Terceiro Molar Ectópico em Incisura Mandibular
DOI:
https://doi.org/10.11606/issn.2176-7262.rmrp.2022.188343Palabras clave:
Terceiro molar, Erupção ectópica de dente, MandíbulaResumen
Dentes ectópicos são frequentemente encontrados, entretanto, terceiros molares inferiores ectópicos são incomuns, com etiologia obscura e pouco descritos na literatura pertinente. Sua localização já foi relatada nas regiões condilar, subcondilar, incisura mandibular, ângulo e borda inferior da mandíbula. Devido à importância do planejamento terapêutico, manejo adequado e variedade das manifestações clínicas desta condição, este trabalho teve como objetivo relatar um caso clínico de terceiro molar inferior ectópico na região de incisura mandibular, com radiolucência aumentada ao redor da coroa, em um paciente do gênero masculino, de 28 anos e sem sintomatologia. Acompanhamento radiográfico pode ser indicado, no entanto, em pacientes sintomáticos ou com alterações patológicas associadas, a extração deve ser considerada. Diante disso, o tratamento de escolha foi a extração do dente 38 sob anestesia geral, por via intraoral, tendo em vista a posição dentária, radiolucência e morbidade associada
à cirurgia. O tecido mole circundante foi enviado para análise anatomopatológica. O paciente evoluiu sem intercorrências durante avaliação pós-operatória.
Descargas
Referencias
Nanci A. Ten Cate’s Oral Histology: Development, Structure, and Function. vol. 9. 9th ed. 2017.
Shivashankara C, Manjunatha BS, Tanveer A. Ectopic mandibular third molar in subcondylar region: Report of a rare case. Oral Maxillofac Surg 2012;16:153–5. https://doi.org/10.1007/s10006-011-0284-7.
Andreasen J, Petersen J, Laskin D. Textbook And Color Atlas of Tooth Impaction: Diagnosis, Treatment And PreventionNo Title. Blackwell; 1997.
Wu Y, Song Y, Huang R, Hu J, He X, Wang Y, et al. Comprehensive analysis of ectopic mandibular third molar: A rare clinical entity revisited. Head Face Med 2017;13. https://doi.org/10.1186/s13005-017-0157-x.
Wang CC, Kok SH, Hou LT, Yang PJ, Lee JJ, Cheng SJ, et al. Ectopic mandibular third molar in the ramus region: report of a case and literature review. Oral Surgery, Oral Med Oral Pathol Oral Radiol Endodontology 2008;105:155–61. https://doi.org/10.1016/j.tripleo.2007.04.009.
Vij R, Goel M, Batra P, Vij H, JCDR SS research:, 2015 undefined. Heterotopic tooth: an exceptional entity. NcbiNlmNihGov n.d.
Procacci P, Albanese M, Sancassani G, Turra M, Morandini B, Bertossi D. Ectopic mandibular third molar: report of two cases by intraoral and extraoral access. Minerva Stomatol 2011;60:383–90.
Fernandez MT, Terrones Meraz MA. Infected cyst in the coronoid process. Oral Surgery, Oral Med Oral Pathol 1992;73:768. https://doi.org/10.1016/0030-4220(92)90028-O.
Yaseen S, Naik S, Uloopi K. Ectopic eruption - A review and case report. Contemp Clin Dent 2011;2:3. https://doi.org/10.4103/0976-237x.79289.
Suarez-Cunqueiro MM, Schoen R, Schramm A, Gellrich NC, Schmelzeisen R. Endoscopic approach to removal of an ectopic mandibullar third molar. Br J Oral Maxillofac Surg 2003;41:340–2. https://doi.org/10.1016/S0266-4356(03)00111-6.
Törenek K, Akgül HM, Bayrakdar IS. Ectopic Premolar Tooth in the Sigmoid Notch. Case Rep Dent 2016;2016:1–4. https://doi.org/10.1155/2016/6426523.
Chen CY, Chen YK, Wang WC, Hsu HJ. Ectopic third molar associated with a cyst in the sigmoid notch. J Dent Sci 2018;13:172–4. https://doi.org/10.1016/j.jds.2017.08.005.
