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Successful surgical treatments depend upon accurate diagnosis, judicious treatment planning, selection and execution of an appropriate surgical technique, and on a well monitored post-operative period. However, despite these
precautions, extraction of teeth (particularly third molar) is exposed to the accidents and complications common to
all buccomaxillary and facial interventions. A maxillary third molar may be displaced in maxillary sinus, nearby
soft tissue, or may migrate in a superioposterior direction towards paraphyrangeal space, or infratemporal fossa.
Dislocating the maxillary third molar in infratemporal fossa is one of the worst nightmare as this area has complex
anatomy consisting of vital neurovascular tissues and complex fascial spaces. The extent of displacement depends
upon anatomical conditions as well as direction and amount of force applied. Complication arises from error in
judgment, improper use of instruments, the application of extreme force or failure to obtain full visualization before
acting. Various researchers have given their opinion regarding immediate or delayed removal of tooth pushed in
infratemporal fossa but almost all agree that each case should be weighed independently for risk and reward before
attempting. Here we present a case in which intraoral approach was taken to retrieve the displaced tooth thus preventing potentially dreadful complications.
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