Traumatic displacement of a maxillary primary canine tooth into the middle nasal concha presenting as chronic facial pain: a case report
The case of a 32-year-old woman who sustained a nasal bone fracture and dental trauma at the age of 9 is described in this article. Misdiagnosis of the dental displacement into the middle turbinate at the initial examination led to chronic facial pain. The cause of the pain was incorrectly diagnosed...
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| Veröffentlicht in: | Journal of oral & facial pain and headache 2015, Vol.29 (2), p.203-206 |
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| container_title | Journal of oral & facial pain and headache |
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| creator | Bušic, Njegoslav Mihovilovic, Ante Poljak, Nikola Kolja Macan, Darko |
| description | The case of a 32-year-old woman who sustained a nasal bone fracture and dental trauma at the age of 9 is described in this article. Misdiagnosis of the dental displacement into the middle turbinate at the initial examination led to chronic facial pain. The cause of the pain was incorrectly diagnosed or misinterpreted by several medical specialists, including an otolaryngologist, neurologist, physiatrist, ophthalmologist, internist, radiologist, oral surgeon, dentist, and the patient's family physician. Finally, 23 years after the dental trauma, a multislice computed tomogram revealed that the primary maxillary canine was dislocated into the right middle nasal concha. The tooth, which had become embedded into necrotic, inflammatory tissue, was removed by endoscopic surgery, which resulted in full resolution of the patient's pain. |
| doi_str_mv | 10.11607/ofph.1295 |
| format | Article |
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Misdiagnosis of the dental displacement into the middle turbinate at the initial examination led to chronic facial pain. The cause of the pain was incorrectly diagnosed or misinterpreted by several medical specialists, including an otolaryngologist, neurologist, physiatrist, ophthalmologist, internist, radiologist, oral surgeon, dentist, and the patient's family physician. Finally, 23 years after the dental trauma, a multislice computed tomogram revealed that the primary maxillary canine was dislocated into the right middle nasal concha. The tooth, which had become embedded into necrotic, inflammatory tissue, was removed by endoscopic surgery, which resulted in full resolution of the patient's pain.</description><identifier>ISSN: 2333-0384</identifier><identifier>DOI: 10.11607/ofph.1295</identifier><identifier>PMID: 25905539</identifier><language>eng</language><publisher>United States</publisher><subject>Adult ; Chronic Pain - diagnosis ; Cuspid - injuries ; Dentistry ; Diagnosis, Differential ; Diagnostic Errors ; Facial Pain - diagnosis ; Female ; Follow-Up Studies ; Foreign Bodies - diagnosis ; Humans ; Multidetector Computed Tomography - methods ; Nasal Bone - injuries ; Necrosis ; Skull Fractures - diagnosis ; Tooth Avulsion - diagnosis ; Tooth, Deciduous - injuries ; Turbinates - pathology</subject><ispartof>Journal of oral & facial pain and headache, 2015, Vol.29 (2), p.203-206</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c287t-40aea4bc19acfd112e5f21c4f7222cb60205b8ff7b8170c44ff25ec7847037773</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,4010,27900,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25905539$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bušic, Njegoslav</creatorcontrib><creatorcontrib>Mihovilovic, Ante</creatorcontrib><creatorcontrib>Poljak, Nikola Kolja</creatorcontrib><creatorcontrib>Macan, Darko</creatorcontrib><title>Traumatic displacement of a maxillary primary canine tooth into the middle nasal concha presenting as chronic facial pain: a case report</title><title>Journal of oral & facial pain and headache</title><addtitle>J Oral Facial Pain Headache</addtitle><description>The case of a 32-year-old woman who sustained a nasal bone fracture and dental trauma at the age of 9 is described in this article. Misdiagnosis of the dental displacement into the middle turbinate at the initial examination led to chronic facial pain. The cause of the pain was incorrectly diagnosed or misinterpreted by several medical specialists, including an otolaryngologist, neurologist, physiatrist, ophthalmologist, internist, radiologist, oral surgeon, dentist, and the patient's family physician. Finally, 23 years after the dental trauma, a multislice computed tomogram revealed that the primary maxillary canine was dislocated into the right middle nasal concha. The tooth, which had become embedded into necrotic, inflammatory tissue, was removed by endoscopic surgery, which resulted in full resolution of the patient's pain.