This patient presented for orthodontic treatment. Diagnosis revealed the need for extraction of six impacted teeth: four wisdom teeth and two supernumerary teeth, completely embedded in the gingiva (gum tissue) and dense bone (classification D1-D2). The roots of these teeth exhibited complex curvatures up to 90 degrees. Despite the high complexity, all teeth were extracted en bloc using microsurgical techniques and atraumatic extraction methods.
This case highlights the importance of timely removal of impacted teeth in their early stages of development, before the formation of complex root structures.