Journal of Oral Health
&
Community Dentistry
Inverted and Impacted Third Molar
Ramesh Chandra1, Ambrish Kaushal2
ABSTRACT
A case of unilateral impacted and inverted third molar has been reported. Its management should be performed in the conservative way to avoid conservative way to avoid serious consequences.
Keywords: Inverted, Impacted, Third molar
1
Reader
Department of Conservative
Dentistry and Endodontics
Career Post Graduate Institute of Dental
Sciences, Lucknow
2
Senior Lecturer
Department of Oral Pathology
Career Post Graduate Institute of Dental
Sciences, Lucknow
INTRODUCTION n impacted tooth is one which is prevented from its normal path of eruption in the dental arch due to lack of space in the arch or obstruction in the eruptive pathway of the tooth.
Impacted teeth may therefore be nonfunctional, abnormal or pathological or the level of impaction can be determined using
Pell and Gregory classification as follows
(1-4):
A
Position A: The highest portion of mandibular third molar is on a level with or above the occlusal plane.
Position B: The highest portion of impacted third molar is below the occlusal plane but above the cervical line of the second mandibular molar.
Position C: The highest portion of impacted mandibular third molar is below the cervical line of the second mandibular molar.
Position I: None of the crown is in the ramus of the mandible
Position II: Less than half of the crown is in the ramus of mandible
Position III: More than half of the crown is in the ramus.
Maxillary and mandibular third molars as well as maxillary cuspids are the most frequently impacted teeth. A very few cases of inverted and impacted third molars have been reported in the literature. This case report describes a case of inverted and impacted unilateral mandibular third molar.
CASE REPORT
A 52 year old male patient reported to dental clinic complaining of pain and difficulty in opening mouth. He pointed out regarding the pain in the