Ectopic tooth

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Ectopic Tooth
Impacted wisdom tooth with a horizontal orientation
Specialty Dentistry
Symptoms Pain, swelling, infection, misalignment
CausesGenetic factors, injuries, abnormal growth
Diagnostic method X-rays, CT scans
TreatmentExtraction, surgery, orthodontic treatment
Prognosis Good with early detection and treatment
FrequencyRare

An ectopic tooth, also known as an impacted tooth, is a tooth that develops in an abnormal position and fails to erupt into its normal location in the oral cavity. [1] [2] Ectopic teeth can cause a variety of symptoms, such as pain, swelling, and infection, and they can lead to more serious complications if left untreated.

Horizontal_impacted_wisdom_tooth Horizontal impacted wisdom tooth.png
Horizontal_impacted_wisdom_tooth

This condition can affect both deciduous teeth and permanent teeth, although it is more common in the permanent teeth.[ citation needed ]

Ectopic teeth may commonly occur within the dentate region of the jaws. Other common sites for ectopic teeth include the maxillary sinus, the nasal cavity, the mandibular condyle, and the palate. [3] The cause of ectopic teeth is not always clear, but it may be related to genetic factors or developmental abnormalities. [4]

Diagnosis of ectopic teeth typically involves a comprehensive dental examination, including X-rays and other imaging tests. Treatment options for ectopic teeth depend on the location and severity of the condition, as well as the age and overall health of the patient. In some cases, observation and monitoring may be sufficient, while in other cases, surgical intervention may be necessary to remove the ectopic tooth and prevent further complications. [5]

In addition to the physical symptoms, ectopic teeth can also have psychological and social impacts on affected individuals, particularly if the condition affects their appearance or causes them embarrassment or self-consciousness. As with any dental or medical condition, early diagnosis and treatment of ectopic teeth can help to prevent complications and improve outcomes for patients. [6]

Causes

The cause of developing an ectopic tooth is not yet exactly understood. However, they can result from trauma, infection, developmental anomalies such as cleft palate, pathologic conditions such as dentigerous cyst, iatrogenic or idiopathic factors. [7]

Related Research Articles

<span class="mw-page-title-main">Sinusitis</span> Inflammation of the mucous membrane that lines the sinuses resulting in symptoms

Sinusitis, also known as rhinosinusitis, is inflammation of the mucous membranes that line the sinuses resulting in symptoms that may include thick nasal mucus, a plugged nose, and facial pain. Other signs and symptoms may include fever, headaches, a poor sense of smell, sore throat, a feeling that phlegm is oozing out from the back of the nose to the throat along with a necessity to clear the throat frequently and frequent attacks of cough.

<span class="mw-page-title-main">Human tooth</span> Calcified whitish structure in humans mouths used to break down food

Human teeth function to mechanically break down items of food by cutting and crushing them in preparation for swallowing and digesting. As such, they are considered part of the human digestive system. Humans have four types of teeth: incisors, canines, premolars, and molars, which each have a specific function. The incisors cut the food, the canines tear the food and the molars and premolars crush the food. The roots of teeth are embedded in the maxilla or the mandible and are covered by gums. Teeth are made of multiple tissues of varying density and hardness.

Hypodontia is defined as the developmental absence of one or more teeth excluding the third molars. It is one of the most common dental anomalies, and can have a negative impact on function, and also appearance. It rarely occurs in primary teeth and the most commonly affected are the adult second premolars and the upper lateral incisors. It usually occurs as part of a syndrome that involves other abnormalities and requires multidisciplinary treatment.

Infiltration analgesia is deposition of an analgesic drug close to the apex of a tooth so that it can diffuse to reach the nerve entering the apical foramina. It is the most routinely used in dental local treatment.

<span class="mw-page-title-main">Malocclusion</span> Medical condition

In orthodontics, a malocclusion is a misalignment or incorrect relation between the teeth of the upper and lower dental arches when they approach each other as the jaws close. The English-language term dates from 1864; Edward Angle (1855-1930), the "father of modern orthodontics", popularised it. The word "malocclusion" derives from occlusion, and refers to the manner in which opposing teeth meet.

