Samuel Macedo Costa1, Alessandro Oliveira de Jesus1, Roger Lanes Silveira1,2, Marcio Bruno Figueiredo Amaral3. 1. Residency Program of the Oral and Maxillofacial Surgery Service, Hospital João XXIII/FHEMIG, Av. Alfredo Balena, 400, Santa Efigênia, Belo Horizonte, MG, Brazil. 2. Otorhinolaryngology and Head and Neck Surgery Service, Santa Casa, Belo Horizonte, MG, Brazil. 3. Residency Program of the Oral and Maxillofacial Surgery Service, Hospital João XXIII/FHEMIG, Av. Alfredo Balena, 400, Santa Efigênia, Belo Horizonte, MG, Brazil. marciobrunoamaral@gmail.com.
Abstract
PURPOSE: The aim of this present study is to describe a case of supernumerary nasal tooth removed with a modified maxillary vestibular approach with subperiosteal dissection. METHODS: Also, a review of English-language literature of supernumerary nasal teeth from 1959 to 2018 was performed. RESULTS: This study demonstrated that the modified maxillary approach with subperiosteal intranasal dissection is a useful approach for the exposure and removal of teeth impacted in the floor of the nasal cavity. The advantage of its use versus the other techniques is the lower risk of complications and postoperative morbidity. The use of computed tomography is essential to determinate the position of the tooth and to help in the surgical planning. CONCLUSIONS: The transoral approaches are more natural to the oral and maxillofacial surgeons than the transnasal or endoscopic ones.
PURPOSE: The aim of this present study is to describe a case of supernumerary nasal tooth removed with a modified maxillary vestibular approach with subperiosteal dissection. METHODS: Also, a review of English-language literature of supernumerary nasal teeth from 1959 to 2018 was performed. RESULTS: This study demonstrated that the modified maxillary approach with subperiosteal intranasal dissection is a useful approach for the exposure and removal of teeth impacted in the floor of the nasal cavity. The advantage of its use versus the other techniques is the lower risk of complications and postoperative morbidity. The use of computed tomography is essential to determinate the position of the tooth and to help in the surgical planning. CONCLUSIONS: The transoral approaches are more natural to the oral and maxillofacial surgeons than the transnasal or endoscopic ones.