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Bilateral lower second molar impaction in teenagers: an emergent problem?
Elio H Shinohara1, Shajadi Carlos Pardo Kaba, Irineu Gregnanin Pedron
1Post Graduation Program, Araçatuba Dental School, UNESP, Hospital Israelita Albert Einstein and UNINOVE Dental School, São Paulo, Brazil.
Summary
Simultaneously impacted molars in teens are rising. A novel germectomy technique using a vestibular incision facilitates third molar removal, preserving gum health and promoting healing for better second molar eruption.
Area of Science:
- Oral Surgery
- Adolescent Dentistry
Background:
- Simultaneous impaction of second and third molars is increasingly common in adolescent oral surgery.
- Conventional third molar removal can lead to complications like pericoronitis and delayed gingival healing due to surgical flap repositioning.
Observation:
- A case study explored the germectomy approach for impacted third molar removal in a teenage patient.
- The procedure utilized a vestibular incision to facilitate third molar extraction and promote second molar eruption.
Findings:
- The germectomy approach with a vestibular incision provided excellent bone exposure and an exit route for the third molar.
- This technique avoided disturbing the gingival architecture on the distal aspect of the first molar, creating a favorable healing environment.
Implications:
- The germectomy approach offers a viable alternative for managing impacted third molars, potentially reducing complications associated with traditional methods.
- This technique may improve healing outcomes and support the successful eruption of adjacent teeth in adolescent patients.
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The visible part of the tooth is referred to as the crown. It's covered by enamel, the hardest substance in the human body. The crown is uniquely shaped for each type of tooth, allowing for different functions such as cutting, tearing, or grinding food.