Oronasal fistula: A rare complication of mesiodens

A mesiodens is a supernumerary tooth located in the premaxilla between the two central incisors. Although various complications attributed to mesiodens have been reported, oronasal fistula are rare. We encountered a 62-year-old male patient with a complaint of leakage of water into the nose over the...

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Main Authors: Tetsuya Seikai, Soichi Tanaka, Naohiro Ogawa, Hirotake Murakami, Yoichi Ohiro
Format: Article
Language:English
Published: Elsevier 2023-12-01
Series:Advances in Oral and Maxillofacial Surgery
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2667147623000651
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author Tetsuya Seikai
Soichi Tanaka
Naohiro Ogawa
Hirotake Murakami
Yoichi Ohiro
author_facet Tetsuya Seikai
Soichi Tanaka
Naohiro Ogawa
Hirotake Murakami
Yoichi Ohiro
author_sort Tetsuya Seikai
collection DOAJ
description A mesiodens is a supernumerary tooth located in the premaxilla between the two central incisors. Although various complications attributed to mesiodens have been reported, oronasal fistula are rare. We encountered a 62-year-old male patient with a complaint of leakage of water into the nose over the past 1 year. A small fistula was observed in the middle of the hard palate. Computed tomography revealed two inverted impacted mesiodens with osteolytic changes extending from the oral cavity to the nasopalatine canal; thus, we diagnosed the patient with an oronasal fistula attributed to infection of the mesiodens. The two mesiodens were extracted under general anaesthesia and closure of the fistula was performed. No recurrence was observed at the 1 year follow up.
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spelling doaj.art-dd1841ee8c65469693c2d250e633e0ce2023-11-30T05:11:55ZengElsevierAdvances in Oral and Maxillofacial Surgery2667-14762023-12-0112100453Oronasal fistula: A rare complication of mesiodensTetsuya Seikai0Soichi Tanaka1Naohiro Ogawa2Hirotake Murakami3Yoichi Ohiro4Corresponding author.; Department of Oral and Maxillofacial Surgery, Graduate School of Dental Medicine, Hokkaido University, N13 W7, Kita-ku, Sapporo, Hokkaido, 060-8586, JapanDepartment of Oral and Maxillofacial Surgery, Graduate School of Dental Medicine, Hokkaido University, N13 W7, Kita-ku, Sapporo, Hokkaido, 060-8586, JapanDepartment of Oral and Maxillofacial Surgery, Graduate School of Dental Medicine, Hokkaido University, N13 W7, Kita-ku, Sapporo, Hokkaido, 060-8586, JapanDepartment of Oral and Maxillofacial Surgery, Graduate School of Dental Medicine, Hokkaido University, N13 W7, Kita-ku, Sapporo, Hokkaido, 060-8586, JapanDepartment of Oral and Maxillofacial Surgery, Graduate School of Dental Medicine, Hokkaido University, N13 W7, Kita-ku, Sapporo, Hokkaido, 060-8586, JapanA mesiodens is a supernumerary tooth located in the premaxilla between the two central incisors. Although various complications attributed to mesiodens have been reported, oronasal fistula are rare. We encountered a 62-year-old male patient with a complaint of leakage of water into the nose over the past 1 year. A small fistula was observed in the middle of the hard palate. Computed tomography revealed two inverted impacted mesiodens with osteolytic changes extending from the oral cavity to the nasopalatine canal; thus, we diagnosed the patient with an oronasal fistula attributed to infection of the mesiodens. The two mesiodens were extracted under general anaesthesia and closure of the fistula was performed. No recurrence was observed at the 1 year follow up.http://www.sciencedirect.com/science/article/pii/S2667147623000651Supernumerary teethMesiodensComplicationFistula
spellingShingle Tetsuya Seikai
Soichi Tanaka
Naohiro Ogawa
Hirotake Murakami
Yoichi Ohiro
Oronasal fistula: A rare complication of mesiodens
Advances in Oral and Maxillofacial Surgery
Supernumerary teeth
Mesiodens
Complication
Fistula
title Oronasal fistula: A rare complication of mesiodens
title_full Oronasal fistula: A rare complication of mesiodens
title_fullStr Oronasal fistula: A rare complication of mesiodens
title_full_unstemmed Oronasal fistula: A rare complication of mesiodens
title_short Oronasal fistula: A rare complication of mesiodens
title_sort oronasal fistula a rare complication of mesiodens
topic Supernumerary teeth
Mesiodens
Complication
Fistula
url http://www.sciencedirect.com/science/article/pii/S2667147623000651
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AT naohiroogawa oronasalfistulaararecomplicationofmesiodens
AT hirotakemurakami oronasalfistulaararecomplicationofmesiodens
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