Surgical Management of Ectopic Third Molar in the Mandibular Sub condylar Region without a Pathological Cause: A Case Report by Shaju Jacob Pulikkotil in BJSTR
Abstract
Ectopic eruption of mandibular third molar in the subcondylar region
is an extremely rare condition. The impacted tooth can remain
asymptomatic throughout life time and intervention would only be
required in cases of pain, signs of infection, inflammation or cyst
formation.
In our case a 35 year old man presented with dull continuous pain in
left side of face near preauricular area. A radiographic examination
revealed an impacted ectopic third molar in left subcondylar region with
a radiolucency surrounding the crown. The tooth was surgically
removed by an intraoral approach through a bone tunnel made on the
buccal surface inferior to sigmoid notch. Inadvertently left subcondylar
region fractured during the procedure and intermaxillary fixation was
done with Erich arch bar. The treatment should be meticulously planned
on the basis of the position and type of the ectopic tooth and related
potential trauma against the benefits of surgical intervention.
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