Tubercular intranasal mesiodens is oro-facial digital syndrome

Ectopic eruption of teeth has been reported in mandibular condyle, coronoid process, orbit, maxillary antrum, palate, nasal septum and chin. But an erupted supernumerary nasal tooth is rare. Although asymptomatic in some, a nasal tooth has the potential to cause epistaxis, septal perforation, rhinorrhea and several other complications. It is still rare for a nasal tooth to be associated with Oro-facial-digital syndrome which is a genetic malformation involving oral, facial and digital structures syndrome include hypertrophic frenula, lingual hamaartomas, ankyloglossia, dental caries, anomalous anterior teeth, enamel hypoplasia, supernumerary teeth and missing teeth. Presented is a case of an erupted tubercular mesiodens in the nasal cavity of a boy aged ten years. To the best of our knowledge, this is the first reported case of a nasal tooth in a child with oro-facial-digital syndrome. Children born with structural anomalies of the face, oral cavity and digits should be thoroughly evaluated to rule out the possibility of syndromes. Moreover, a multidisciplinary approach is required to render the best treatment of the patient. Also, a nasal tooth should be considered a possibility amongst undiagnosed nasal masses

Compound composite odontoma with unusual number of denticles-a rare entity

Compound odontoma is stated to be a hamartomatous lesion rather than a true odontogenic tumour. It has an unknown etiology and often suspected when there are retained deciduous teeth in children. Early detection and surgical enucleation of the tumour is recommended to prevent impaction of unerupted teeth. In this index case, multiple denticles or rudimentary teeth, numbering 37 were enucleated from the maxillary anterior region of a 17-year old male, which makes this case unusual. Evidence of concrescence, fusion and dilaceration were observed in the denticles enucleated, the size of which varied from 4 mm to 12.5 mm