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Surgical uprighting and repositioning of severely impacted mandibular second molars
Christopher P McAboy1, Joshua T Grumet, Elliot B Siegel
1Marquette University School of Dentistry, Milwaukee, Wis. 53233-2186, USA.
Background:
Impacted second molars can create problems with esthetics, masticatory function and dental arch stability. Treatment options include surgical extraction, surgical uncovering with orthodontic-assisted eruption and surgical uprighting.
Case Description:
The authors review the literature concerning surgical molar uprighting, and present a case in which the procedure was performed successfully to treat an impacted second molar in a female adolescent. The authors surgically repositioned a horizontal, right mandibular second molar that was partially impacted in bone. The patient was followed up for three years, during which time she was free of complications.
Clinical Implications:
Surgical molar uprighting has been shown to be a predictable and reliable procedure. When a molar tooth is severely impacted, surgical uprighting provides a viable option when other treatment modalities are contraindicated.
