Abstract:
Introduction: Inverted impacted unilateral maxillary canines particularly in edentulous arch are rarest of rare. Surgical removal for such teeth is indicated when it interferes with prosthesis, fistula, associated with pathology etc. The etiological factors associated with impacted maxillary canines are premature loss of primary teeth, lack of arch length, inappropriate angulations, ectopic locations, associated pathological lesions. The ideal management of an impacted maxillary canine requires multidisciplinary approach of orthodontist and Oral and Maxillofacial Surgeon. Management of this teeth poses particular challenge to the surgeons owing to its difficult discrete position and its relation to adjacent structures like maxillary sinus which increase the rate of complication for surgical removal. The treatment modalities range from observation to surgical removal of impacted teeth.
Materials and Methods: 25 patients with impacted canines embedded in maxillary sinus were included in the study. Surgical removal was undertaken using a novel technique where the teeth is anchored with a wire to prevent displacement into the sinus. Parameters like time of surgery, complications, breakage at the point of anchor, tooth dislaced into sinus were recorded.
Conclusion: Surgical removal of such teeth poses a challenge to surgeons owing to its difficult position and relation to adjacent structures. Slippage into maxillary sinus and causing further complications like fistula, infected sinus always remained a dilemma to surgeons. Engaging the impacted teeth with wire is a simple and effective technique to prevent displacement into sinus and ease the surgical removal with minimal complications.
Biography:
Dr. Anu Jose stands as a preeminent figure in contemporary oral and maxillofacial surgery, distinguished by her groundbreaking contributions to oncological surgery and innovative reconstruction techniques. Currently serving dual leadership roles at prestigious institutions, Dr. Anu Jose practices as a Facio-Maxillary Surgeon at The University Hospital of the West Indies, Kingston, Jamaica, and as an Oral and Maxillofacial Oncologist at FOSA Surgical Associates. These appointments reflect her exceptional clinical capabilities and institutional confidence in her expertise. Her Fellowship in Oral Oncology from the distinguished SGM Cancer Center has equipped her with unparalleled expertise in managing complex head and neck malignancies. Her surgical repertoire encompasses the most sophisticated procedures in oncological surgery, including radical tumor resections, comprehensive neck dissections, and advanced microvascular reconstruction utilizing free tissue transfer techniques. Dr. Jose's intellectual contributions to the field are substantiated by her impressive portfolio of over 28 peer-reviewed publications in prestigious journals indexed within PubMed and Scopus databases. Her research addresses critical areas of clinical relevance, with particular emphasis on oncological outcomes, reconstructive innovations, and evidence-based surgical protocols. Her scholarly work demonstrates a rare combination of clinical insight and research acumen, consistently addressing real-world challenges while contributing to the theoretical framework underlying contemporary oral and maxillofacial surgery practice. Dr. Jose's expertise has transcended geographical boundaries through her active participation as a distinguished speaker at numerous national and international conferences worldwide. Her presentations consistently showcase innovative surgical techniques, novel research methodologies, and evidence-based approaches to complex clinical scenarios. Her approach to medical practice reflects a deep appreciation for cultural sensitivity and international collaboration—understanding that the pursuit of medical excellence requires both technical mastery and respectful engagement with diverse healthcare traditions. This philosophy of harmonious integration between innovation and respect for established wisdom has positioned her as a valued contributor to global medical discourse.
