• Sites outside the oral

Abberant cavity
• Supernumerary,
tooth deciduous or permanent

Intranasal • is another of the more

unusual abberant tooth
dental • present in nasal cavity
eruption and quite rare.
• A 7-years old girl complained a bulky mass on her right
nasal cavity floor

• Previous history of cleft lip

• Asymptomatic

• Panoramic  radiopaque curved lesion below nasal

floor

• surgically removed via the trans nasal approach

 Curved radiopaque lesion
Bulky mass in right
below right nasal floor
nasal cavity floor

Intranasal toorh with curved

shaped root
A 4-years old boy complained a sharp hard
mass on his right nasal cavity floor

Asymptomatic

Surgically removed via the upper anterior

vestibulae incision
 Intranasal
tooth with
Sharp hard mass on Intra operative incomplete
right cavity floor picture crown
resembled root of the
tooth
Etiology • Unclear

• developmental disturbances,
Some trauma, cyst, infection, genetic,
crowding of the dentition, persistent
theories deciduous teeth, dense bone,
supernumerary and ectopic tooth.

Kumar R.K. 2009. Maxillary Permanent Tooth In The Nasal Cavity. Report Of Two Cases
With Different Etiopathogenesis, Management And Review Of The Literature.. The
Internet Journal of Dental Science. 9 (1).
 • prevalence of intranasal tooth among
children with cleft lip and palate is 
Medeiros, 0,48%
et al • female predilection

• The formation of tooth germs occurs within

the time frame for cleft lip and palate
formation during embryonic
correlation development.

Andrade MGS, Marchionni AMT, de Oliveira MG, et al. 2006. Intranasal Tooth in a
Patient with Cleft Lip and Palate. R Ci med Biol. 5 (3) : 281-287.
 Incidence of
supernumerary • Generally affects 0,1-1% of the population
teeth

The most
common • The upper incisor area  mesiodens
location

• either from a third tooth bud that arises from

the dental lamina near the permanent tooth
Development bud
• from splitting of the permanent bud itself.

Chen A, Huang JK, Cheng SJ, et al. 2002.Nasal Teeth : Report of Three Cases. AJNR Am J
Neuroradiol. 23 : 671-673.
 nasal congestion,
unilateral nasal
obstruction, chronic
nasal discharge,
crusting of the nasal
mucosa, localized
ulceration , nasal
Symptomatic
pain and epistaxis,
nasal septal abcess,
Intranasal tooth nasal and oral
fistula, osteomyelitis
of the maxilla, facial
Asymptomatic pain and head
ache.

Kumar R.K. 2009. Maxillary Permanent Tooth In The Nasal Cavity. Report Of Two Cases
With Different Etiopathogenesis, Management And Review Of The Literature.. The
Internet Journal of Dental Science. 9 (1).
 • clinical and radiographic findings (caldwells,
waters, lateral view of the skull, panoramic)

Diagnose

• radiopaque foreign body, rhinolith , inflammatory

lesions due to syphilis, tuberculosis or fungal
Differential infection with calcification, benign tumours,
haemangioma, osteoma, calcified polyps, and
diagnose malignant tumours such as chondrosarcoma and
osteosarcoma.

Kumar R.K. 2009. Maxillary Permanent Tooth In The Nasal Cavity. Report Of Two Cases
With Different Etiopathogenesis, Management And Review Of The Literature.. The
Internet Journal of Dental Science. 9 (1).
Treatment

early surgical
removal when
diagnosed
Kumar R.K. 2009. Maxillary Permanent Tooth In The Nasal Cavity. Report Of Two Cases
With Different Etiopathogenesis, Management And Review Of The Literature.. The
Internet Journal of Dental Science. 9 (1).
 Two cases of intranasal teeth were
reported which were surgically extracted
via the trans nasal approach and upper
vestibulae incision approach without any
intra operative or post operative
complications.
 It is advised for early surgical removal of
the nasal tooth when diagnosed to
prevent potential morbidity.
 De Oliveira H.F, Vieira M.B, Bubaten W.M.S, et al. 2009. Tooth in Nasal
Cavity of Non-traumatic Etiology : Uncommon Affection. Intl Arch
Otolaryngol. 13(2) : 201-203.
 Lin I.H, Hwang C.H, Su C.Y, et al. 2004. Intranasal Tooth : Report of Three
Cases. Chang Gung Med J. 27(5) : 385 – 388
 Moreano EH, Zich DK, Goree JC, Graham SM . 1998. Nasal Tooth.
American Journal of Otolaryngology . 19 (2) : 124 - 126.
 Gupta YK, Shah N . 2008. Intranasal Tooth as a Complication of Cleft Lip
and Alveolus in a Four Year Old Child : Case Report and Literature
Review. International Journal of Paediatric Dentistry . 11 (3) : 221- 224.
 Kumar R.K. 2009. Maxillary Permanent Tooth In The Nasal Cavity. Report
Of Two Cases With Different Etiopathogenesis, Management And
Review Of The Literature.. The Internet Journal of Dental Science. 9 (1).
 Andrade MGS, Marchionni AMT, de Oliveira MG, et al. 2006. Intranasal
Tooth in a Patient with Cleft Lip and Palate. R Ci med Biol. 5 (3) : 281-287.
 Chen A, Huang JK, Cheng SJ, et al. 2002.Nasal Teeth : Report of Three
Cases. AJNR Am J Neuroradiol. 23 : 671-673.