title: Management of unilaterally impacted multiple posterior teeth: a case report.
abstract: BACKGROUND
  The impaction of permanent teeth poses a challenge to orthodontists, especially when posterior teeth are involved. Multiple impacted posterior teeth without associated with systemic conditions/syndromes is an uncommon clinical occurrence which leads to a posterior open bite and severely compromised function.
  
  
  OBJECTIVE
  The present article reports the clinical management of an impacted maxillary second premolar, mandibular premolars and mandibular first and second molars on the right side.
  
  
  METHODS
  The premolars were guided into occlusion by orthodontic traction. Disimpaction and uprighting of the mandibular first molar were achieved using a Begg uprighting spring while a T-loop was used to correct the second molar. Absolute anchorage in the form of miniscrews was not required as anchorage demands were minimal. The total treatment time was 24 months.
  
  
  RESULTS
  Orthodontic mechanics resolved a demanding clinical problem and eliminated the need for prosthetic replacements. An acceptable occlusion with a Class I molar relationship, normal function and a healthy periodontium were achieved.
  
  
  CONCLUSIONS
  The results indicated the benefits of uprighting multiple impacted teeth through orthodontic treatment.
authors.affiliation: Department of Orthodontics and Dentofacial Orthopedics, PDM Dental College and Research Institute Sarai Aurangabah, Bahadurgarh, Haryana, India. pawanjitwalia@yahoo.in
authors.forename: Pawanjit Singh
authors.initials: PS
authors.lastname: Walia
authors.affiliation: Department of Orthodontics and Dentofacial Orthopedics, PDM Dental College and Research Institute Sarai Aurangabah, Bahadurgarh, Haryana, India.
authors.forename: Sushil
authors.initials: S
authors.lastname: Kumar
authors.affiliation: Department of Orthodontics and Dentofacial Orthopedics, PDM Dental College and Research Institute Sarai Aurangabah, Bahadurgarh, Haryana, India.
authors.forename: Anu
authors.initials: A
authors.lastname: Singla
authors.affiliation: Department of Orthodontics and Dentofacial Orthopedics, PDM Dental College and Research Institute Sarai Aurangabah, Bahadurgarh, Haryana, India.
authors.forename: Varun
authors.initials: V
authors.lastname: Grover
mesh_terms: D000293:Adolescent; D001641:Bicuspid / Q000473:pathology*; D001696:Biomechanical Phenomena; D002508:Cephalometry / Q000379:methods; D005260:Female; D006801:Humans; D008334:Mandible / Q000473:pathology; D008437:Maxilla / Q000473:pathology; D008963:Molar / Q000473:pathology*; D024343:Open Bite / Q000628:therapy; D016382:Orthodontic Appliance Design; D050793:Orthodontic Extrusion / Q000295:instrumentation / Q000379:methods; D009969:Orthodontic Wires; D010347:Patient Care Planning; D014081:Tooth Extraction; D014087:Tooth Movement Techniques / Q000295:instrumentation / Q000379:methods; D014094:Tooth, Deciduous / Q000473:pathology / Q000601:surgery; D014095:Tooth, Impacted / Q000628:therapy*