Management of inverted impacted primary incisors: an unusual case

The prevalence of impacted primary teeth has been reported to be very rare and it has been reported to occur in 1:10,000 times, most commonly involving the primary second molars. This report discusses the presence of an impacted inverted maxillary primary incisors and their management by surgical intervention in a 5 year old boy. The inverted primary maxillary central incisors were extracted and prosthetic rehabilitation was done to improve the esthetics, speech and psychosocial behaviour of the child. Co-incidentally the permanent maxillary incisors were also found to be hypoplastic although the parents did not give any history of trauma to the maxillofacial complex. It is important for pediatric dental surgeons to carefully monitor the eruption of primary and permanent teeth for early identification and management of developmental anomalies.