An Atypical Presentation and Management of Bilateral Impacted Inverted Maxillary Third Molars: a Case Report

BACKGROUND- The maxillary third molar is among the most commonly impacted teeth and can present in various forms depending on the direction and depth of impaction. However, bilateral inverted impaction of the maxillary third molars is an exceptionally rare condition, with only a single case reported in the current literature. CASE REPORT- This case report unequivocally outlines the uncommon presentation and management of bilateral inverted maxillary third molars in a 50-year-old female. Routine radiographic imaging unmistakably identified the inversion, with crowns oriented upward and roots directed toward the alveolar crest, alarmingly close to the maxillary sinus. Since the teeth were symptomatic, surgical removal was decisively recommended to avert potential complications, such as infection and disruption of prosthetic rehabilitation. The extractions were executed across two sessions, with healing proceeding without any complications. CONCLUSION- This case underscores the critical necessity for thorough imaging and a bespoke treatment strategy for addressing rare dental anomalies. It accentuates the need for personalized care, considering the patient’s health, surgical risks, and prosthetic objectives. Given the rarity of bilateral inverted maxillary third molar impactions, this report delivers significant insights into their management and surgical strategy.