</description><subject>Adult</subject><subject>Chronic Pain - diagnosis</subject><subject>Cuspid - injuries</subject><subject>Dentistry</subject><subject>Diagnosis, Differential</subject><subject>Diagnostic Errors</subject><subject>Facial Pain - diagnosis</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Foreign Bodies - diagnosis</subject><subject>Humans</subject><subject>Multidetector Computed Tomography - methods</subject><subject>Nasal Bone - injuries</subject><subject>Necrosis</subject><subject>Skull Fractures - diagnosis</subject><subject>Tooth Avulsion - diagnosis</subject><subject>Tooth, Deciduous - injuries</subject><subject>Turbinates - pathology</subject><issn>2333-0384</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kMFO3DAURb2gKmhg0w-ovERIM7WdeJx0V40oVEJiQ9fRy8tzY5TYwfZI8Ad8dj2doau3Oe9e3cPYFyk2Um6F-RbsMm6kavUZu1BVVa1F1dTn7CqlZyGElEo3qv3MzpVuhdZVe8HenyLsZ8gO-eDSMgHSTD7zYDnwGV7dNEF840t08-EieOeJ5xDyyJ3PgeeR-OyGYSLuIcHEMXgcoXxQKkHO_-GQOI4x-NJhAV1hFnD-eylASMQjLSHmS_bJwpTo6nRX7PfP26fd_frh8e7X7sfDGlVj8roWQFD3KFtAO5RFpK2SWFujlMJ-K5TQfWOt6RtpBNa1tUoTmqY2ojLGVCt2fcxdYnjZU8rd7BJSmekp7FMnt0Y3pm7ltqA3RxRjSCmS7U4aOim6f8K7g_DuILzAX0-5-36m4T_6obr6C1FOf-U</recordid><startdate>2015</startdate><enddate>2015</enddate><creator>Bušic, Njegoslav</creator><creator>Mihovilovic, Ante</creator><creator>Poljak, Nikola Kolja</creator><creator>Macan, Darko</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>2015</creationdate><title>Traumatic displacement of a maxillary primary canine tooth into the middle nasal concha presenting as chronic facial pain: a case report</title><author>Bušic, Njegoslav ; Mihovilovic, Ante ; Poljak, Nikola Kolja ; Macan, Darko</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c287t-40aea4bc19acfd112e5f21c4f7222cb60205b8ff7b8170c44ff25ec7847037773</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adult</topic><topic>Chronic Pain - diagnosis</topic><topic>Cuspid - injuries</topic><topic>Dentistry</topic><topic>Diagnosis, Differential</topic><topic>Diagnostic Errors</topic><topic>Facial Pain - diagnosis</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Foreign Bodies - diagnosis</topic><topic>Humans</topic><topic>Multidetector Computed Tomography - methods</topic><topic>Nasal Bone - injuries</topic><topic>Necrosis</topic><topic>Skull Fractures - diagnosis</topic><topic>Tooth Avulsion - diagnosis</topic><topic>Tooth, Deciduous - injuries</topic><topic>Turbinates - pathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bušic, Njegoslav</creatorcontrib><creatorcontrib>Mihovilovic, Ante</creatorcontrib><creatorcontrib>Poljak, Nikola Kolja</creatorcontrib><creatorcontrib>Macan, Darko</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of oral & facial pain and headache</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bušic, Njegoslav</au><au>Mihovilovic, Ante</au><au>Poljak, Nikola Kolja</au><au>Macan, Darko</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Traumatic displacement of a maxillary primary canine tooth into the middle nasal concha presenting as chronic facial pain: a case report</atitle><jtitle>Journal of oral & facial pain and headache</jtitle><addtitle>J Oral Facial Pain Headache</addtitle><date>2015</date><risdate>2015</risdate><volume>29</volume><issue>2</issue><spage>203</spage><epage>206</epage><pages>203-206</pages><issn>2333-0384</issn><abstract>The case of a 32-year-old woman who sustained a nasal bone fracture and dental trauma at the age of 9 is described in this article. 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| ispartof | Journal of oral & facial pain and headache, 2015, Vol.29 (2), p.203-206 |
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| language | eng |
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| source | MEDLINE; Alma/SFX Local Collection |
| subjects | Adult Chronic Pain - diagnosis Cuspid - injuries Dentistry Diagnosis, Differential Diagnostic Errors Facial Pain - diagnosis Female Follow-Up Studies Foreign Bodies - diagnosis Humans Multidetector Computed Tomography - methods Nasal Bone - injuries Necrosis Skull Fractures - diagnosis Tooth Avulsion - diagnosis Tooth, Deciduous - injuries Turbinates - pathology |
| title | Traumatic displacement of a maxillary primary canine tooth into the middle nasal concha presenting as chronic facial pain: a case report |
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