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Case report
Unusually sited lower third molar
  1. Tim Campbell,
  2. Etienne Raffner,
  3. Martin Danford and
  4. James Sloane
  1. Maxillofacial Surgery, Royal Surrey County Hospital, Guildford, UK
  1. Correspondence to Tim Campbell; timcampbell{at}


We present the case of a 60-year-old woman who presented to our unit with left-sided facial swelling, pain and trismus. Initially managed as a parotitis by a different specialty, an ultrasound subsequently showed a collection deep to the parotid associated with an ectopic wisdom tooth within the mandibular posterior ramus/condyle and the patient was referred to our department. After treating the acute infection, the wisdom tooth was surgically removed. Our case highlights the importance of the clinician maintaining an open mind to differential diagnoses and details a technique for surgical removal of a tooth with difficult access.

  • dentistry and oral medicine
  • oral and maxillofacial surgery

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  • Contributors The majority of the work was undertaken by the lead author TC. He was assisted in the writing by the other authors. JS helped write and review the manuscript, edited the manuscript and assisted in the decision of which journal to submit to. MD reviewed and edited the manuscript. ER reviewed and edited the manuscript and helped in editing the figures before submission.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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