Ektopik Gigi 18 Simtomatik pada Sinus Maksilaris: Laporan Kasus
DOI:
https://doi.org/10.35790/eg.v13i1.53703Abstract
Abstract: Ectopic tooth locations outside the normal jaw arch such as on the maxillary sinus are rare. The presence of ectopic signs is often found accidentally by dentists during oral cavity examinations. This is due to the absence of symptoms or complaints in the early days. An understanding of the complications that may occur due to ectopic teeth is very necessary for dentists in providing oral health education. We reported a 26-year-old woman complaining of swelling in her right cheek which had become increasingly painful one week before the examination. Orthopantomograph (OPG) x-ray showed that the right upper third molar was positioned on the right maxillary sinus. A CT scan was carried out to determine the position and boundaries of the third molar teeth. Surgery was performed to remove the upper right third molar tooth under general anesthesia using the Caldwell-Luc approach. The final control results showed significantly reduced pain and swelling. In conclusion, surgical excision using the Caldwell-Luc approach for an ectopic tooth into the maxillary anthrum with symptoms shows good results without significant complaints after the procedure. Good wound healing is observed in the 2nd and 3rd months after surgery.
Keywords: ectopic tooth; complications; upper third molar; maxillary sinus
Abstrak: Lokasi gigi ektopik di luar lengkung rahang normal seperti pada sinus maksilaris merupakan kasus jarang. Adanya tanda-tanda ektopik sering kali ditemukan tidak sengaja oleh dokter gigi saat pemeriksaan rongga mulut. Hal ini disebabkan tidak adanya gejala ataupun keluhan pada masa-masa awal. Pemahaman tentang komplikasi yang mungkin terjadi akibat gigi ektopik sangat perlu bagi dokter gigi dalam memberi edukasi kesehatan mulut. Kami melaporkan seorang perempuan berusia 26 tahun, dengan keluhan bengkak di pipi kanan yang bertambah nyeri sejak satu minggu sebelum diperiksa. Rontgen ortopantomograf (OPG) menunjukkan gigi molar ketiga atas kanan posisi berada pada sinus maksilaris kanan. Selanjutnya dilakukan CT-scan untuk menentukan posisi dan batas-batas gigi molar ketiga tersebut. Pembedahan dilakukan untuk mengambil gigi molar ketiga kanan atas, di bawah pengaruh bius total, dengan pendekatan Caldwell-Luc. Hasil kontrol akhir menunjukkan nyeri dan bengkak berkurang secara signifikan. Simpulan laporan kasus ini ialah tindakan eksisi bedah dengan pendekatan Caldwell-Luc pada kondisi gigi ektopik ke dalam antrum maksilaris dengan gejala menunjukkan hasil yang baik dan tidak disertai keluhan berarti setelah tindakan, dengan hasil penyembuhan luka yang baik pada bulan ke-2 dan 3 pasca operasi.
Kata kunci: gigi ektopik; komplikasi; molar ketiga atas; sinus maksilaris
References
Lombroni LG, Farronato G, Santamaria G, Lombroni DM, Gatti P, Capelli M. Ectopic teeth in the maxillary sinus: a case report and literature review. Indian J Dent Res [Internet]. 2018;29(5):667–71. Available from: https://doi.org/10.4103/ijdr.IJDR_347_17
Almomen A, Alkhudair B, Alkhatib A, Alazzah G, Ali Z, Al Yaeesh I, et al. Ectopic maxillary tooth as a cause of recurrent maxillary sinusitis: a case report and review of the literature. J Surg Case Rep. 2020(9):rjaa334. Doi: 10.1093/jscr/rjaa334
Saleh E, Prihartiningsih P, Rahardjo R. Odontektomi gigi molar ketiga mandibula impaksi ektopik dengan kista dentigerous secara ekstraoral. Majalah Kedokteran Gigi Klinik (MKGK) 2015;1(2):85–91. Available from: https://jurnal.ugm.ac.id/mkgk/article/view/11956
Bello SA, Oketade IO, Osunde OD. Ectopic 3rd molar tooth in the maxillary antrum. Case Rep Dent. 2014;2014:620741. Available from: https://doi.org/10.1155/2014/620741
Oti AA, Kwasi SD, Edward SE, Ampem GNT. Carious nasal tooth: a case report from the Oral and Maxillofacial Unit of Komfo Anokye Teaching Hospital. OJST. 2014;04(06):310–3. Available from: https://doi.org/10.4236/ojst.2014.46044
Ramanojam S, Halli R, Hebbale M, Bhardwaj S. Ectopic tooth in maxillary sinus: case series. Ann Maxillofac Surg. 2013;3(1):89–92. Available from: https://doi.org/10.4103/2231-0746.110075
Kasat VO, Karjodkar FR, Laddha RS. Dentigerous cyst associated with an ectopic third molar in the maxillary sinus: a case report and review of literature. Contemp Clin Dent. 2012;3(3):373–6. Available from: https://doi.org/10.4103/0976-237X.103642
Somayaji KG, Rajeshwary A, Abdulla MN, Ramlan S. Ectopic premolar tooth in the maxillary sinus: a case report and review of literature. Archives of Medicine and Health Sciences. 2013;1(1):48-51. Available from: https://doi.org/10.4103/2321-4848.113566
Kheir MK, Sheikhi M. Ectopic third molar in maxillary sinus: an asymptomatic accidental finding. Egypt J Otolaryngol. 2019;35(2):219–21. Available from: https://doi.org/10.4103/ejo.ejo_80_18
Topal Ö, Dayısoylu EH. Ectopic Tooth in the maxillary sinus. Turk Arch Otorhinolaryngol. 2017;55(3): 151–2. Available from: https://doi.org/10.5152/tao.2017.2308
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Didit Istadi, Feri Trihandoko
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
COPYRIGHT
Authors who publish with this journal agree to the following terms:
Authors hold their copyright and grant this journal the privilege of first publication, with the work simultaneously licensed under a Creative Commons Attribution License that permits others to impart the work with an acknowledgment of the work's origin and initial publication by this journal.
Authors can enter into separate or additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (for example, post it to an institutional repository or publish it in a book), with an acknowledgment of its underlying publication in this journal.
Authors are permitted and encouraged to post their work online (for example, in institutional repositories or on their website) as it can lead to productive exchanges, as well as earlier and greater citation of the published work (See The Effect of Open Access).
