Surgical Management of Ectopic Third Molar in the Mandibular Sub condylar Region without a Pathological Cause: A Case Report
Journal Title: Biomedical Journal of Scientific & Technical Research (BJSTR) - Year 2017, Vol 1, Issue 4
Abstract
Ectopic eruption of mandibular third molar in the subcondylar region is an extremely rare condition. The impacted tooth can remain asymptomatic throughout life time and intervention would only be required in cases of pain, signs of infection, inflammation or cyst formation. In our case a 35 year old man presented with dull continuous pain in left side of face near preauricular area. A radiographic examination revealed an impacted ectopic third molar in left subcondylar region with a radiolucency surrounding the crown. The tooth was surgically removed by an intraoral approach through a bone tunnel made on the buccal surface inferior to sigmoid notch. Inadvertently left subcondylar region fractured during the procedure and intermaxillary fixation was done with Erich arch bar. The treatment should be meticulously planned on the basis of the position and type of the ectopic tooth and related potential trauma against the benefits of surgical intervention.Ectopic third molar teeth are those that are impacted in unusual positions or that have been displaced and are at a distance from their normal anatomic location [1]. It is common have to ectopic eruption of a tooth within the oral cavity but rare in other sites of the jaw [2]. Reports are present with teeth eruption in the nasal septum, ascending ramus of mandible, mandibular condyle, and lower border of mandible, coronoid process, sigmoid notch, palate and maxillary sinus [1-3]. Unilateral as well as bilateral ectopic impacted third molar teeth have been reported in various parts of the mandibular ramus [4].
Authors and Affiliations
Sonia Nath, Shaju Jacob Pulikkotil, Jayant Prakash, Om Prakash
Keywords
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- EP ID EP569449
- DOI 10.26717/BJSTR.2017.01.000341
- Views 180
- Downloads 0
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