Rarely, a tooth grows "lost" in the nose of a 4-year-old boy in Bac Giang

On November 8, the Interdisciplinary Department of Bac Giang Obstetrics and Pediatrics Hospital informed that it had just received treatment for Nguyen Dinh Duong (4 years old, residing in Tan Lieu commune, Yen Dung district, Bac Giang province) with a misplaced tooth on the floor of the right nose.

Surgeons removed a misplaced extra tooth from a 4-year-old patient (photo: BVCC).

Mr. Nguyen Dinh Vuong (Duong's father) said: "For over a year now, Duong has had nosebleeds and frequent nasal congestion. The family took him to a medical facility near home for examination but found nothing unusual. The doctor prescribed medicine but it was ineffective, and he still had nosebleeds. Worried about his health, my wife and I took him to Bac Giang Obstetrics and Pediatrics Hospital for examination and treatment."

At the hospital, the doctors of the Interdisciplinary Department clinically examined the child and found that the right nasal cavity had a mass protruding from the floor of the nose, the floor of the nose and the gap between the two sides had a lot of pus. The child was prescribed a nasal endoscopy, along with the results of the CT scan of the nose and sinuses, the doctors of the Interdisciplinary Department consulted and agreed to diagnose the child with acute sinusitis, the right nasal floor mass was suspected to be a supernumerary tooth. After 1 week of stable internal medicine treatment for acute sinusitis, the doctors decided to perform endoscopic surgery to remove the supernumerary tooth.

After surgery, the patient's health was stable and there were no more nosebleeds or stuffy nose.

Dr. Tran Minh Tan, Department of Interdisciplinary, said that through documents, there is no clear cause for the tooth germ not growing in the correct position in the dental arch but growing in other positions such as in the palate, inside or outside the dental arch, in the sinus and on the floor of the nose, forming ectopic teeth. However, there are also some causes mentioned such as: Dental trauma, maxillary osteomyelitis, development of a cleft palate defect and genetic factors. Ectopic teeth growing in the floor of the nose is a very rare case, in this case the tooth germ does not grow down but up to the floor of the nose, so the tooth develops into the nasal cavity. This is an extra tooth while all other teeth still develop normally.

Dr. Tan added that in medical literature, there were only 23 cases of misplaced teeth growing in the floor of the nose recorded in the period from 1959-2008. Patients often have no symptoms and only accidentally discover them when they go to the doctor. Depending on the location of the misplaced teeth, there may be symptoms such as nasal congestion, runny nose, nosebleeds, headaches... the symptoms are usually unilateral, do not respond to medical treatment and recur frequently. If the tooth is not surgically extracted in time, the condition will become increasingly severe, causing complications. Therefore, early diagnosis and timely treatment are extremely necessary to ensure the health and safety of children.

Source: https://www.baogiaothong.vn/hi-huu-rang-moc-lac-len-mui-be-trai-4-tuoi-o-bac-giang-192241108135535196.htm