What to do with an Inverted (Upside Down) Impacted Wisdom Tooth?

An interesting article titled “An unusual case of an inverted and impacted maxillary third molar,” written by Rammal and Alfonso appears in Oral Surgery in 2014 (vol. 7, pp. 109–111). The article discusses a case of an inverted and impacted upper wisdom tooth. In the article the authors discuss how there are seven possible positions that a tooth can be classified into and one of these is the inverted position where the the root apex faces the alveolar crest and the crown faces the maxillary sinus. In such a presentation the tooth appears as if it is growing into the maxillary sinus and the tooth clearly has no use for chewing in the mouth. The authors state: While inverted impacted third molars [wisdom teeth] remain dormant without significant manifestation, removal presents difficulty because of the need to remove large amounts … Read more