai YT, Luk YS, Fung KH. Anomalous morphology of an ectopic tooth in the maxillary sinus on three-dimensional computed tomography images. J Radiol Case Rep 2013; 7: 11-6.  https://doi.org/10.3941/jrcr.v7i2.1227
  55. Guruprasad Y, Chauhan DS, Kura U. Infected dentigerous cyst of maxillary sinus arising from an ectopic third molar. J Clin Imaging Sci 2013; 3 (Suppl 1): 7. 
  56. Lamb JF, Husein OF, Spiess AC. Ectopic molar in the maxillary sinus precipitating mucocele: a case report and literature review. Ear Nose Throat J 2009; 88: E6-11. 
  57. Ramanojam S, Halli R, Hebbale M, Bhardwaj S. Ectopic tooth in maxillary sinus: case series. Ann Maxillofac Surg 2013; 3: 89-92.  https://doi.org/10.4103/2231-0746.110075
  58. Kayabasoglu G, Karaman M, Kaymaz R, Nacar A. A rare entity causing chronic sinusitis: ectopic tooth in maxillary sinus. Eur J Gen Med 2015; 12: 86-9.  https://doi.org/10.15197/sabad.1.12.17
  59. Kashyap S, Kumar R, Kumar S. An ectopic unerupted tooth in maxillary sinus. J Evol Med Dent Sci 2014; 3: 446-9.  https://doi.org/10.14260/jemds/2014/1847
  60. Mermod M, Broome M, Hoarau R, Zweifel D. Facial pain associated with CPAP use: intra-sinusal third molar. Case Rep Otolaryngol 2014; 2014: 837252. 
  61. Agrawal M, Khan TS, Gupta T, Khanna S. Intranasal tooth: ectopic eruption 1year after maxillofacial trauma. BMJ Case Rep 2014; 2014: bcr2014204432. 
  62. Aydin u, Asik B, Ahmedov A, Durmaz A. Osteoma and ectopic tooth of the left maxillary sinus: a unique coexistence. Balkan Med J 2016; 33: 473-6.  https://doi.org/10.5152/balkanmedj.2016.15052
  63. Sogur E, Ozden M, Gunbay T, Tugsel Z. Cone beam computed tomography findings of ectopic tooth in the maxillary sinus associated with dentigerous cyst: a report of two cases and review of the literature. J Oral Maxillofac Radiol 2015; 3: 70-5.  https://doi.org/10.4103/2321-3841.157529
  64. Farhangi R, Janbaz P. Ectopic erupted teeth: a case report. Avicenna J Dent Res 2017; 9: e39127. 
  65. Elmorsy K, Elsayed LK, El Khateeb SM. Case report: ectopic third molar in the maxillary sinus with infected dentigerous cyst assessed by cone beam CT. F1000Res 2020; 9: 209. 
  66. Akbas M, Karabiyik Z, Varol A. Ectopic tooth in mandibular canal, maxillary sinus, and mandibular condyle. Case Rep Dent 2022; 2022: 3118998.