Management of an ectopically erupting permanent mandibular molar: a case report

Ectopically erupting permanent first molars occur in approximately 3% to 4% of children, and presentation in the mandible is very rare. When the malocclusion warrants a nonextraction treatment plan in the mandible, early correction of an impacted ectopic molar with space regaining is appropriate. The purpose of this case report was to describe and document the correction of a severely impacted permanent mandibular left first molar in the early mixed dentition along with long-term results. A bilateral lingual arch was placed on the primary mandibular second molars with a Halterman-type extension in conjunction with a bonded button on the occlusal surface of the impacted permanent molar and chain elastic Early space regaining allowed future nonextraction treatment.