title: Management of unilaterally deep impacted first, second, and third mandibular molars.
abstract: Simultaneous impactions of first, second, and third permanent molars comprises a very rare clinical situation with diverse therapeutic approaches and is a difficult challenge for dentists. Early diagnosis and treatment of eruption disturbances contributes to optimal outcomes. This article reports the treatment of a teenager with severe impaction of right mandibular first, second, and third molars, which hinders the masticatory function and dental arch integrity. A decision-making process and a simple orthodontic technique are described. To shorten the treatment time and simplify the procedures, the impacted right mandibular third and second molars were orthodontically uprighted with an innovative tip-back cantilever. Subsequently, the deeply impacted right mandibular first molar was extracted with minimal obstacles. The combined surgical-orthodontic approach resolved a challenging clinical problem and eliminated the need for prosthetic or dental implant replacement of the impacted molars. Good occlusion, normal function, and a healthy periodontium of the patient were also achieved.
authors: Department of Family Dentistry, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan, ROC.
authors: Po-Sung
authors: PS
authors: Fu
authors: Jen-Chyan
authors: JC
authors: Wang
authors: Cheng-Hwei
authors: CH
authors: Chen
authors: Ta-Ko
authors: TK
authors: Huang
authors: Chin-Huang
authors: CH
authors: Tseng
authors: Chun-Cheng
authors: CC
authors: Hung
mesh_terms: D000293:Adolescent; D002508:Cephalometry; D006801:Humans; D008297:Male; D008334:Mandible; D008963:Molar / Q000473:pathology* / Q000601:surgery; D050793:Orthodontic Extrusion; D014081:Tooth Extraction; D014095:Tooth, Impacted / Q000601:surgery / Q000628:therapy*