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Uprighting Impacted Mandibular Second Molar Using a Skeletal Anchorage: A Case Report.

Federica Altieri1, Rosanna Guarnieri1, Martina Mezio1

  • 1Department of Oral and Maxillofacial Sciences, "Sapienza" University of Rome, 6-00161 Rome, Italy.

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|November 21, 2020
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Summary

This case report introduces a novel orthodontic-surgical method for impacted mandibular second molars (MM2). The technique utilizes miniscrew skeletal anchorage for efficient tooth movement and improved oral health-related quality of life.

Keywords:
TADsimpacted teethmandibular second molarminiscrewmolar impactionmolar uprightingorthodontics

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Area of Science:

  • Dentistry
  • Orthodontics
  • Oral Surgery

Background:

  • Impacted mandibular second molars (MM2) present a significant clinical challenge in orthodontics.
  • Traditional management often involves complex procedures with potential for biomechanical side effects.

Observation:

  • A novel combined orthodontic-surgical technique was developed to disimpact MM2.
  • This approach involves exposing the impacted tooth, placing a miniscrew in the retromolar region, and applying orthodontic force via an elastic chain.
  • The third mandibular molar bud was also removed concurrently.

Findings:

  • The described technique successfully achieved disimpaction of the impacted MM2.
  • Skeletal anchorage facilitated rapid treatment (approximately three months) and minimized adverse biomechanical effects.
  • The impact on oral health-related quality of life (OHRQoL) was evaluated.

Implications:

  • This innovative method offers a potentially more effective and efficient treatment for impacted MM2.
  • The use of miniscrew anchorage provides stable skeletal support, enhancing biomechanical control.
  • Further research is warranted to fully elucidate the advantages and limitations of this combined approach.