著者

有馬 実咲 桑島 精一 福田 雅幸 福地 峰世 五十嵐 秀光 高野 裕史

出版者

社団法人 日本口腔外科学会

雑誌

日本口腔外科学会雑誌 (ISSN:00215163)

巻号頁・発行日

vol.67, no.5, pp.281-285, 2021-05-20 (Released:2021-07-20)

参考文献数

26

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Ectopic impacted teeth are considered to be caused by congenital malposition of tooth germs, increased internal pressure from cysts, tumor growth, periodontal ligament traction, and rupture of the gubernacular cord. It often progresses asymptomatic, but has been reported to cause pain and infection. Here, we report a case of ectopic impacted tooth in which the mandibular horizontal impacted wisdom tooth migrated to the vicinity of the mandibular notch over 9 years. A 42-year-old woman visited our department with the chief complaint of pain in the left mandible. Upon comparison with past radiographs, the left impacted mandibular wisdom tooth was found to have migrated to the mandibular notch over 9 years. We performed an ectopic impacted wisdom tooth extraction to improve thepain. Fragile soft tissue was found forward the tooth. Histopathological specimens showed no epithelial structure and numerous plasma cell infiltrates. Immunohistochemical staining was negative for cytokeratin. The cause of the migration was considered to be the gubernacular cord thickened by inflammation. After the operation, the pain disappeared, no relapse was observed, and the patient has shown good progress.