DOI: https://doi.org/10.36347/sjmcr.2026.v14i04.016

Pages: 653-655

Ectopic teeth involving the nasal cavity or adjacent nasomaxillary structures are uncommon and may be difficult to localize accurately. We present the case of a 25-year-old woman with no relevant medical history who complained only of nasal discomfort. Imaging revealed a tooth-like radiopaque lesion near the nasal floor/hard palate region, suggestive of an ectopic intranasal tooth. Surgical exploration via a vestibular Caldwell-Luc approach failed to identify any intranasal or ectopic tooth. Although postoperative CT imaging was advised to clarify the finding, the patient was lost to follow-up. This report illustrates the challenges of diagnosing suspected ectopic teeth in atypical locations and emphasizes the need for precise radiologic assessment and postoperative follow-up when imaging and intraoperative findings are discordant.