Abstract : Ectopic tooth outside the oral cavity is infrequently reported in the literature. They may present in a variety of ways such as chronic or recurrent sinusitis, sepsis, nasolacrimal duct obstruction, headaches, symptoms of osteomeatal complex block and facial numbness [1]. They may present with symptoms based on their abnormal positions or at times may be asymptomatic however once diagnosed with a view to avert any impending complications, most ectopic teeth are surgically removed. Ectopic teeth which are asymptomatic and are found incidentally during routine examinations, may be followed up periodically and observed. Once clinical examinations show evidence of an abnormality, the diagnosis is confirmed with help of imaging studies such as CT-PNS and orthopantomograms. CT being the gold standard diagnostic test [2]. The approaches to removing such foreign bodies, was classically the Caldwell Luc approach, however this is being widely replaced by the endoscopic approach due to its lower morbidity rates and patient preference. Here we describe a case of ectopic tooth in the right maxillary cavity of a forty-year-old female, who presented to our outpatient department and underwent surgery for the same.