Tooth growing in Mans's nose

 

A 22year old man from Saudi Arabia became increasingly concerned when he started to suffer nose bleeds at least 1-2 times a month.  Upon examination at the doctors, it was that the man had a white bony mass present in his nostril, about 1 /2 an inch in size.  Upon further investigations, it was found to be a tooth growing in the patient's nose.

The patient's dental health was otherwise unremarkable, with a full set of well-aligned teeth.  The patient in this case likely had a mesiodens, which is a common type of extra tooth, normally found around incisor teeth. Usually, about a third of those actually develop upside down, and they can get rerouted upward, towards the nose.

 

What is a mesiodens tooth?

A common type of (extra)supernumerary tooth that grows commonly between the front teeth is called a Mesiodens.

Mesiodens can be broadly classified into three types:

 

  1. Supplementary – They erupt like a healthy tooth, most commonly in young children during the eruption of primary...
  2. Rudimentary – Unlike supplementary, these erupt in permanent dentition and do not resemble a healthy tooth. It differs...
  3. Inverted – As the name suggests the tooth is inverted at 180 degrees and the direction of eruption changes.

 

Complications caused by mesiodens teeth

  • Delayed eruption of front teeth, i.e., the central incisors
  • Spacing between the front teeth called as diastema
  • Change in the direction of the eruption of the adjacent permanent teeth
  • Dilacerations – formation of curved roots
  • Root resorption of adjacent teeth
  • Formation of cysts like a dentigerous cyst
  • An abnormal eruption of a tooth for example eruption in the nasal cavity

 

Treatment

Treatment can vary depending on the clinical presentation and complication risk.  In the case of the 22-year-old Saudi Arabian man, he was treated under general anesthetic to successfully have the tooth removed from his nose.  He successfully healed and had no reports of nosebleeds for three months.