Background: Glaucoma is characterized by optic neuropathy with increased intraocular pressure. The high prevalence of impaction causes some glaucoma patients to require odontectomy. There are no contraindications to odontectomy in glaucoma patients, but special preparation is needed to prevent recurrence during the procedure. Glaucoma recurrence is precipitated by increased intraocular pressure which correlates with elevated systemic blood pressure with increased intraocular pressure and corticosteroid use. Therefore, dentists must be vigilant in choosing an atraumatic odontectomy procedure, anesthetic dose and techniques, as well as administering the type and dose of analgesics. Objective: This paper reports a case of mandibular third molar odontectomy with local anesthesia in a patient with open-angle glaucoma, which is a rare case and in this case there is a high risk of complications. Case: A 26-year-old male patient complained of pain in the left back gum when chewing. Orthopantomographic radiographic examination showed impacted 38. The patient has been diagnosed with open-angle glaucoma for 5 years. An odontectomy was performed under local anesthesia. Durante surgery, bleeding is minimal and does not cause recurrence of glaucoma. Postoperative evaluation gave good results, minimal complications, and no recurrence of glaucoma.Conclusion: Odontontectomy with local anesthesia in glaucoma patients requires special preparation in the form of atraumatic surgical procedures and perioperative pharmacotherapy management in the form of pre-emptive analgesia, selection of a maximum of two ampoules of lidocaine and epinephrine 1:80,000 with the mandibular block anesthetic technique, and using multimodal analgesia in combination with NSAIDs without corticosteroids. Keywords: Complications, Glaucoma, Odontectomy

Objective: Ectopic teeth are teeth that are located deep in the jawbone or in other areas outside the alveolar bone, such as nasal cavity, chin, mandibular bone, palate, orbital cavity, and maxillary sinus. The presence of teeth in the maxillary sinus can cause an inflammatory reaction in the sinus and cause local sinonasal symptoms such as nasal obstruction, facial fullness, headache, hyposmia, and recurrent chronic sinusitis, due to obstruction of the sinus ostium and it can also develop into cysts. Replantation of bone fragments after tooth extraction using the Bone Lid technique can maintain sinus volume. The aim of this paper is to report the extraction of ectopic teeth in the maxillary sinus by using Bone Lid technique. Methods: A 9-year-old girl was referred from ENT clinic with complaints of pain in the right cheek and sniffles which were diagnosed as maxillary sinusitis. Radiographic examination showed that the canine tooth was located on the right maxillary sinus. The ectopic canine tooth was removed with a modified bone lid technique. Results: The panoramic radiograph and Waters’ projection radiograph postoperatively showed there were no ectopic teeth in the sinus and no volumetric changes of maxillary sinus cavity. In the clinical evaluation of 1 month postoperatively, there were no complaints of pain and sniffles. Conclusion: The use of the Bone Lid technique is beneficial because it maintains sinus volume, thus it does not disturb the function of the maxillary sinus.