Tubercular intranasal mesiodens is oro-facial digital syndrome

ABSTRACT

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