Oral and Maxillofacial Surgery

, Volume 23, Issue 2, pp 247–252 | Cite as

Supernumerary nasal tooth removed with a modified maxillary vestibular approach: case report and literature review

  • Samuel Macedo Costa
  • Alessandro Oliveira de Jesus
  • Roger Lanes Silveira
  • Marcio Bruno Figueiredo AmaralEmail author
Case Report



The aim of this present study is to describe a case of supernumerary nasal tooth removed with a modified maxillary vestibular approach with subperiosteal dissection.


Also, a review of English-language literature of supernumerary nasal teeth from 1959 to 2018 was performed.


This study demonstrated that the modified maxillary approach with subperiosteal intranasal dissection is a useful approach for the exposure and removal of teeth impacted in the floor of the nasal cavity. The advantage of its use versus the other techniques is the lower risk of complications and postoperative morbidity. The use of computed tomography is essential to determinate the position of the tooth and to help in the surgical planning.


The transoral approaches are more natural to the oral and maxillofacial surgeons than the transnasal or endoscopic ones.


Supernumerary nasal tooth Nasal tooth Supernumerary tooth 


Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.


The patient read and signs an informed consent form.

Statement of authors

All authors have viewed and agreed with this present submission.


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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Residency Program of the Oral and Maxillofacial Surgery ServiceHospital João XXIII/FHEMIGBelo HorizonteBrazil
  2. 2.Otorhinolaryngology and Head and Neck Surgery ServiceSanta CasaBelo HorizonteBrazil

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