The diagnosis and management of supernumerary nasal teeth

J Laryngol Otol. 2019 Jun;133(6):538-541. doi: 10.1017/S0022215119000793. Epub 2019 Apr 22.

Abstract

Objective: To discuss the reasons for misdiagnosis of supernumerary nasal teeth.

Methods: Clinical data of four supernumerary nasal tooth patients were analysed retrospectively at visits to our otolaryngology department between 2005 and 2018.

Results: All four patients were male and had a supernumerary nasal tooth in the right nasal cavity. Three of the four patients had previously been misdiagnosed. All the supernumerary nasal teeth were surrounded by granulation tissue or hypertrophic nasal mucosa, and were subsequently confirmed by computed tomography and endoscopy. The granulation tissue or hypertrophic nasal mucosa was removed using microwave ablation, and the supernumerary nasal teeth successfully removed by endoscopy.

Conclusion: Supernumerary nasal teeth are rare, and are usually misdiagnosed because such teeth are surrounded by hypertrophic nasal mucosa or granulation tissue. They can be confirmed by computed tomography and endoscopy.

Keywords: X-Ray; Computed Tomography; Endoscopy; Intranasal Tooth; Misdiagnosis; Supernumerary Tooth.

MeSH terms

  • Adolescent
  • Adult
  • Endoscopy / methods*
  • Follow-Up Studies
  • Granulation Tissue / diagnostic imaging
  • Granulation Tissue / surgery*
  • Humans
  • Male
  • Nasal Cavity / diagnostic imaging*
  • Nasal Cavity / pathology
  • Nasal Cavity / surgery*
  • Nasal Mucosa / pathology
  • Nasal Mucosa / surgery
  • Retrospective Studies
  • Risk Assessment
  • Sampling Studies
  • Tomography, X-Ray Computed / methods
  • Tooth, Supernumerary / diagnostic imaging*
  • Tooth, Supernumerary / surgery*
  • Treatment Outcome
  • Young Adult