A Unique Bone Osteotome Technique for Extraction of Palatally Inclinated Maxillary Impacted Tooth: A Technical Note

Abstract

Background: There have been reported about impacted tooth[1,2,3], but a very few literature about extraction technique using bone osteotomy. Bone osteotome is routinely used in various oral surgeries. We describe a technique of a unique bone osteotome technique for extraction of palatally inclinated maxillary impacted tooth. Methods: We occasionally encounter the patient with tooth crown of impacted tooth inclinated from the buccal site toward the palatal site. When the use of an elevator and forceps is difficult due to the palatal tilted and interference of neighboring teeth, tooth extraction is a challenge.Using this osteotome from the buccal site causes the canine to easily rise out of the socket in the palatal direction. Results and Conclusion: This bone osteotome technique for extraction of palatally inclinated maxillary impacted tooth was very useful and convenient.This is because the impacted canine can be removed with a bone osteotome, a minimally invasive surgical instrument. No appreciable disadvantages are noted with this bone osteotomy. Keywords: Unerupted Tooth; Impacted Canine; Supernumerary Teeth