Impacted Inverted Teeth with their Possible Treatment Protocols

Inversion of the impacted tooth is a rare condition. The purpose of this article is to review this rare condition in detail on the basis of available literature. In addition, this article also explores the various multidisciplinary approaches varying from space creation to prosthodontic rehabilitation and reimplantation to endodontic treatment for inverted impacted teeth.

A very few cases of inverted and impacted third molars have been reported in the literature. We describe few rare cases of inverted impacted teeth which presented to us in the Dept. Of Oral Surgery, K.D. Dental College and Hospital over a period of 2 years approx. we report of four cases presented to us with inverted maxillary third molars (Figs. 1, 2), inverted supernumerary tooth in anterior maxilla (Figs. 3, 4).

The first and second case of maxillary third molar and third case, of supernumerary tooth, the patients presented were asymptomatic, hence patient opted for conservative management and continued follow up, in the fourth case, the supernumerary tooth was removed for orthodontic reasons.

On the basis of literature available, it has been noticed that related complications particularly depend on justification on whether the tooth follicle is with a pathology or is pathology-free. Pathology-free and asymptomatic cases can be treated in a conservative manner. Possible treatment protocol for impacted inversion is entirely dependent on patient's needs, findings and surgeons skills.