<span class="mw-page-title-main">Maxillary sinus</span> Largest of the paranasal sinuses, and drains into the middle meatus of the nose

The pyramid-shaped maxillary sinus is the largest of the paranasal sinuses, located in the maxilla. It drains into the middle meatus of the nose through the semilunar hiatus. It is located to the side of the nasal cavity, and below the orbit.

<span class="mw-page-title-main">Dental extraction</span> Operation to remove a tooth

A dental extraction is the removal of teeth from the dental alveolus (socket) in the alveolar bone. Extractions are performed for a wide variety of reasons, but most commonly to remove teeth which have become unrestorable through tooth decay, periodontal disease, or dental trauma, especially when they are associated with toothache. Sometimes impacted wisdom teeth cause recurrent infections of the gum (pericoronitis), and may be removed when other conservative treatments have failed. In orthodontics, if the teeth are crowded, healthy teeth may be extracted to create space so the rest of the teeth can be straightened.

Dilaceration is a developmental disturbance in shape of teeth. It refers to an angulation, or a sharp bend or curve, in the root or crown of a formed tooth. This disturbance is more likely to affect the maxillary incisors and occurs in permanent dentition. Although this may seem more of an aesthetics issue, an impacted maxillary incisor will cause issues related to occlusion, phonetics, mastication, and psychology on young patients.

<span class="mw-page-title-main">Sinus lift</span>

Maxillary sinus floor augmentation is a surgical procedure which aims to increase the amount of bone in the posterior maxilla, in the area of the premolar and molar teeth, by lifting the lower Schneiderian membrane and placing a bone graft.

<span class="mw-page-title-main">Dentigerous cyst</span> Medical condition

A dentigerous cyst, also known as a follicular cyst, is an epithelial-lined developmental cyst formed by accumulation of fluid between the reduced enamel epithelium and the crown of an unerupted tooth. It is formed when there is an alteration in the reduced enamel epithelium and encloses the crown of an unerupted tooth at the cemento-enamel junction. Fluid is accumulated between reduced enamel epithelium and the crown of an unerupted tooth.

Concrescence is a condition of teeth where the cementum overlying the roots of at least two teeth join together. It usually involves only two teeth. The most commonly involved teeth are upper second and third molars. The prevalence rate is 0.04%.

Occlusion, in a dental context, means simply the contact between teeth. More technically, it is the relationship between the maxillary (upper) and mandibular (lower) teeth when they approach each other, as occurs during chewing or at rest.

Oral and maxillofacial pathology refers to the diseases of the mouth, jaws and related structures such as salivary glands, temporomandibular joints, facial muscles and perioral skin. The mouth is an important organ with many different functions. It is also prone to a variety of medical and dental disorders.

<span class="mw-page-title-main">Barodontalgia</span> Tooth pain caused by ambient pressure change

Barodontalgia, commonly known as tooth squeeze, is a pain in a tooth caused by a change in ambient pressure. The pain usually ceases at ground level. Dental barotrauma is a condition in which such changes in barometric pressure changes cause damage to the dentition.

<span class="mw-page-title-main">Mandibular fracture</span> Medical condition

Mandibular fracture, also known as fracture of the jaw, is a break through the mandibular bone. In about 60% of cases the break occurs in two places. It may result in a decreased ability to fully open the mouth. Often the teeth will not feel properly aligned or there may be bleeding of the gums. Mandibular fractures occur most commonly among males in their 30s.

<span class="mw-page-title-main">Jaw abnormality</span> Medical condition

A jaw abnormality is a disorder in the formation, shape and/or size of the jaw. In general abnormalities arise within the jaw when there is a disturbance or fault in the fusion of the mandibular processes. The mandible in particular has the most differential typical growth anomalies than any other bone in the human skeleton. This is due to variants in the complex symmetrical growth pattern which formulates the mandible.

