AN IMPACTED, INVERTED AND ROTATED MAXILLARY CENTRAL INCISORS AND ITS SURGICAL MANAGEMENT: A CASE REPORT.

A female patient aged 13 years was referred to the Department of Oral and Maxillofacial Surgery, CSMSS Dental College,Aurangabad, Maharashtra, India with a complaint of a missing tooth in the upper anterior region of the jaw. The patientwas apparently healthy with no relevant family, medical and dental history. This case is peculiar due to the fact that theimpacted maxillary central incisors are not frequently reported in our routine dental practice. Here, a case of impactedmaxillary left permanent central incisors, with only a few reported cases in the literature, is presented. On radiodiagnosis, it was observed that the tooth was sprawling in an inverted position in the anterior region of the maxilla withmild dilaceration. Moreover, the tooth was located beneath the remnants of the root stumps of the deciduous maxillarycentral incisors and lateral incisors. The treatment for this case was planned with mutual efforts of the orthodontists, theoral surgeon, and the patient with his parents. The most appropriate treatment of choice for this case was the Surgicalextraction of the impacted maxillary central incisor along with the root stumps of deciduous teeth that were performedunder local anaesthesia without any hindrance to the nasal floor