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Case ReportOpen Access

Surgical Management of Ectopic Third Molar in the Mandibular Sub condylar Region without a Pathological Cause: A Case Report

Volume 1 - Issue 4

Sonia Nath1, Shaju Jacob Pulikkotil2*, Jayant Prakash3 and Om Prakash4

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    • 1Department of Dentistry, Rajendra Institute of Medical Sciences, India.
    • 2Department of Restorative dentistry, International Medical University, Malaysia
    • 3Private Practice, India
    • 4Department of Oral Surgery, Dental Institute, Rajendra Institute of Medical Sciences, India

    *Corresponding author: Shaju J Pulikkotil, International Medical University, School of Dentistry, Kuala Lumpur, Malaysia 57000

Received: August 15, 2017;   Published: September 08, 2017

DOI: 10.26717/BJSTR.2017.01.000341

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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.

Keywords: Ectopic Tooth Eruption; Third Molar Abnormalities; Tooth Impaction; Mandibular Condyle; Surgery

Abstract| Introduction| Case Description| Discussion| References|