Images of Complex Extraction of Hypercementosed Molar

A 49-year-old male presented to the Department of Oral and Maxillofacial Surgery with a chief complaint of moderately severe pain in the lower left back tooth region and difficulty chewing for two weeks. An intraoral examination revealed that tooth 38 was mesially and lingually angulated, and tooth 37 was clinically missing. A Cone Beam Computed Tomography (CBCT) scan showed that the crown of tooth 38 was oriented towards the lingual cortex, with the roots displaced above the alveolar crest.