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Mossey PA, Little J, Munger RG, Dixon MJ, Shaw WC. Cleft lip and palate. Lancet. 2009; 374:(9703)1773-1785
Usiskin LA. Management of the palatal ectopic and unerupted maxillary canine. Br J Orthod. 1991; 18:(4)339-346
Buyukkurt MC, Omezli MM, Miloglu O. Dentigerous cyst associated with an ectopic tooth in the maxillary sinus: a report of 3 cases and review of the literature. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2010; 109:(1)67-71
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Savundranayagam A. A migratory third molar erupting into the lower border of orbit causing blindness in the left eye. Aust Dent J. 1972; 17:(6)418-420
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Unusual presentation of a tooth in a 9-year-old child with cleft lip and palate: a case report

From Volume 7, Issue 4, October 2014 | Pages 135-136

Authors

Katie Edwards

BChD

Longitudinal Dental Foundation Trainee, St Luke's Hospital, Little Horton Lane, Bradford, West Yorkshire BD5 0NA, UK

Articles by Katie Edwards

Laura Mitchell

MBE, MDS, BDS, FDS RCPS(Glasg), FDS RCS(Eng), FGDP(UK), DOrth RCS(Eng), MOrth RCS(Eng)

Consultant Orthodontist, St Luke's Hospital, Little Horton Lane, Bradford, West Yorkshire BD5 0NA, UK

Articles by Laura Mitchell

Abstract

Intranasal teeth are an uncommon but definite association with cleft lip and palate.1 The age of patients and the clinical symptoms surrounding their presentation can vary, as well as their management. A case report of a 9 year-old female with right-sided unilateral cleft lip and palate and associated intranasally erupting supernumerary tooth is presented here.

Clinical Relevance: This case report illustrates that, in cleft lip and palate patients, teeth may present in unusual sites.

Article

Cleft lip and palate is the most common craniofacial malformation with a reported worldwide incidence of 1.7 per 1000 live births.2 While the severity of each individual cleft can vary, the principles behind the treatment are the same. In the United Kingdom, primary lip repair is undertaken at around 3 months of age, with affected palates undergoing primary repair at approximately 9 months.

Ectopic teeth are not uncommon in patients who have cleft lip and palate. In the general population, the ectopic development of teeth has been reported in a number of locations around the oral cavity including the palate,3 maxillary sinus,4 condyle,5 coronoid process,6 orbital floor7 and nasal cavity.8

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