Adachi M, Motohashi M, Nakashima M, Ehara Y, Azuma M, Muramatsu Y. Ectopic Third Molar Tooth at the Mandibular Notch. J Craniofac Surg 2015;26:e455–6. https://doi.org/10.1097/SCS.0000000000001636.
Wong YK. Ectopic molar near the coronoid process: Case report. 2007.
Hanisch M, Fröhlich LF, Kleinheinz J. Ectopic third molars in the sigmoid notch: Etiology, diagnostic imaging and treatment options. Head Face Med 2016;12:36. https://doi.org/10.1186/s13005-016-0133-x.
Wassouf A, Eyrich G, Lebeda R, Grätz KW. Surgical removal of a dislocated lower third molar from the condyle region: case report. Schweiz Monatsschr Zahnmed 2003;113:416–20. https://doi.org/10.5167/uzh-1568.
Iglesias-Martin F, Infante-Cossio P, Torres-Carranza E, Prats-Golczer VE, Garcia-Perla-Garcia A. Ectopic third molar in the mandibular condyle: A review of the literature. Med Oral Patol Oral Cir Bucal 2012;17:1013–7. https://doi.org/10.4317/medoral.17864.
Medici A, Raho MT, Anghinoni M. Ectopic third molar in the condylar process: Case report. Acta Biomed l’Ateneo Parm 2001;72:115–8.
Tümer C, Eset AE, Atabek A. Ectopic impacted mandibular third molar in the subcondylar region associated with a dentigerous cyst: A case report. Quintessence Int (Berl) 2002;33:231–3.
Diana C, Bodh R, Sharma P, Verma A. High lingual split access osteotomy for ectopic third molar in mandibular ramus region – A case report and literature review. J Oral Biol Craniofacial Res 2019;9:187–9. https://doi.org/10.1016/j.jobcr.2018.06.004.
Capelli J. Mandibular growth and third molar impaction in extraction cases. Angle Orthod 1991;61:223–9. https://doi.org/10.1043/0003-3219(1991)061<0223:MGATMI>2.0.CO;2.
Richardson ME. The early developmental position of the lower third molar relative to certain jaw dimensions. Angle Orthod 1970;40:226–30. https://doi.org/10.1043/0003-3219(1970)040<0226:TEDPOT>2.0.CO;2.
Szerlip L. Displaced third molar with dentigerous cyst--an unusual case. J Oral Surg 1978;36:551–2.
Anagnostopoulou S. Ectopic third molar. Oral Surgery, Oral Med. Oral Pathol., vol. 71, Mosby; 1991, p. 522–3. https://doi.org/10.1016/0030-4220(91)90449-M.
Findik Y, Baykul T. Ectopic third molar in the mandibular sigmoid notch: Report of a case and literature review. J Clin Exp Dent 2015;7:e133–7. https://doi.org/10.4317/jced.51871.
Chongruk C. Asymptomatic ectopic impacted mandibular third molar. Oral Surgery, Oral Med. Oral Pathol., vol. 71, Oral Surg Oral Med Oral Pathol; 1991, p. 520. https://doi.org/10.1016/0030-4220(91)90446-J.
Bruce RA, Frederickson GC, Small GS. Age of patients and morbidity associated with mandibular third molar surgery. J Am Dent Assoc 1980;101:240–5. https://doi.org/10.14219/jada.archive.1980.0183.
Okuyama K, Sakamoto Y, Naruse T, Kawakita A, Yanamoto S, Furukawa K, et al. Intraoral extraction of an ectopic mandibular third molar detected in the subcondylar region without a pathological cause: A case report and literature review. Cranio - J Craniomandib Pract 2017;35:327–31. https://doi.org/10.1080/08869634.2016.1240466.
Burton DJ, Scheffer RB. Serratia infection in a patient with bilateral subcondylar impacted third molars and associated dentigerous cysts: Report of case. J Oral Surg (Chic) 1980;38:135–8.
Descargas
Publicado
Versiones
- 2022-07-05 (3)
- 2022-07-05 (2)
Número
Sección
Licencia
Derechos de autor 2022 Jessica Ishii, Jonas Dantas Batista, Roberto Massayoshi Gondo, Plínio Eduardo Celiac de Melo, Clovis Martins Silva, Flaviana Soares Rocha
Esta obra está bajo una licencia internacional Creative Commons Atribución 4.0.
