# Surgical Removal of a Long-standing Impacted Tooth in Upper Alveolus Following Blast Injury: A Case Report

## TL;DR

A 65-year-old man had a long-standing impacted tooth removed after it caused repeated infections following a blast injury.

## Contribution

This case highlights a rare long-term complication of blast injuries involving a retained tooth in the upper alveolus.

## Key findings

- A foreign body in the upper alveolus was identified via X-ray and CT scan.
- Surgical removal of the impacted tooth was performed successfully under local anesthesia.
- The patient recovered well and resumed normal activities post-surgery.

## Abstract

Injuries sustained from foreign bodies and burns after oil drum explosions are addressed immediately. This case reports a rare long-standing retained tooth after such an explosion. A 65-year-old male with a history of a victim of explosion injury to the face dating 20 years back with complaints of repeated nasal vestibulitis was evaluated. An X-ray of paranasal sinus followed by computed tomography of the nose and paranasal sinuses revealed a radio-opaque foreign body in the region of upper alveolus near left nasal vestibule. After consultation and clearance from dental department, exploration through the vestibule was done and the foreign body was removed without complications. Our intervention involved surgical removal of foreign body under local anesthesia. The patient has recovered following the intervention and has resumed his normal activities.