Fig. 1

Extraction of maxillary impacted third molar in Class B located in the none-buccal position of the second molar. CBCT showed that the IMTM was mesioangular (a), and located in the palatal position of the second molar (b). The IMTM was not visible clinically(c). Greater palatine nerve block (d), and posterior superior alveolar nerve block were administered (e). The incision of the flap begins at the maxillary tuberosity and extends as far as the distal aspect of the second molar, continuing palatally along the cervical lines of the last two teeth, and ending at the medial aspect of the first molar. The mucoperiosteal flap was elevated to expose the impacted tooth(f). Piezosurgery was used for bone guttering to reduce the distal and palatal bone resistance(g). The tooth was luxated by dental elevator(h), and removed by a dental forceps (i). the socket was assessed for oroantral communication (if any) (j) and primary closure was done (k). The socket was healing in progress at one week post operation (l)