<span class="mw-page-title-main">Enamel hypoplasia</span> Medical condition

Enamel hypoplasia is a defect of the teeth in which the enamel is deficient in quantity, caused by defective enamel matrix formation during enamel development, as a result of inherited and acquired systemic condition(s). It can be identified as missing tooth structure and may manifest as pits or grooves in the crown of the affected teeth, and in extreme cases, some portions of the crown of the tooth may have no enamel, exposing the dentin. It may be generalized across the dentition or localized to a few teeth. Defects are categorized by shape or location. Common categories are pit-form, plane-form, linear-form, and localised enamel hypoplasia. Hypoplastic lesions are found in areas of the teeth where the enamel was being actively formed during a systemic or local disturbance. Since the formation of enamel extends over a long period of time, defects may be confined to one well-defined area of the affected teeth. Knowledge of chronological development of deciduous and permanent teeth makes it possible to determine the approximate time at which the developmental disturbance occurred. Enamel hypoplasia varies substantially among populations and can be used to infer health and behavioural impacts from the past. Defects have also been found in a variety of non-human animals.

<span class="mw-page-title-main">Cracked tooth syndrome</span> Medical condition

Cracked tooth syndrome (CTS) is where a tooth has incompletely cracked but no part of the tooth has yet broken off. Sometimes it is described as a greenstick fracture. The symptoms are very variable, making it a notoriously difficult condition to diagnose.

<span class="mw-page-title-main">Odontogenic infection</span> Infection originating in a tooth

An odontogenic infection is an infection that originates within a tooth or in the closely surrounding tissues. The term is derived from odonto- and -genic. The most common causes for odontogenic infection to be established are dental caries, deep fillings, failed root canal treatments, periodontal disease, and pericoronitis. Odontogenic infection starts as localised infection and may remain localised to the region where it started, or spread into adjacent or distant areas.

<span class="mw-page-title-main">Oroantral fistula</span> Medical condition

Oroantral fistula (OAF) is an epithelialised oroantral communication (OAC). OAC refers to an abnormal connection between the oral cavity and antrum. The creation of an OAC is most commonly due to the extraction of a maxillary (upper) tooth closely related to the antral floor. A small OAC may heal spontaneously but a larger OAC would require surgical closure to prevent the development of persistent OAF and chronic sinusitis.

References

  1. Akbas, Mert; Karabıyık, Zülfikar; Varol, Altan (2022). "Ectopic Tooth in Mandibular Canal, Maxillary Sinus, and Mandibular Condyle". Case Reports in Dentistry. 2022: 1–7. doi: 10.1155/2022/3118998 . PMC   8800632 . PMID   35103105.
  2. Yaseen, Syedmohammed; Naik, Saraswati; Uloopi, KS (2011). "Ectopic eruption - A review and case report". Contemporary Clinical Dentistry. 2 (1): 3–7. doi: 10.4103/0976-237X.79289 . PMC   3220171 . PMID   22114445.
  3. Ramanojam, Shandilya; Hebbale, Manjula; Bhardwaj, Smita; Halli, Rajshekhar (2013). "Ectopic tooth in maxillary sinus: Case series". Annals of Maxillofacial Surgery. 3 (1): 89–92. doi: 10.4103/2231-0746.110075 . PMC   3645620 . PMID   23662268.
  4. Chen, A.; Huang, J. K.; Cheng, S. J.; Sheu, C. Y. (2002). "Nasal Teeth: Report of Three Cases". AJNR. American Journal of Neuroradiology. 23 (4): 671–673. PMC   7975118 . PMID   11950665.
  5. Manne, R.; Gandikota, C.; Juvvadi, S. R.; Rama, H. R.; Anche, S. (2012). "Impacted canines: Etiology, diagnosis, and orthodontic management". Journal of Pharmacy & Bioallied Sciences. 4 (Suppl 2): S234–S238. doi: 10.4103/0975-7406.100216 . PMC   3467862 . PMID   23066259.
  6. Chen, A.; Huang, J. K.; Cheng, S. J.; Sheu, C. Y. (2002). "Nasal Teeth: Report of Three Cases". AJNR. American Journal of Neuroradiology. 23 (4): 671–673. PMC   7975118 . PMID   11950665.
  7. Almomen, A.; Alkhudair, B.; Alkhatib, A.; Alazzah, G.; Ali, Z.; Al Yaeesh, I.; Alomairin, A.; Alshuaibi, A.; Albahr, A. (2020). "Ectopic maxillary tooth as a cause of recurrent maxillary sinusitis: A case report and review of the literature". Journal of Surgical Case Reports. 2020 (9): rjaa334. doi:10.1093/jscr/rjaa334. PMC   7524603 . PMID   33024531.