Turkiye Klinikleri Journal of Dental Sciences

.: CASE REPORTS
Radiologic Findings of a Heterotopic Maxillary Third Molar
Heterotopik Bir Maksiller Üçüncü Molar Dişin Radyolojik Bulguları
Elif KURTULDUa, Muhammed Akif SÜMBÜLLÜa
aDepartment of Dentomaxillofacial Radiology, Atatürk University Faculty of Dentistry, Erzurum, TURKEY
Turkiye Klinikleri J Dental Sci. 2019;25(2):226-30
doi: 10.5336/dentalsci.2018-63598
Article Language: EN
Full Text
ABSTRACT
 Impaction of a wisdom tooth is a common condition. Heterotopic teeth are identified as teeth placed at distance from the dental arch, in a different organ. In this case report, it is aimed to present radiological findings of a heterotopic wisdom tooth. A 39 years old female patient was referred to our clinic for a further examination of the radiopaque tooth like mass on the right side of the maxillary region. The medical, social and family history were unremarkable. On the physical examination, there were no symptoms like pain, swelling, asymmetry or limitation of mouth opening. Panoramic radiograph showed tooth like radiopaque mass which could be tooth or odontoma on the right side of the maxilla. Cone beam computed tomography (CBCT) was chosen as a further imaging method to examine. CBCT images showed that there was a maxillary third molar tooth in the infratemporal fossa in inverted position. A heterotopic tooth in the infratemporal region is a rare case.

Keywords: Heterotopic tooth; wisdom tooth; cone beam computed tomography; impacted tooth; infratemporal fossa
ÖZET
 20 yaş dişlerinin gömük olarak kalması yaygın bir durumdur. Heterotopik dişler, diş arkından uzak bir yerde, farklı bir organda yerleştirilmiş dişler olarak tanımlanır. Bu olgu sunumunda heterotopik bir 20 yaş dişinin radyolojik bulgularının sunulması amaçlanmıştır. 39 yaşında kadın hasta kliniğimize sağ maksiller bölgede radyopak diş benzeri kitlenin incelenmesi için başvurmuştur. Hastadan alınan anamnezde ve yapılan fiziksel muayenede dikkat çekici herhangi bir bilgi bulunmamaktadır. Panoramik radyografide sağ maksillada diş veya odontoma olabileceği düşünülen diş benzeri radyoopak materyal tespit edildi. Konik ışınlı bilgisayarlı tomografi (KIBT) ileri görüntüleme yöntemi olarak seçilmiştir. KIBT görüntüleri ile, inverte pozisyonda infratemporal fossada maksiller üçüncü molar diş bulunduğu tespit edilmiştir. Infratemporal bölgede heterotopik diş nadir bir durumdur.

Anahtar Kelimeler: Heterotopik diş; 20 yaş dişi; konik ışın bilgisayarlı tomografi; gömük diş; infratemporal fossa
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